口腔疾病防治 ›› 2019, Vol. 27 ›› Issue (3): 194-197.DOI: 10.12016/j.issn.2096-1456.2019.03.010

• 综述 • 上一篇    下一篇

正畸间接粘接技术的研究进展

吴佳奇1,孙传玺2,陈露祎2,汪瑶2,李志华2()   

  1. 1.南方医科大学深圳口腔医院正畸科,广东 深圳(518001)
    2.南昌大学附属口腔医院正畸科,江西省口腔生物医学重点实验室,江西 南昌(330031)
  • 收稿日期:2018-01-04 修回日期:2019-01-15 出版日期:2019-03-20 发布日期:2019-03-20
  • 通讯作者: 李志华
  • 作者简介:吴佳奇,医师,硕士,Email:416612955@qq.com
  • 基金资助:
    江西省科技计划项目(20142BBI90028)

Research progress of orthodontic indirect bonding technology

WU Jiaqi1,SUN Chuanxi2,CHEN Luyi2,WANG Yao2,LI Zhihua2()   

  1. 1.Department of Orthodontics, Shenzhen Stomatological Hospital, Southern Medical University, Shenzhen 518001, China
    2.Department of Orthodontics, Affiliated Stomatological Hospital of Nanchang University, The Key Laboratory of Oral Biomedicine, Nanchang 330031, China
  • Received:2018-01-04 Revised:2019-01-15 Online:2019-03-20 Published:2019-03-20
  • Contact: Zhihua LI

摘要:

托槽的精确定位是获得理想正畸矫治效果的必要条件。传统的托槽粘接技术存在一定局限性,如操作时间长与精确性差等。而间接粘接技术则是通过口内印模或扫描获取模型,在模型上精确定位和粘接托槽,再通过转移托盘将托槽准确粘接到口内牙冠上。本文将从间接粘接技术的转移托盘和粘接剂的研究进展、数字化技术在间接粘接中的应用、无托槽隐形矫治与间接粘接等方面对正畸间接粘接技术进行综述。文献复习结果表明,间接粘接技术定位托槽准确,操作简单,患者舒适度高,且可显著提高临床效率;光固化粘接剂是间接粘接技术的理想粘接剂。随着数字化技术的发展,间接粘接技术将能够越来越准确地定位托槽,从而实现牙齿的“数字化精准移动”。隐形矫治器附件的粘接技术本质上是一种间接粘接技术,它需要间接粘接技术与数字化技术的高度契合,通过电脑设计需要的附件来进行可视化的牙齿移动,并利用间接粘接技术准确粘接附件,最终让牙齿实现预期的移动。间接粘接技术将随着数字化技术和隐形矫治技术的发展,发挥越来越重要的作用。

关键词: 间接粘接, 托槽, 转移托盘, 粘接剂, 数字化, 隐形矫治

Abstract:

Accurate positioning of brackets is a necessary condition for ideal orthodontic treatment. Traditional bracket bonding technology has certain limitations, such as long operation time and poor accuracy. Indirect bonding technology is a method that bonding brackets on the model through intraoral impression or scanning, and then the brackets are accurately bonded to the tooth crowns using a transfer tray. In this article, the progression of transfer trays and adhesive agents, the application of digital technology in indirect bonding technology, indirect bonding for invisible appliances, and the prospect of this technology are reviewed. The literature review results show that indirect bonding technology can locate the bracket accurately, the operation is simple, the patient’s experience is comfortable, and the clinical efficiency can be significantly improved, the photocurable adhesive is an ideal adhesive for indirect bonding technology. With the development of digital technology, indirect bonding technology will be able to locate the brackets with increasing accuracy, thus achieving the "digital precision movement" of the teeth. The bonding technology of invisible appliance accessories is essentially a type of indirect bonding technology, It requires indirect bonding technology and digital technology to highly fit the needs of computer design accessories for the visual tooth movement and the use of indirect bonding technology to accurately bond accessories, ultimately achieving the desired tooth movement. Indirect bonding technology will play an increasingly important role with the development of digital technology and invisible correction technology.

Key words: Indirect bonding, Bracket, Transfer tray, Adhesive agent, Digitization, Invisible appliance

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