不同尺寸和材料的初始弓絲對正畸治療中初始疼痛影響的系統(tǒng)評價與貝葉斯網(wǎng)狀Meta分析

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[中圖分類號]R783.5[文獻(xiàn)標(biāo)志碼]A [doi] 10.7518/gjkq.2025036

Effectsof initialarchwiresofdifferent sizesand materialsoninitialpainduringorthodontic treatment：asystematicreviewandBayesiannetworkmeta-analysis

WeiZhi，LiuChang，WangYan，LaiWenli

StateKeyLaboratoryofOralDiseases&NationalCenterforStomatology&NationalClinicalResearchCenterforOral Disease&ept.frthdontics，WestnaHospitalofomatologyichuanUiversityengdu6 Correspondence：LaiWenli，Email：wenlilai@scu.edu.cn

[Abstract]ObjectiveTheeffectsofvariationsinthesizeandmaterialsofinitialarchwiresoninitialpainduringorthodontic treatment were explored.Methods Seven commonly used databases were searched from inception to October1， 2023 for publications related toorthodontic archwires and pain.Relevantliterature was selected on the basis of inclusion criteria.Moreover，the methodologicalqualityof the included studies wasassessedusing theriskofbiasassssmenttool forthe nonrandomized studiesof interventionsrecommended by Cochrane，and data were extracted accordingly.Network meta-analysis was performed using R software 4.3.2（caling JAGS4.3.1）and GeMTC0.14.3 software.ResultsA total of1l studies involving 632 patients and10 intervention measures were included.Among the1 studies，three had lowrisk ofbias，one hadhighriskofbias，andseven hadunclear bias risk.One，two，andseven daysafterthe initial placementoffixedorthodonticappliances，nostatisticallsignificant difference inthevisualanalogscale （VAS）scoresofpain was foundbetweenanytwoofthe10archwires.However，forestplotsresultsshow thatthepainlevelofheat-activated nickel-titaniumarchwires （HANT） is lower than that of superelastic nickel-titanium archwires （ P<0 . 0 5 ） ，and rankprobability plotanalysis indicated thatthe material with thesmallest VASscore Wasmost likelythe O.O12-inch （ （ 0 . 3 0 5 m m 0

HANT.ConclusionNo difference in orthodontic pain intensitywas found amongthe1O initial archwiresof different sizesand materials，and using the O.ol2-inch HANTarchwireas theinitial archwire during fixed orthodontictreatment maycause the leastamountof initial pain

Key words] orthodontic archwires； pain； systematic review； visual analog scale

近年來，正畸治療的需求不斷增加，固定矯治器作為正畸治療中最常用的矯治器，引起的正畸疼痛一直是口腔正畸學(xué)的研究熱點之一。（剩余15601字）