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上颌前牵引矫治器对上气道大小的影响。

Maxillary protraction appliance effect on the size of the upper airway passage.

作者信息

Oktay Hüsamettin, Ulukaya Esengül

机构信息

Department of Orthodontics, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.

出版信息

Angle Orthod. 2008 Mar;78(2):209-14. doi: 10.2319/122806-535.1.

Abstract

OBJECTIVE

To test the hypothesis that maxillary protraction appliances (MPA) have no effect on the size of the upper airway passage and craniofacial structures in adolescent patients.

MATERIALS AND METHODS

Twenty patients (5 male and 15 female; mean age 11.5 years) with skeletal Class III malocclusion were included in this study. The records of all patients who had maxillary protraction treatment and had lateral head radiographs taken before and after their protraction treatments were obtained from the files of treated cases. Treatment changes were determined by means of linear, angular, and area measurements. Data were analyzed statistically by means of paired t-test and correlation analysis.

RESULTS

Significant increases were observed in the width and area of the pharyngeal airway. Significant increases also occurred in the sagittal growth of the maxilla, while a clockwise rotation and inhibition of sagittal growth were observed in the mandible.

CONCLUSIONS

The hypothesis was rejected. The size of the upper airway can be increased by means of MPA application.

摘要

目的

验证青少年患者使用上颌前牵引矫治器(MPA)对上气道大小及颅面结构无影响这一假设。

材料与方法

本研究纳入20例骨骼Ⅲ类错牙合畸形患者(5例男性,15例女性;平均年龄11.5岁)。从治疗病例档案中获取所有接受上颌前牵引治疗且在牵引治疗前后拍摄了头颅侧位片的患者记录。通过线性、角度和面积测量来确定治疗变化。采用配对t检验和相关性分析对数据进行统计学分析。

结果

观察到咽气道宽度和面积显著增加。上颌矢状向生长也显著增加,而下颌出现顺时针旋转且矢状向生长受到抑制。

结论

该假设被否定。使用MPA可增加上气道大小。

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