Parkin Nicola A, Deery Chris, Smith Anne-Marie, Tinsley David, Sandler Jonathan, Benson Philip E
Charles Clifford Dental Hospital, Sheffield and Barnsley Hospital NHS Foundation Trust, Barnsley, UK.
J Oral Maxillofac Surg. 2012 Sep;70(9):2026-34. doi: 10.1016/j.joms.2012.02.028. Epub 2012 Jun 6.
To investigate differences in surgical outcomes between open and closed exposure for palatally displaced maxillary canines.
This multicenter randomized controlled trial involved 2 parallel groups. The settings were 1 dental teaching hospital in and 2 hospital units near Sheffield, UK. Participants were younger than 20 years, had a unilateral palatally displaced maxillary canine, and provided informed consent. They were randomly allocated to receive the open or the closed surgical procedure. The outcomes were time spent in the operating room and 10-day postoperative patient questionnaire findings. Statistical differences between the 2 techniques were tested using independent t tests for continuous variables and χ(2) tests for frequencies.
The final study sample was composed of 71 participants (64% female). There were no differences in the gender ratios (open: 27 female, 13 male; closed; 25 female, 16 male) or mean ages (open: 14.3 yrs; standard deviation [SD], 1.3 yrs; closed: 14.1 yrs; SD, 1.6 yrs) of the 2 groups at the start. The mean operating times for the open and closed techniques were 34.3 minutes (SD, 11.2 min) and 34.3 minutes (SD, 11.9 min), respectively (P = .986). There were no statistically significant differences between the 2 treatment groups for any patient-assessed outcome (P > .05).
There were no differences in the surgical outcomes investigated in this study between open and closed exposure for palatally displaced maxillary canines.
探讨上颌尖牙腭向移位时开放暴露与闭合暴露手术效果的差异。
这项多中心随机对照试验包括两个平行组。研究地点为英国谢菲尔德的1家牙科教学医院和2个医院科室。参与者年龄小于20岁,单侧上颌尖牙腭向移位,并签署了知情同意书。他们被随机分配接受开放或闭合手术。观察指标为手术时间和术后10天患者问卷结果。对两组技术之间的统计学差异,连续变量采用独立t检验,频率采用χ(2)检验。
最终研究样本由71名参与者组成(64%为女性)。两组开始时的性别比例(开放组:27名女性,13名男性;闭合组:25名女性,16名男性)或平均年龄(开放组:14.3岁;标准差[SD],1.3岁;闭合组:14.1岁;SD,1.6岁)无差异。开放技术和闭合技术的平均手术时间分别为34.3分钟(SD,11.2分钟)和34.3分钟(SD,11.9分钟)(P = 0.986)。在任何患者评估的结果中,两组治疗组之间均无统计学显著差异(P > 0.05)。
本研究中,上颌尖牙腭向移位时开放暴露与闭合暴露的手术效果无差异。