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使用颈带矫治器治疗垂直向生长过度的生长发育期患者的头影测量变化

Cephalometric changes in growing patients with increased vertical dimension treated with cervical headgear.

作者信息

Sambataro Sergio, Fastuca Rosamaria, Oppermann Nelson J, Lorusso Paola, Baccetti Tiziano, Franchi Lorenzo, Caprioglio Alberto

机构信息

Private Practice, Catania, Italy.

Department of Medical, Surgical and Health Sciences, University of Messina, Messina, Italy.

出版信息

J Orofac Orthop. 2017 Jul;78(4):312-320. doi: 10.1007/s00056-017-0087-z. Epub 2017 Apr 28.

DOI:10.1007/s00056-017-0087-z
PMID:28455746
Abstract

PURPOSE

The aim of the present study was to investigate the cephalometric changes in patients with increased vertical dimension after treatment with cervical headgear compared to controls.

METHODS

The sample of the present retrospective study consisted of 20 Class II patients (10 males, 10 females; mean age 8.54 ± 1.15 years) with increased vertical dimension treated with cervical headgear (treatment group) and 21 Class II patients (11 males, 10 females; mean age 8.41 ± 1.15 years) with increased vertical dimension who underwent no treatment (control group). Cephalograms were available for each subject at baseline (T1) and after treatment/observation time (T2) for both groups and cephalometric analysis allowed for evaluation of changes between time points and between groups.

RESULTS

Regarding facial axis, N-ANS/ANS-Me, and overbite, there were no negatively significant changes in the treated group showing no significant worsening in the vertical dimension. Regarding facial angle, there was a significant increase in the treated group between the time points and when compared to the control group, showing counterclockwise rotation of the mandible in the treated group.

CONCLUSIONS

The vertical dimension was not significantly altered after cervical headgear treatment although the anterior facial height was higher at the beginning of treatment. There was significant counterclockwise rotation of the mandible, and clockwise rotation and distal displacement of the maxilla after treatment.

摘要

目的

本研究的目的是调查与对照组相比，经颈牵引矫治器治疗后垂直距离增加的患者的头影测量变化。

方法

本回顾性研究的样本包括20例接受颈牵引矫治器治疗的垂直距离增加的II类患者（10名男性，10名女性；平均年龄8.54±1.15岁）（治疗组）和21例未接受治疗的垂直距离增加的II类患者（11名男性，10名女性；平均年龄8.41±1.15岁）（对照组）。两组患者在基线（T1）和治疗/观察时间后（T2）均有头颅侧位片，通过头影测量分析评估时间点之间和组间的变化。

结果

关于面部轴、N-ANS/ANS-Me和覆合，治疗组没有显著的负面变化，表明垂直距离没有显著恶化。关于面部角，治疗组在时间点之间以及与对照组相比有显著增加，表明治疗组下颌骨逆时针旋转。

结论

尽管治疗开始时前面高较高，但经颈牵引矫治器治疗后垂直距离没有显著改变。治疗后下颌骨有显著的逆时针旋转，上颌骨有顺时针旋转和远中移位。

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