Veloso de Almeida Watanabe Maria Luiza, Oliveira Lira Ortega Adriana, Riera Costa Catalina, Saito Arita Emiko, Ortega Karem L
Special Care Dentistry Center, School of Dentistry, University of São Paulo, São Paulo, Brazil; Mario Covas State Hospital, Santo Andre, São Paulo, Brazil.
Special Care Dentistry Center, School of Dentistry, University of São Paulo, São Paulo, Brazil; Disabled Persons Division, Institute of Dentistry, Cruzeiro do Sul University, São Paulo, Brazil.
Am J Orthod Dentofacial Orthop. 2018 Jan;153(1):26-35. doi: 10.1016/j.ajodo.2017.05.027.
In this study, we aimed to analyze craniofacial morphology by assessing the skeletal cephalometric profiles of HIV-positive patients receiving antiretroviral therapy.
For this study, 21 HIV-positive patients aged between 6 and 17 years (study group) were selected and compared with 21 normoreactive patients (control group), paired by sex and age. The patients were also divided into 3 age ranges (6-8, 9-12, and 13-17 years) considering the pubertal growth spurt as the central event. Eighteen (linear and angular) measurements were traced on teleradiographs by using 2 methodologies. The mean values of each measurement were compared between the study and control groups by age range.
The majority of the measurements checked in the HIV-positive children and adolescents for the 13-to-17 year age range were diminished, but not enough to generate a statistically significant difference in craniofacial growth. Statistically significant differences (P <0.05) were found only in the inclination of the palatal plane (6-8 years) and the position of the maxilla in the anteroposterior direction (13-17 years).
These results led us to conclude that some cephalometric measurements of HIV-positive children and adolescents may be similar to those of normoreactive subjects.
在本研究中,我们旨在通过评估接受抗逆转录病毒治疗的HIV阳性患者的骨骼头影测量轮廓来分析颅面形态。
在本研究中,选取了21名年龄在6至17岁之间的HIV阳性患者(研究组),并与21名反应正常的患者(对照组)进行比较,两组按性别和年龄配对。考虑到青春期生长突增这一核心事件,患者还被分为3个年龄范围(6至8岁、9至12岁和13至17岁)。使用两种方法在远距X线片上进行了18项(线性和角度)测量。按年龄范围比较了研究组和对照组每项测量的平均值。
在13至17岁年龄范围的HIV阳性儿童和青少年中,所检查的大多数测量值有所减小,但不足以在颅面生长方面产生统计学上的显著差异。仅在腭平面倾斜度(6至8岁)和上颌前后位置(13至17岁)方面发现了统计学上的显著差异(P<0.05)。
这些结果使我们得出结论,HIV阳性儿童和青少年的一些头影测量值可能与反应正常的受试者相似。