Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil.
Department of Orthodontics, University of North Paraná, UNOPAR, Londrina, Brazil.
Orthod Craniofac Res. 2018 May;21(2):104-111. doi: 10.1111/ocr.12223. Epub 2018 Mar 14.
To evaluate the stability of anterior open bite (AOB) treatment with bonded spurs associated with high-pull chincup (BS/HPCC).
The experimental group consisted of 25 Class I AOB patients (15 female, 10 male) treated with BS/HPCC for 1 year. Cephalograms were analysed at pre-treatment (T1), post-treatment (T2) and at the 3-year post-treatment (T3) stage with the patients mean ages of 8.10, 9.14 and 12.18 years, respectively. The control group consisted of 23 subjects (13 female, 10 male) with normal occlusion, with comparable ages at the 3 stages (8.45, 9.45 and 12.50 years at T1, T2 and T3, respectively). T tests were used for intergroup comparisons at T1 and to compare the changes during the 3-year post-treatment period (T2-T3). Intragroup comparison in the treated group was evaluated with dependent t tests between T1 and T2. Correlations between the overbite changes in the T2-T3 period, the pre-treatment AOB severity and the amount of correction achieved during treatment were evaluated with Pearson's correlation coefficient.
No statistically significant relapse of the AOB was found at T3. Only 1 patient had a clinically significant AOB relapse. Neither the pre-treatment AOB severity nor the amount of correction was related to overbite changes during the 3-year post-treatment period.
There was no statistically significant relapse of the AOB, and the clinical stability of AOB correction 3-year post-treatment was of 96%.
评估带高位牵引颏兜的唇弓(BS/HPCC)治疗前牙开(AOB)的稳定性。
实验组由 25 例 I 类 AOB 患者(15 名女性,10 名男性)组成,采用 BS/HPCC 治疗 1 年。在治疗前(T1)、治疗后(T2)和治疗后 3 年(T3)时对头颅侧位片进行分析,患者的平均年龄分别为 8.10、9.14 和 12.18 岁。对照组由 23 名正常咬合患者(13 名女性,10 名男性)组成,3 个阶段的年龄相当(T1、T2 和 T3 时分别为 8.45、9.45 和 12.50 岁)。采用 t 检验对 T1 时的组间比较,以及对治疗后 3 年期间的变化(T2-T3)进行比较。用独立 t 检验对实验组的组内比较进行评估,比较 T1 和 T2 之间的差异。采用 Pearson 相关系数评估 T2-T3 期间的覆颌变化、治疗前 AOB 严重程度和治疗期间的矫正量之间的相关性。
T3 时未发现 AOB 明显复发。只有 1 例患者出现临床显著的 AOB 复发。治疗前 AOB 严重程度和矫正量均与治疗后 3 年期间的覆颌变化无关。
AOB 无统计学意义的复发,AOB 治疗后 3 年的临床稳定性为 96%。