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下颌前伸装置与咬合架的肺量计和头影测量比较评估

A spirometric and cephalometric comparative evaluation of mandibular advancement devices and occlusal jig.

作者信息

Ujjwal Shaily, Kaurani Pragati, Padiyar U Narendra, Meena Sudhir, Singh Devendra Pal, Sharma Hemant Kr

机构信息

Department of Prosthodontics, MGDCH, Jaipur, Rajasthan, India.

出版信息

J Indian Prosthodont Soc. 2019 Jan-Mar;19(1):66-73. doi: 10.4103/jips.jips_94_18.

DOI:10.4103/jips.jips_94_18
PMID:30745756
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6340075/
Abstract

AIM

Aim of the current study was to evaluate the effect of occlusal jig with increased vertical dimension and mandibular advancement device on the oropharangeal volume in completely edentulous patients using spirometry and cephalometry.

MATERIALS AND METHODS

The current study included includes 30 completely edentulous patient according to inclusion criteria. They were each subjected to cephalometric and spirometric analysis wearing CCD, OJ & MAD. Results obtained were subjected to following statistical analysis, one-way ANOVA test, unpaired -test, and Dunnett's test.

RESULT

Both OJ & MAD brings about significant change in oropharangeal volume hence both the devices are effective treatment of choice for OSA, while greater increase was observed in oropharangealvolume of OJ as compared to MAD. Spirometric analysis shows insignificant changes in the oropharangeal volume caused by MAD while OJ causes small but significant change in oropharangeal volume (PIFR].

CONCLUSION

Within the limitation of the study, it can be concluded that, on cephalometric & spirometric evaluation, OJ shows greater increase in oropharangeal volume when compared to MAD in completely edentulous patient.

摘要

目的

本研究的目的是使用肺活量测定法和头影测量法，评估增加垂直距离的咬合导板和下颌前伸装置对全口无牙患者口咽体积的影响。

材料与方法

根据纳入标准，本研究纳入了30例全口无牙患者。他们每人佩戴CCD、OJ和MAD进行头影测量和肺活量测定分析。所获得的结果进行以下统计分析：单向方差分析、非配对t检验和邓尼特检验。

结果

OJ和MAD均使口咽体积发生显著变化，因此这两种装置都是阻塞性睡眠呼吸暂停的有效治疗选择，而与MAD相比，OJ的口咽体积增加幅度更大。肺活量测定分析显示，MAD引起的口咽体积变化不显著，而OJ引起的口咽体积变化虽小但显著（PIFR）。

结论

在本研究的局限性范围内，可以得出结论，在头影测量和肺活量测定评估中，与MAD相比，OJ在全口无牙患者中使口咽体积增加幅度更大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/5748ceb43407/JIPS-19-66-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/f1ed1f7fcb43/JIPS-19-66-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/6176cbe48d30/JIPS-19-66-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/1c69576ba567/JIPS-19-66-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/d19659c565d2/JIPS-19-66-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/917915153893/JIPS-19-66-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/ba744af02810/JIPS-19-66-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/ad9f3490052d/JIPS-19-66-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/b5c5db942bd1/JIPS-19-66-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/cbc87f247245/JIPS-19-66-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/5748ceb43407/JIPS-19-66-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/f1ed1f7fcb43/JIPS-19-66-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/6176cbe48d30/JIPS-19-66-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/1c69576ba567/JIPS-19-66-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/d19659c565d2/JIPS-19-66-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/917915153893/JIPS-19-66-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/ba744af02810/JIPS-19-66-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/ad9f3490052d/JIPS-19-66-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/b5c5db942bd1/JIPS-19-66-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/cbc87f247245/JIPS-19-66-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e98a/6340075/5748ceb43407/JIPS-19-66-g010.jpg

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