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固定正畸治疗对青少年Ⅰ类、Ⅱ类和Ⅲ类骨骼型错[牙合]矫正后面咽气道尺寸的影响。

Influence of Fixed Orthodontic Therapy on Pharyngeal Airway Dimensions after Correction of Class-I, -II and -III Skeletal Profiles in Adolescents.

机构信息

College of Dentistry, Riyadh Elm University, Riyadh 11564, Saudi Arabia.

Department of Preventive Dental Science, College of Dentistry, Riyadh Elm University, Riyadh 11564, Saudi Arabia.

出版信息

Int J Environ Res Public Health. 2021 Jan 10;18(2):517. doi: 10.3390/ijerph18020517.

DOI:10.3390/ijerph18020517
PMID:33435182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7827368/
Abstract

The aim was to compare the influence of fixed orthodontic therapy (OT) on the pharyngeal airway space dimensions after correction of class-I, -II and -III skeletal profiles and among untreated adolescent patients. A control group comprising of untreated patients was also included. Demographics and OT-related information was retrieved from patients' records. Measurements of airway spaces in the nasopharynx, oropharynx and hypopharynx were performed on lateral cephalograms. -values under 0.05 were considered statistically significant. The results showed no statistically significant differences in the naso-, oro- and hypo-pharyngeal airway spaces among patients with class-I, -II and -III skeletal profiles and individuals in the control group. There were no statistically significant differences when naso-, oro- and hypo-pharyngeal airway spaces were compared among patients with class-I, -II and -III skeletal profiles. In conclusion, in non-extraction cases without maxillary expansion, fixed OT does not affect the naso-, oro- and hypo-pharyngeal airway spaces in patients with skeletal Class-I, -II and -III skeletal profiles. Further studies involving patients undergoing ME and premolar extraction are needed to elucidate the influence of fixed OT on the naso-, oro- and hypo-pharyngeal airway spaces.

摘要

目的是比较固定正畸治疗(OT)对 I 类、II 类和 III 类骨骼畸形矫正后咽腔气道空间尺寸的影响,并比较未治疗的青少年患者之间的影响。还纳入了一组未治疗的对照组患者。从患者的记录中检索人口统计学和与 OT 相关的信息。在侧位头颅侧位片上测量鼻咽、口咽和下咽的气道空间。p 值小于 0.05 被认为具有统计学意义。结果显示,I 类、II 类和 III 类骨骼畸形患者与对照组患者之间的鼻咽、口咽和下咽气道空间无统计学差异。I 类、II 类和 III 类骨骼畸形患者之间的鼻咽、口咽和下咽气道空间也无统计学差异。结论:在不进行上颌扩弓的非拔牙病例中,固定正畸治疗不会影响 I 类、II 类和 III 类骨骼畸形患者的鼻咽、口咽和下咽气道空间。需要进一步研究接受上颌扩展和前磨牙拔除的患者,以阐明固定正畸治疗对鼻咽、口咽和下咽气道空间的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/556e/7827368/09a5d09b8950/ijerph-18-00517-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/556e/7827368/09a5d09b8950/ijerph-18-00517-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/556e/7827368/09a5d09b8950/ijerph-18-00517-g001.jpg

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本文引用的文献

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Three-Dimensional Evaluation on Cortical Bone During Orthodontic Surgical Treatment.正畸治疗中皮质骨的三维评估
J Craniofac Surg. 2020 Sep;31(6):1637-1646. doi: 10.1097/SCS.0000000000006592.
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Three-dimensional analyses of short- and long-term effects of rapid maxillary expansion on nasal cavity and upper airway: A systematic review and meta-analysis.三维分析快速上颌扩展对上鼻腔和上呼吸道的短期和长期影响:系统评价和荟萃分析。
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采用锥形束 CT 研究安氏Ⅱ类错[牙合]患者应用 Herbst 矫治器治疗后上气道的三维变化。
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Influence of increased body mass index on orthodontic tooth movement and related parameters in children and adolescents: A systematic review of longitudinal controlled clinical studies.体重指数增加对儿童和青少年正畸牙齿移动及相关参数的影响:纵向对照临床研究的系统评价
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Changes in craniofacial and airway morphology as well as quality of life after passive myofunctional therapy in children with obstructive sleep apnea: a comparative cohort study.阻塞性睡眠呼吸暂停患儿经被动肌功能治疗后面部和气道形态及生活质量的变化:一项对比队列研究。
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Am J Orthod Dentofacial Orthop. 2019 Jul;156(1):53-60. doi: 10.1016/j.ajodo.2018.07.024.
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