骨锚式上颌骨前牵引术(BAMP):综述

Bone-anchored maxillary protraction (BAMP): A review.

作者信息

Kamath Apoorva, Sudhakar Shetty Suhani, Kannan Greeshma, Rai Kripal, Sb Athul

机构信息

Department of Orthodontics, Srinivas Institute of Dental Sciences, Mukka, Mangaluru, Karnataka, India.

Public Health Dentistry, Srinivas Institute of Dental Sciences, Mukka, Mangaluru, Karnataka, India.

出版信息

J Orthod Sci. 2022 May 4;11:8. doi: 10.4103/jos.jos_153_21. eCollection 2022.

Abstract

INTRODUCTION

Protraction therapy for maxillary deficiency in the treatment of skeletal class III malocclusion involves the use of facemask. Conventionally facemask has been anchored to the maxillary dentition, which is responsible for some of the counter-productive effects of facemask therapy including backward and downward rotation of the chin, increase in the lower anterior facial height, proclination of maxillary incisors, retroclination of mandibular incisors apart from mesialization of maxillary molars with extrusion and decreased overbite.

AIM

The aim of this article is to highlight the nuances of Bone-Anchored Maxillary Protraction (BAMP) including a literature review, which is comprehensive and narrative and comparing the different techniques involved such as type 1 BAMP versus type 2 BAMP and BAMP versus facemask.

MATERIALS AND METHODS

A computerized search was performed in electronic databases such as PubMed, PubMed Central, Cochrane, Embase, DOAJ, and Google scholar using key words such as "bone-anchored maxillary protraction" and "BAMP." The search was confined to articles in English published till March 2021. Forty-seven case-controlled, cross-sectional, retrospective and prospective studies, as well as systematic reviews and meta-analysis were included in this article, which were limited to human subjects. A hand search of the reference lists of the included articles was also carried out to include missed out articles.

CONCLUSION

To overcome these drawbacks, BAMP was introduced, which causes both maxillary protraction, restraint of mandibular growth with minimal dentoalveolar changes. BAMP is used widely nowadays in the treatment of skeletal class III malocclusion.

摘要

引言

在治疗骨性III类错牙合畸形时,上颌骨发育不足的牵引治疗需要使用面罩。传统上面罩固定在上颌牙列上,这导致了面罩治疗的一些适得其反的效果,包括下巴向后和向下旋转、下前部面部高度增加、上颌切牙前倾、下颌切牙后倾,以及上颌磨牙近中移动伴伸长和覆牙合减小。

目的

本文的目的是强调骨锚式上颌骨牵引(BAMP)的细微差别,包括文献综述,该综述全面且具有叙述性,并比较了所涉及的不同技术,如1型BAMP与2型BAMP以及BAMP与面罩。

材料与方法

在电子数据库如PubMed、PubMed Central、Cochrane、Embase、DOAJ和谷歌学术中进行计算机检索,使用关键词如“骨锚式上颌骨牵引”和“BAMP”。检索限于截至2021年3月发表的英文文章。本文纳入了47项病例对照、横断面、回顾性和前瞻性研究,以及系统评价和荟萃分析,这些研究仅限于人类受试者。还对手动检索纳入文章的参考文献列表,以纳入遗漏的文章。

结论

为了克服这些缺点,引入了BAMP,它既能实现上颌骨牵引,又能在最小程度的牙槽变化下抑制下颌骨生长。如今,BAMP在骨性III类错牙合畸形的治疗中被广泛应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d23f/9214452/2973cb7e139f/JOS-11-8-g001.jpg

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