II类错颌儿童快速上颌扩弓后下颌骨的变化：一项系统评价

Changes in the Mandible Following Rapid Maxillary Expansion in Children with Class II Malocclusion: A Systematic Review.

作者信息

Kotarska Małgorzata, Kucukkeles Nazan, Lis Joanna, Kawala Beata, Rumin Kornelia, Sarul Michał

机构信息

Department of Integrated Dentistry, Wroclaw Medical University, 50-367 Wrocław, Poland.

Department of Orthodontics, Dental School, Bezmialem University, İstanbul 34093, Turkey.

出版信息

Diagnostics (Basel). 2022 Jul 11;12(7):1688. doi: 10.3390/diagnostics12071688.

DOI:10.3390/diagnostics12071688

PMID:35885592

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9319810/

Abstract

OBJECTIVE

The aim of this systematic review was to determine whether rapid maxillary expansion (RME) allows favorable changes in the mandible during the treatment of class II malocclusion before the growth spurt.

METHODS

A search of Pubmed/Medline, the Science Direct, and the Google Scholar database was performed. The keywords used were: orthodontics, rapid maxillary expansion, class II, and growing patients. Relevant articles were assessed for quality according to Cochrane guidelines, and then changes in SNA, SNB, ANB, NL-NSL (or SN-SNP.SNA), and ML-NSL (or SN-Go-Gn) relationships were analyzed.

RESULTS

The selection process brought forth five articles, including 162 patients (91 females, 71 males) for detailed analysis. The quality of the evidence (GRADE) for comparisons and outcomes was assessed as moderate for SNB and ANB and as low or very low for other variables.

CONCLUSIONS

The results of this systematic review showed that there is a small body of moderate-quality evidence for statistically and clinically favorable changes in SNB and ANB angles and a small body of low-quality evidence for changes in vertical parameters after RME.

摘要

目的

本系统评价的目的是确定快速上颌扩弓（RME）在生长突增前治疗Ⅱ类错牙合期间是否能使下颌发生有利变化。

方法

检索了Pubmed/Medline、Science Direct和谷歌学术数据库。使用的关键词为：正畸学、快速上颌扩弓、Ⅱ类、生长发育期患者。根据Cochrane指南评估相关文章的质量，然后分析SNA、SNB、ANB、NL-NSL（或SN-SNP.SNA）和ML-NSL（或SN-Go-Gn）关系的变化。