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评价 PowerScope Class 2 矫正器治疗 II 类错(牙合)患者的软组织、气道维度和舌骨位置。

Assessment of Soft Tissue, Airway Dimension and Hyoid Bone Position in Class II Patients Treated by PowerScope Class 2 Corrector.

机构信息

Department of Orthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India, e-mail:

Department of Orthodontics, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.

出版信息

J Contemp Dent Pract. 2023 May 1;24(5):308-313. doi: 10.5005/jp-journals-10024-3485.

Abstract

AIM

This study aims to assess the changes in the soft tissue, pharyngeal airway dimensions, and hyoid bone position in patients treated with PowerScope Class 2 corrector to correct the skeletal Class II pattern.

MATERIALS AND METHODS

This study was conducted on a sample of 20 cases diagnosed with Class II malocclusion. The lateral cephalograms were taken before (T1) and after functional appliance therapy (T2) and were traced. The outcomes were compared for the mean changes in soft tissue, airway way dimension, and hyoid bone position. The paired -test was used for the data comparisons wherein < 0.05 was kept for statistical significance.

RESULTS

The mean values before and after treatment for H angle, mentolabial angle, lower lip E-line, upper lip S-line, lower lip S-line, and lip strain were 19.88 ± 2.77 vs 17.13 ± 1.659, 94.09 ± 12.164 vs 101.75 ± 11.28, -2.47 ± 1.213 vs -1.38 ± 0.976, 3.99 ± 0.19 vs 2.64 ± 0.32, 9.01 ± 0.247 vs 9.43 ± 0.238, 10.24 ± 0.510 vs 10.64 ± 0.52, respectively, which were statistically significant ( < 0.05). All airway spaces (except for lower pharyngeal space) and hyoid bone parameters were significantly improved posttreatment.

CONCLUSION

The facial convexity, upper E-line, Z-angle, nasolabial angle, and lower pharyngeal space did not show statistically significant changes. The rest of the soft tissue parameters, oropharyngeal air spaces, and hyoid positioning measured in the study showed significant improvement after treatment with the PowerScope appliance in Class II patients.

CLINICAL SIGNIFICANCE

Class II malocclusion is the most common dental anomaly with a high degree of prevalence in the population. This study will help the clinician in understanding the improvement of soft tissue, airway dimension, and hyoid bone position changes on treatment with a fixed functional appliance for the correction of Class II cases, thereby ensuring the greater success of orthodontic therapy in the future.

摘要

目的

本研究旨在评估使用 PowerScope Class 2 矫正器治疗骨性 II 类错(牙合)畸形患者的软组织、咽腔气道尺寸和舌骨位置的变化。

材料和方法

本研究纳入 20 例诊断为 II 类错(牙合)畸形的患者。在功能性矫治器治疗前(T1)和治疗后(T2)拍摄侧位头颅侧位片并进行描记。比较软组织、气道尺寸和舌骨位置的平均变化。数据比较采用配对 t 检验, < 0.05 为有统计学意义。

结果

H 角、颏唇角、下唇 E 线、上唇 S 线、下唇 S 线和唇张力治疗前后的平均值分别为 19.88 ± 2.77 vs 17.13 ± 1.659、94.09 ± 12.164 vs 101.75 ± 11.28、-2.47 ± 1.213 vs -1.38 ± 0.976、3.99 ± 0.19 vs 2.64 ± 0.32、9.01 ± 0.247 vs 9.43 ± 0.238、10.24 ± 0.510 vs 10.64 ± 0.52,差异均有统计学意义( < 0.05)。所有气道间隙(下咽腔间隙除外)和舌骨参数治疗后均显著改善。

结论

面凸度、上 E 线、Z 角、鼻唇角和下咽腔间隙无统计学意义的变化。研究中测量的其余软组织参数、口咽腔气道和舌骨位置在使用 PowerScope 矫治器治疗 II 类错(牙合)畸形患者后均有显著改善。

临床意义

II 类错(牙合)是最常见的牙颌畸形,在人群中的发生率很高。本研究将帮助临床医生了解固定功能矫治器治疗 II 类错(牙合)畸形患者时软组织、气道尺寸和舌骨位置变化的改善情况,从而确保未来正畸治疗的更大成功。

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