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正畸治疗前后咀嚼功能和口腔健康与生活质量的关系:一项系统评价和荟萃分析。

Masticatory performance and oral health related to quality of life before and after orthodontic treatment: a systematic review and meta-analysis.

作者信息

Sabzevari Berahman, Fatemi Arezousadat, Soleimani Milad, Sajedi Seyed Masoud, Babazadehkhoushrodi Roksana

机构信息

Private practice, Mashhad.

Public dental clinic practice, Stavanger.

出版信息

Eur J Transl Myol. 2024 Feb 15;34(1):12101. doi: 10.4081/ejtm.2024.12101.

DOI:10.4081/ejtm.2024.12101
PMID:38357970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11017174/
Abstract

Masticatory performance is considered an important step in the beginning of the digestive process and considering the patient's aesthetic and functional factors, it is necessary to choose appropriate treatments. Based on the evidence during orthodontic treatment, the restoration of the physiological function of masticatory performance should not be neglected. The present study aimed to evaluate the association between orthodontic treatment and improved masticatory performance and oral health related to quality of life. In the present study, all articles published till the end of August 2023 were extracted by two trained researchers independently through a search in databases like PubMed, Scopus, Science Direct, ISI, Web of Knowledge, Elsevier, Wiley, and Embase, and Google Scholar search engine using keywords and their combinations. Data analysis was done using the fixed effects model in a meta-analysis, by STATA (version 17); a P-value of less than 0.05 was considered significant. Based on the results, the mean difference in masticatory performance between pre-treatment and post-treatment was 2.23 (MD: 2.23; 95CI, 2.17, 2.29. p<0.01; I2= 99.98%; p<0.01). The mean difference in oral health related to quality of life between pre-treatment and post-treatment was -32.23 (MD: -32.23; 95CI, -33.35, -31.11. p<0.01; I2= 97%; p<0.01). Orthodontic treatment had a positive effect on masticatory performance and improved the quality of life of patients after treatment.

摘要

咀嚼功能被认为是消化过程开始的重要环节,考虑到患者的美学和功能因素,有必要选择合适的治疗方法。基于正畸治疗过程中的证据,不应忽视咀嚼功能生理功能的恢复。本研究旨在评估正畸治疗与咀嚼功能改善以及与生活质量相关的口腔健康之间的关联。在本研究中,两名经过培训的研究人员通过在PubMed、Scopus、Science Direct、ISI、Web of Knowledge、Elsevier、Wiley和Embase等数据库以及使用关键词及其组合的谷歌学术搜索引擎中进行检索,独立提取了截至2023年8月底发表的所有文章。使用STATA(版本17)在荟萃分析中采用固定效应模型进行数据分析;P值小于0.05被认为具有统计学意义。根据结果,治疗前与治疗后咀嚼功能的平均差异为2.23(MD:2.23;95%CI,2.17,2.29。p<0.01;I2 = 99.98%;p<0.01)。治疗前与治疗后与生活质量相关的口腔健康的平均差异为-32.23(MD:-32.23;95%CI,-33.35,-31.11。p<0.01;I2 = 97%;p<0.01)。正畸治疗对咀嚼功能有积极影响,并改善了治疗后患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceca/11017174/d1822939e8f7/ejtm-34-1-12101-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceca/11017174/c13d90845fed/ejtm-34-1-12101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceca/11017174/45b902a023cb/ejtm-34-1-12101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceca/11017174/d1822939e8f7/ejtm-34-1-12101-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceca/11017174/c13d90845fed/ejtm-34-1-12101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceca/11017174/45b902a023cb/ejtm-34-1-12101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ceca/11017174/d1822939e8f7/ejtm-34-1-12101-g003.jpg

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J Stomatol Oral Maxillofac Surg. 2023 Dec;124(6 Suppl 2):101570. doi: 10.1016/j.jormas.2023.101570. Epub 2023 Jul 26.
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Evaluation of pre- and post-treatment masticatory and bite force efficiency in patients undergoing fixed orthodontic treatment and orthognathic surgery using T-Scan Novus occlusal analysis: A factorial randomized controlled trial.使用T-Scan Novus咬合分析评估接受固定正畸治疗和正颌手术患者治疗前后的咀嚼和咬合力效率:一项析因随机对照试验。
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Changes in masticatory performance during the retention period following 4-premolar extraction and non-extraction orthodontic treatment.4 磨牙拔牙和非拔牙正畸治疗后保持期咀嚼性能的变化。
Clin Oral Investig. 2023 Jun;27(6):2609-2619. doi: 10.1007/s00784-022-04817-y. Epub 2022 Dec 20.
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