快速腭扩张治疗上颌横向发育不足对儿童口腔健康相关生活质量的影响：一项对照临床试验的补充结果。

Effect of treatment of transverse maxillary deficiency using rapid palatal expansion on oral health-related quality of life in children: complementary results for a controlled clinical trial.

机构信息

Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rodolpho Paulo Rocco, 325 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-617, Brazil.

Department of Health II, School of Medicine, Southwest Bahia State University, Av. José Moreira Sobrinho, s/n, Jequiezinho, Jequié, BA, 45206190, Brazil.

出版信息

Clin Oral Investig. 2024 Sep 13;28(10):525. doi: 10.1007/s00784-024-05902-0.

DOI:10.1007/s00784-024-05902-0

PMID:39269644

Abstract

OBJECTIVE

To evaluate the effect of rapid palatal expansion (RPE) using Haas-type expanders on children's oral health-related quality of life (OHRQOL) and compare said effect with that previously reported for the use of Hyrax-type expanders.

MATERIALS AND METHODS

Forty participants aged 8-10 years with transverse maxillary deficiency were treated using Haas appliances. OHRQOL was measured using the CPQ before RPE, during RPE (T), at the end of RPE (T), and 1 month after appliance removal (T). Generalized mixed models were fitted to assess the effect of the Haas-type expander compared to previously collected data (a nontreated and a Hyrax-type expander-treated group).

RESULTS

RPE with Haas-type appliances had a negative impact on overall OHRQOL at T and T (P = 0.001), and a positive impact at T (P = 0.001). The Haas-type expander had a significantly greater negative impact on OHRQOL than the Hyrax-type appliance during RPE. At T, overall scores using the Haas-type expander were 1.08 times the scores using the Hyrax-type expander (i.e., 8% increase; 95% CI, 1.01-1.17; P = 0.033). Patients using the Haas appliance had 1.24 times the scores of those using Hyrax-type devices for the oral symptoms domain at T (i.e., 24% increase; 95% CI, 1.06-1.46; P = 0.009).

CONCLUSIONS

Correction of the transverse maxillary deficiency by RPE using the Haas appliance in children 8-10 years improves OHRQOL. The Haas- and Hyrax-type devices temporarily worsen OHRQOL during treatment, however, the negative impact is less with the Hyrax-type expander than with the Haas-type expander, because it causes fewer negative oral symptoms.

CLINICAL RELEVANCE

From a patient-centered perspective, the use of the Hyrax over the Haas appliance may be suggested as it causes less negative oral symptoms during use.

摘要

目的

评估使用 Haas 式扩弓器进行快速腭扩张（RPE）对儿童口腔健康相关生活质量（OHRQOL）的影响，并将其与之前报道的 Hyrax 式扩弓器的影响进行比较。

材料和方法

40 名年龄在 8-10 岁、有横向上颌骨发育不足的参与者使用 Haas 器具进行治疗。在 RPE 之前（T）、RPE 期间（T）、RPE 结束时（T）和器械去除后 1 个月（T）使用 CPQ 测量 OHRQOL。使用广义混合模型评估与之前收集的数据（未经治疗组和 Hyrax 式扩弓器治疗组）相比，Haas 式扩弓器的效果。

结果

使用 Haas 式器具进行 RPE 时，T 和 T 时 OHRQOL 整体受到负面影响（P = 0.001），T 时受到正面影响（P = 0.001）。在 RPE 期间，Haas 式扩弓器对 OHRQOL 的负面影响明显大于 Hyrax 式扩弓器。在 T 时，使用 Haas 式扩弓器的总体评分是使用 Hyrax 式扩弓器的 1.08 倍（即增加 8%；95%CI，1.01-1.17；P = 0.033）。使用 Haas 式器具的患者在 T 时的口腔症状域的评分是使用 Hyrax 式器械的 1.24 倍（即增加 24%；95%CI，1.06-1.46；P = 0.009）。