用新的视角重新发明连续提取:它是否激发了当前实践的变化?
Soumya Narayani Thirumoorthy1, Saumiya Gopal2
1Associate Orthodontist, Smilelife Orthodontics, Corpus Christi, TX, USA. snt270@nyu.edu.
Evidence-based dentistry
|August 31, 2023
概括
连续提取,有或没有扩张,在严重拥挤的儿童中显著影响垂直骨尺寸. 这两种方法在青春期之前进行时,可以获得相似的脑力测量结果.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 头骨面部的发展
- 牙弧分析分析 牙弧分析
背景情况:
- 严重的牙拥挤是常见的正统牙科问题.
- 连续提取是一种管理严重拥挤的治疗方式.
- 扩张与连续提取相结合的作用需要进一步分析.
研究的目的:
- 为了比较连续提取的骨和牙效应,并没有 palatal 扩张.
- 分析严重拥挤病例的脑力测量变化,用连续提取处理.
- 评估治疗时间 (青春期前) 对治疗结果的影响.
主要方法:
- 使用横向脑电图的回顾性受控研究.
- 78名儿童 (8.5 ± 1.4岁) 的样本:52人因严重拥挤而接受治疗,26人为对照组.
- 处理的病例分为连续提取 (EX) 和连续提取与扩展 (EX-EXP) 组.
主要成果:
- 观察到显著的垂直骨变化,包括下和闭合平面角的减少.
- 提取组中面部高度指数增加和上角下降.
- 没有显著的切间角变化,但对照组在随访时的角度较小.
结论:
- 单独或扩张的连续提取显示了可比的骨脑法检查结果.
- 处理主要影响垂直维度.
- 当在青春期生长冲刺之前进行时,就能获得有效的结果.
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