宫头戴在患有II类缺陷闭塞的成长期患者的垂直影响:系统性审查和元分析
Umar Hussain1, Ahsan Memood Shah2, Fazli Rabi3
1Department of Orthodontics, Saidu College of Dentistry, Khyber Pakhtunkhwa, Swat, Pakistan.
European journal of orthodontics
|October 22, 2023
概括
在II类患者中,宫头戴 (cHG) 不总是导致后旋转或增加垂直面部尺寸. 这次系统性审查发现,平均而言,没有显著的负面垂直影响.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 头骨面部生长 头骨面部生长
- 牙科生物力学 牙科生物力学
背景情况:
- 宫头戴 (cHG) 是有效的II类校正与牙科和骨科效果.
- 传统上,cHG与不利的垂直影响有关,特别是下后部旋转.
研究的目的:
- 系统地评估子头饰 (cHG) 的垂直维度处理效应.
- 评估下和上平面的潜在不良影响.
主要方法:
- 在五个数据库中进行了无限制的文献搜索,截至2023年5月.
- 包括随机和非随机临床研究,将cHG与对照或其他II类治疗方法进行比较.
- 进行了随机效应元分析,元回归和灵敏度分析,并进行了偏差风险评估.
主要成果:
- 包括18项研究,包括1094名患者;平均年龄10.9岁,46%是男性.
- 与自然生长相比,cHG治疗没有显示下或上平面角的平均显著增加.
- 当将cHG与高拉力头盔或功能设备进行比较时,没有观察到任何显著的差异.
结论:
- 宫头戴 (cHG) 并不总是与后旋转相关.
- 在接受cHG治疗的II类患者中,没有观察到垂直面部尺寸的持续增加.
- 证据的确定性被评为低至非常低.
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