开放咬伤复发的管理策略:系统性审查和元分析
Mohammad K Alam1, Afnan Alayyash1
1Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, SAU.
Cureus
|April 16, 2024
概括
结合 ортодонтических设备的手术干预是有效的开口咬伤复发 (OBR) 管理,特别是在年轻的患者. 口面肌功能疗法 (OMT) 对OBR的有效性有限.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙科手术 牙科手术
- 面外科手术 面外科手术
背景情况:
- 在正牙治疗中实现长期稳定是具有挑战性的,而开放咬伤复发 (OBR) 是一个常见的问题.
- 对OBR存在各种管理策略,但它们的比较有效性需要进行系统的评估.
研究的目的:
- 系统地审查和元分析开放咬伤复发 (OBR) 的不同管理策略.
- 根据现有证据,确定OBR最有效的治疗方法.
主要方法:
- 通过使用与OBR管理相关的关键词对六个数据库进行了全面的系统搜索.
- 11项研究符合纳入标准,随访期从6个月到4.5年不等.
- 进行了元分析,以计算不同干预措施的整体几率比率 (OR) 和风险比率 (RR).
主要成果:
- 发现口面肌功能疗法 (OMT) 是对OBR最不有效的策略.
- 手术管理,包括下再定位和用骨架 anchorage和正牙器件的入,显示出显著的有效性,特别是在18岁以下的患者.
- 结合的外科手术和正牙治疗方法比单独使用的任何一种方式都更有效.
结论:
- 结合手术和正牙干预,特别是骨架固定,是管理开口咬伤复发 (OBR) 的有希望的方法.
- 需要进一步的临床试验来验证这些发现,并评估OBR手术方式的成本效益.
- 根据目前的证据, orofacial myofunctional therapy (OMT) 不被推作为OBR的主要治疗方法.
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