在使用圆束计算机断层扫描 (CBCT) 评估的儿童中, ортодонтика治疗与上呼吸道变化之间的关联:系统性审查
Yousef Abdalla1, Liselotte Sonnesen2
1Department of Orthodontics, School of Dentistry, James Cook University, Cairns, Queensland, Australia.
Journal of oral rehabilitation
|July 9, 2024
概括
正牙功能器件显著改善了儿童的上呼吸道体积和收缩,可能减少阻塞性睡眠呼吸暂停 (OSA) 的严重程度. 快速的上扩张会增加鼻子的尺寸,但不会增加气道的尺寸.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 儿科牙科 儿科牙科
- 睡眠医学 睡眠医学
背景情况:
- 儿童的正牙器件与成人阻塞性睡眠呼吸暂停 (OSA) 器件的设计原理相同.
- 缺口的正牙治疗可能会影响儿童的上呼吸道尺寸.
研究的目的:
- 系统地审查有关正义牙科治疗对儿科上呼吸道尺寸的影响的文献.
- 为了评估使用形光束计算机断层扫描 (CBCT) 在18岁以下的儿童的变化.
主要方法:
- 在PubMed,Scopus,Web of Science和Science Direct数据库中进行系统的电子搜索.
- 纳入标准:儿童 (<18岁),正牙治疗,对照组,CBCT呼吸道测量.
- 使用ROB-2和ROBINS-I工具评估偏差风险和证据质量.
主要成果:
- 23项研究符合纳入标准,分析了功能器械 (10),快速大扩张 (RME) (9),反向拉头盔 (1) 和牙提取 (3).
- 功能器械显示上空气道体积和收缩的显著改善.
- RME增加了鼻腔和鼻尺寸;其他干预措施对气道尺寸的影响有限或不存在.
结论:
- 功能设备显著改善上呼吸道体积,减少儿童的收缩,可能有助于OSA管理.
- 快速的上扩张增强了鼻子的尺寸,但没有大气道.
- 对其他对呼吸道尺寸的正牙干预的证据有限;需要进一步的研究.
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