缓解口腔呼吸的干预后的牙气囊变化:系统性审查和元分析
Rizomar Ramos do Nascimento1, Daniele Masterson2, Claudia Trindade Mattos3
1Department of Orthodontics, School of Dentistry, Universidade Federal Fluminense, Rua Mário Santos Braga 30, room 214, ZC 24040-110, Niterói (RJ), Brazil. rizonascimento@gmail.com.
概括
在儿童中纠正口腔呼吸的手术干预表明,正常化下切肢倾斜的证据很少. 在初始牙中,门宽度在这些程序后保持不变.
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
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 儿童口腔呼吸可能会导致牙和面部显著变化.
- 早期识别和干预对于预防长期的正牙问题至关重要.
研究的目的:
- 为了评估长期的牙科结果,特别是切肢倾斜度和门宽度,在成长中的个体手术纠正口腔呼吸后.
- 在呼吸模式正常化后,评估牙变化的预后.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 包括七项非随机研究,随访期从12个月到60个月.
- 作为主要和次要结果,评估切肢倾斜度和大弓宽度 (犬间和间).
- 使用QUIPS和GRADE工具评估的偏见风险和证据质量.
主要成果:
- 分析没有产生统计学上有意义的证据支持切肢倾斜变化手术干预 (p=0.12).
- 在初始牙中没有观察到大门横向尺寸的显著变化 (95% CI,0.231 [-0.394/0.857],p=0.4690).
结论:
- 有限的证据表明,口腔呼吸的干预措施可能有利于在成长中的个体中使下切肢倾斜的正常化.
- 手术干预没有显示出主要牙上门宽度的显著影响.
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