患有阻塞性睡眠呼吸暂停症的儿童的牙弧的三维特征:系统性审查和元分析
Xiaoling Wang1, Danni Huang2, Yifeng Qian1
1Department of Oral and Cranio-Maxillofacial Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; College of Stomatology, Shanghai Jiao Tong University, Shanghai, China; National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai, China.
The journal of evidence-based dental practice
|February 13, 2025
概括
与健康儿童相比,患有阻塞性睡眠呼吸暂停 (OSA) 的儿童往往具有较窄的上部和较短的下部牙弧. 然而,这些发现的确定性非常低,可能没有临床意义.
科学领域:
- 儿科牙科 儿科牙科
- 睡眠医学 睡眠医学
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 儿童的阻塞性睡眠呼吸暂停 (OSA) 可能与明显的牙弧形特征有关.
- 识别这些特征可能有助于在儿科临床实践中早期的OSA查.
研究的目的:
- 系统地评估阻塞性睡眠呼吸暂停 (OSA) 与儿童和青少年三维牙弧特征之间的关联.
- 根据牙弧形态,为儿童早期的OSA查提供指导.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 搜索了PubMed,Embase,Scopus,Cochrane图书馆和Web of Science数据库,从开始到2024年4月6日.
- 包括8项临床研究,涉及466名受试者,评估儿科OSA患者的牙弧形特征.
主要成果:
- 分析显示,与对照组相比,OSA儿童的上弓宽度 (MDs从-1.21到-1.60毫米) 和下弓长度 (MD = -0.84毫米) 显著减少.
- 在患有OSA的儿童和有打但没有OSA的儿童之间,没有观察到牙弧形的显著差异.
结论:
- 患有OSA的儿童往往表现出稍微狭窄的上部和较短的下部牙弧 (1-1.5毫米的差异).
- 在有打但没有OSA的儿童中,牙弧形形态与OSA儿童的形态相似.
- 这些发现需要谨慎解释,因为确定性非常低,并包括的研究的横截面性质,可能缺乏临床意义.
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