与成长期患者的III类骨科治疗相关的软组织变化:系统性审查和元分析
Ahmad Marwan Alhamwi1, Ahmad Sharafeddin Burhan2, Fehmieh Rafik Nawaya3
1Department of Orthodontics, University of Damascus Dental School, Damascus, Syrian Arab Republic. ahmad.hamwi.1996@gmail.com.
Progress in orthodontics
|March 17, 2025
概括
对骨III类缺陷的早期正牙治疗对面部软组织产生积极影响,影响因所使用的器件而异. 建议进行进一步的3D分析,以确定软组织形状变化的最终结论.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 头骨面部的发展
- 面部美学 面部美学
背景情况:
- 骨III类缺陷在实现和的面部形状方面存在挑战.
- 早期干预对于优化治疗结果和面部美学至关重要.
研究的目的:
- 系统地审查有关第三类正牙治疗对面部软组织的影响的证据.
- 为了比较不同III类正牙器械的疗效.
主要方法:
- 在七个数据库中进行了全面的文献搜索,截至2024年7月.
- 包括的研究是RCT和受控非随机试验,证据质量使用GRADE框架进行评估.
主要成果:
- 整形面罩 (FM/MP) 治疗显示了显著的上唇突起,下唇退缩和下巴前进.
- FM/RME和Chincup治疗也显示了唇部位置和鼻角的显著变化.
- 在包括的30项研究中,证据质量从低到中等不等.
结论:
- 早期的III类治疗显示出对软组织形状的积极影响,根据目前的低至中等证据.
- 局限性包括依赖2D头脑测量分析.
- 未来的研究应该包括3D分析,以更准确地评估软组织.
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