在成长中的患者中治疗骨类II的精密翼:系统性审查和元分析
Paulo Mecenas1, Renata Travassos da Rosa Moreira Bastos2, Nathalia Carolina Fernandes Fagundes3
1Federal University of Pará (UFPA), Belém, Brazil. paulomecenas@hotmail.com.
Progress in orthodontics
|May 25, 2025
概括
精密翅膀提供有限的临床改善下生长的骨II类缺陷在成长的患者. 需要进一步进行高质量的研究,才能对这种功能性设备做出明确的发现.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙面部整形外科 牙面部整形外科
背景情况:
- 骨II类缺陷,经常与下缺陷有关,通常用功能器械进行管理.
- 精密翅膀代表了一种替代的功能设备,将下进步与牙对齐整合起来.
研究的目的:
- 系统地审查精密翅膀在治疗成长中的个体骨II类缺陷的疗效.
主要方法:
- 按照PRISMA指南进行系统审查,根据PICOS战略选择研究.
- 在七个数据库中进行了无限制的电子搜索,直到2025年2月.
- 使用ROBINS-I评估了偏差风险,使用GRADE方法评估了证据确定性.
主要成果:
- 包括七项研究,表明精密翅膀可以通过牙和骨变化有效治疗骨II类缺陷.
- 骨效应主要被观察到是小的斜下变化,由于增加SNB° (MD = 0.55),减少ANB° (MD = -0.81),没有显著的SNA°变化.
- 没有报告任何显著的垂直效应,并且将精密翼与其他设备进行比较的元分析由于异质性而不可行.
结论:
- 目前的证据表明,精密翅膀在骨II类恶性闭塞的下生长中提供了最小的临床改善.
- 未来的研究应该专注于精心设计的随机临床试验,采用标准化方案和扩展后续调查,以便得出更明确的结论.
相关概念视频
Growth of Cartilage and Bone Tissue
4.0K
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
4.0K
Bone Disorders
5.1K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
5.1K
Flail Chest-II
543
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
543


