评估各种预测因素对快速大扩张 (RME) 成功的影响
Mahmoud Mousa Aleesh1, Nada A Rajeh2, Ahmad Mousa Aleesh3
1Department of Orthodontics, University of Damascus Dental School, Al Mazzeh Street, Damascus, Syria. mahmoodalesh97@gmail.com.
Clinical oral investigations
|June 1, 2025
概括
在青少年晚期预测快速膜扩张 (RME) 的成功至关重要. 更高的成熟阶段和更短的口腔表明RME失败的风险更高,指导治疗决策.
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
- 放射学 放射学是一门学科.
背景情况:
- 快速大扩张 (RME) 用于纠正后骨架交叉咬伤.
- 在青少年晚期预测RME成功是具有挑战性的.
- 圆束计算断层扫描 (CBCT) 提供了详细的面成像.
研究的目的:
- 确定预治疗CBCT指标,预测RME在青少年晚期的成功.
- 帮助临床医生在传统和手术辅助RME之间做出选择.
主要方法:
- 一项前性临床试验招募了46名晚期青少年,后部骨交叉咬伤.
- 对CBCT扫描进行了分析,以检测宫中部部成熟度 (MSM),宫椎部成熟度 (CVM),宫中部部密度 (MSD) 和口腔尺寸.
- 患者被分为成功或失败的RME组,基于中侧 suture响应.
主要成果:
- 更高的MSM和CVM阶段与增加的RME故障风险相关 (P <.05).
- 较低的MSD和较短的长与成功的RME相关 (P <.05).
- 口腔厚度和面积,年龄和性别在两组之间没有显著差异.
结论:
- MSM和CVM阶段是青少年晚期RME结果的重要预测因素.
- 骨关节疾病和口腔长度为RME提供了有价值的预后信息.
- 这些CBCT衍生指标可以帮助个性化RME治疗策略.
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