在患有大逆转的儿童中,骨性大延伸的治疗方法:系统性审查和元分析
Sarah J Kathem1, Thomas K Pedersen2,3
1Department of Oral and Maxillofacial Surgery, University hospital of Zealand, Køge Hospital, Lykkebækvej 1, 4600 Køge, Denmark.
European journal of orthodontics
|June 20, 2025
概括
这项研究比较了四种骨的尾延伸技术. 带下骨 anchors (HH-BAMP) 的杂交 (Hybrid hyrax) 在III类患者中显示出最大的上进步.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 面外科手术 面外科手术
- 生物材料是一种生物材料.
背景情况:
- 第三类恶性闭塞在骨纠正方面存在重大挑战.
- 膜低成形是一个关键的特征,需要有效的延伸策略.
- 骨提供了对正牙运动和骨变化的增强控制.
研究的目的:
- 系统地审查和比较四种不同的骨固定尾延伸技术的疗效.
- 评估不同定配置在III类缺陷治疗中的骨和牙影响.
- 为了确定最有效的技术,以实现大的进步.
主要方法:
- 随机对照试验,非随机对照试验和病例对照研究的系统审查和元分析.
- 在PubMed,Embase,Scopus和Web of Science数据库中进行的搜索.
- 提取头脑测量数据并分析SNA角度变化和切肢倾斜度.
主要成果:
- 25篇全文文章,包括6篇RCT,符合纳入标准.
- 与下骨 (HH-BAMP) 组相结合的混合骨组与其他组相比显示出显著更大的SNA角度改善 (1.9毫米).
- 面罩的使用与下切肢舌性倾向 (IMPA) 的增加有关,而其他方法显示倾向.
结论:
- 包含的研究的证据水平从低到中等.
- 骨固定快速大扩张结合大伸缩使用下骨是最有效的方法,大进步在III类患者.
- 需要进一步的高质量研究来证实这些发现.
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