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腺囊缩是否与牙面形态学有关? 一个系统的审查和元分析

Tingting Zhao¹, Min Wang², Peter Ngan³

¹State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School and Hospital of Stomatology, Wuhan University, Wuhan, China; Department of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, China; Hubei Provincial Clinical Research Center for Dentofacial Deformities in Children, School and Hospital of Stomatology, Wuhan University, Wuhan, China; Center for Dentofacial Development and Sleep Medicine, School and Hospital of Stomatology, Wuhan University, Wuhan, China.

American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics

|July 23, 2025

概括

儿童的腺柱状缩 (ATH) 与牙面部发育的改变有关,包括更小的下角和像II和III类这样的增加的缺陷. 有证据表明,由于确定性低,效果大小小,需要谨慎进行进一步研究.

科学领域:

儿科牙科儿科牙科
矯正牙科矯正牙科是一種矯正牙科.
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

腺囊缩 (ATH) 是一种常见的儿科疾病,导致上呼吸道阻塞.
假设ATH会对儿童的牙面部发育和形态产生负面影响.

研究的目的:

系统地审查和总结有关ATH与儿童牙脸特征之间的联系的现有证据.

主要方法:

在四个数据库 (PubMed,Embase,Web of Science,VIP) 进行了系统搜索,截至2024年11月1日.
包括横截面研究,比较患有和没有腺增大 (AH) 和/或桃体增大 (TH) 的儿童.
使用纽卡斯尔-太华尺度评估方法质量,并使用随机效应模型进行元分析.

主要成果:

分析显示,AH/TH.儿童的下平面和关节角度显著增加.
患有ATH的儿童的SNA和SNB角较小,角类II/III缺陷和开口咬伤的患病率更高.
在患有AH/TH的儿童中观察到更窄的上第一个的宽度.

结论:

患有ATH的儿童表现出头骨面部特征,如逆转和下平面角的增加.
ATH与更高的缺陷发生率和更窄的上门相关.
调查结果基于低至非常低的确定性证据,需要谨慎的解释和进一步的高质量研究.

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