三维喉气道变化与正回退的成长期患者的正牙下推进疗法相关:一项回顾性病例对照研究
Juen-Long S Cheung1, Marie A Cornelis1, Paul M Schneider1
1Melbourne Dental School, The University of Melbourne, 720 Swanston StCarlton, Melbourne, Victoria, 3053, Australia.
Sleep medicine
|January 21, 2026
概括
使用Twin Block,Herbst或II类弹性器件的治疗显示,在患有II类骨缺陷的成长期患者中,喉气道 (PA) 发生了类似的变化. 这些气道改善发生不论所使用的特定的正统牙科器械.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 面生物学 面生物学
- 气道生理学 气道生理学
背景情况:
- 骨II类恶性闭塞通常呈现出一个受损的喉气道 (PA).
- 增长修饰的目的是纠正骨差异,并可能改善气道尺寸.
- 对比不同功能设备对PA变化的影响对于治疗规划至关重要.
研究的目的:
- 为了比较喉气道 (PA) 的体积和形态变化.
- 用可拆卸 (Twin Block) 和固定的 (Herbst) 功能器件或II类弹性皮带治疗的骨II类恶性闭塞的成长中的患者评估PA变化.
- 使用圆束计算机断层扫描 (CBCT) 评估变化.
主要方法:
- 对66名患有骨II类缺陷的患者进行了回顾性分析.
- 三个匹配的组接受了II类弹性 (CII-E),Herbst或双块 (TB) 设备的治疗.
- 使用CBCT扫描来测量PA体积,横截面积 (CSA) 和液压直径 (DH),以及牙和骨参数.
主要成果:
- 所有治疗组都显示了PA体积的显著增加和形态的改善 (收缩减少).
- 在这三个治疗组之间,在PA体积或形态变化方面没有发现统计学上显著的差异.
- 牙和骨的变化在每个组内都是显著的,但在不同组之间差异很小.
结论:
- 使用II类弹性牙,Herbst或Twin Block器件的正牙治疗导致了在成长中的II类患者中类似的喉气道变化.
- 目前尚不清楚观察到的PA改善是否仅仅是由于治疗效应,正常生长或组合.
- 需要进一步的研究来阐明每个治疗方式和增长对气道修改的具体贡献.
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