[Relevance of Class II interceptive treatments. Synthesis of the valid conventional means of study].

Q4 Medicine L'' Orthodontie française Pub Date : 2021-12-01 DOI:10.1684/orthodfr.2021.67
Elise Pastwa, Frédéric Haïm, Sarah Gebeile-Chauty
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引用次数: 0

Abstract

The relevance of Class II interceptive therapy is controversial. The objective of this literature review was to note its indications and if a benefit is proven. We carried out a systematic search on PubMed from 1999 to 2019 by keywords on randomized trials. Fourteen articles were selected, mainly grade B or C. The criteria evaluated were dental, skeletal, psychological, aesthetic, as well as cost, duration, incisor fractures, rate of stroke, complexity and treatment need. Overjet is an important criterion for the indication of interceptive treatment, but it is not the only one. The skeletal criterion, assessed mainly by the ANB, is only significant for three articles; the improvement of self-esteem is proven in one article and the interceptive treatment allows an aesthetic improvement (alignment of the maxillary incisors). The overall cost of treatment would be higher for two-step treatment. In only two articles, the authors wonder if the interceptive treatment facilitates future treatment. The rate of compensatory strokes and extractions are widely studied. The main criteria studied are ANB (controversial indicator), incisor fracture rate (trauma) and overjet. Certain non-significant results must be put into perspective with the aim of the studies and the methods used.

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[II类阻断治疗的相关性。综合有效的传统研究方法]。
II类阻断治疗的相关性是有争议的。本文献综述的目的是注意其适应症以及是否证明其有益。我们根据随机试验的关键词对1999 - 2019年的PubMed进行了系统检索。选择14篇文章,主要为B级或c级。评估标准为牙科、骨骼、心理、美学,以及费用、持续时间、门牙骨折、卒中发生率、复杂性和治疗需求。超喷是截流治疗指征的重要标准,但不是唯一标准。主要由ANB评估的骨骼标准仅对三篇文章有意义;自尊的改善在一篇文章中得到证明,拦截治疗可以改善美观(上颌门牙对齐)。两步治疗的总费用会更高。在只有两篇文章中,作者想知道拦截治疗是否有助于未来的治疗。代偿性脑卒中和脑抽离率是目前研究的热点。研究的主要标准是ANB(争议指标)、切牙骨折率(外伤)和过流。某些不显著的结果必须与研究的目的和使用的方法结合起来看待。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
L'' Orthodontie française
L'' Orthodontie française Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
23
期刊介绍: L’Orthodontie Française, organe officiel de communication de la Société Française d’Orthopédie Dento-Faciale, est un journal scientifique de référence depuis 1921, de diffusion internationale, indexé à Medline et référencé à l’Index Medicus et à Bibliodent. Le journal a pour vocation d’accueillir les travaux des membres de la SFODF, des conférenciers ayant communiqué lors des congrès de la Société, ou de tout travail soumis à l’approbation de son comité de rédaction, traitant de l’orthopédie dento-faciale ou de tout sujet en rapport avec cette discipline.
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