III类错牙合患者下颌牙列远端后牙槽骨和咽气道尺寸的三维评价:一项回顾性研究。

IF 2.4 2区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Head & Face Medicine Pub Date : 2023-08-30 DOI:10.1186/s13005-023-00382-1
Zhijie Zhou, Liangyan Sun, Fan Zhang, Yan Xu
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引用次数: 0

摘要

背景:三维评价成人III类错颌患者下颌牙列远端正畸治疗前后下颌前牙周围牙槽骨及咽气道尺寸的变化。方法:回顾性分析20例III类错牙合患者行下颌牙列远端术前后的ct扫描结果。评估并比较下颌切牙和犬齿周围的三维厚度和垂直边缘骨水平的变化。测量治疗前后腭、舌、喉咽气道体积及最小轴向面积,并进行比较。结果:下颌切牙舌骨厚度明显减少,犬齿部分唇骨和舌骨厚度明显减少(P)。结论:下颌牙列远端可导致III类错颌前牙周围的牙槽骨丢失,尤其是颈缘骨丢失。远端切除后对咽气道的尺寸影响不大。试验注册:回顾性注册。
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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Three-dimensional evaluation of alveolar bone and pharyngeal airway dimensions after mandibular dentition distalization in patients with Class III malocclusion: a retrospective study.

Background: To three-dimensionally evaluate changes of the alveolar bone around the mandibular anterior teeth and pharyngeal airway dimensions in adults with Class III malocclusion before and after orthodontic treatment of mandibular dentition distalization.

Methods: In this retrospective study, cone-beam computed tomography (CBCT) scans of 20 patients with Class III malocclusion who underwent mandibular dentition distalization were obtained both before and after treatment. Three-dimensional changes of the thickness and vertical marginal bone levels around mandibular incisors and canines were assessed and compared. And airway volumes of the palato-, glosso-, laryngopharynx and the minimum axial area were measured and compared before and after treatment.

Results: A significant decrease of lingual bone thickness of mandibular incisors, partial labial and lingual bone thickness of canines were observed (P < 0.05). The reduction in root length of incisors and canines, labial and lingual vertical marginal bone levels were significant after orthodontic treatment. No significant correlations between mandibular dentition distalization and pharyngeal airway dimensions were observed.

Conclusions: Mandibular dentition distalization could result in the loss of alveolar bone around anterior teeth in Class III malocclusion, especially for the cervical marginal bone. Pharyngeal airway dimensions were not affected to a high extent after distalization.

Trial registration: Retrospctively registered.

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来源期刊
Head & Face Medicine
Head & Face Medicine DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.70
自引率
3.30%
发文量
32
审稿时长
>12 weeks
期刊介绍: Head & Face Medicine is a multidisciplinary open access journal that publishes basic and clinical research concerning all aspects of cranial, facial and oral conditions. The journal covers all aspects of cranial, facial and oral diseases and their management. It has been designed as a multidisciplinary journal for clinicians and researchers involved in the diagnostic and therapeutic aspects of diseases which affect the human head and face. The journal is wide-ranging, covering the development, aetiology, epidemiology and therapy of head and face diseases to the basic science that underlies these diseases. Management of head and face diseases includes all aspects of surgical and non-surgical treatments including psychopharmacological therapies.
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