Nicky Mandall, Wesam Aleid, Richard Cousley, Edith Curran, Susi Caldwell, Andrew DiBiase, Fiona Dyer, Simon Littlewood, Spencer Nute, Sarah Jayne Campbell, Simon Atkins, Sherif Bayoumi, Vyomesh Bhatt, Paul Chambers, Nicholas Goodger, Claire Bates, Ovais Malik, David Waring, Paul Bassett
{"title":"与未经治疗的对照组相比，骨固定上颌前突（BAMP）治疗 11-14 岁儿童 III 类骨骼错合畸形的效果如何？多中心双臂平行随机对照试验。","authors":"Nicky Mandall, Wesam Aleid, Richard Cousley, Edith Curran, Susi Caldwell, Andrew DiBiase, Fiona Dyer, Simon Littlewood, Spencer Nute, Sarah Jayne Campbell, Simon Atkins, Sherif Bayoumi, Vyomesh Bhatt, Paul Chambers, Nicholas Goodger, Claire Bates, Ovais Malik, David Waring, Paul Bassett","doi":"10.1177/14653125241255139","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of bone anchored maxillary protraction (BAMP) in the management of class III skeletal malocclusion in children aged 11-14 years compared with an untreated control group in terms of perceived need for orthognathic surgery, skeletal and dental change, and psychological impact.</p><p><strong>Design: </strong>A multicentre two-armed parallel randomised controlled trial.</p><p><strong>Setting: </strong>Six UK hospital orthodontic units.</p><p><strong>Methods: </strong>A total of 57 patients were randomly allocated into either the BAMP group (BAMPG) (n = 28) or a no treatment control group (CG) (n = 29).</p><p><strong>Outcomes: </strong>Data collection occurred at registration (DC1),18 months (DC2) and 3 years (DC3), where skeletal and dental changes were measured from lateral cephalograms and study models. Oral Aesthetic Subjective Impact Score (OASIS) and Oral Quality of Life (OHQOL) questionnaires were used to assess the psychological impact of treatment.</p><p><strong>Results: </strong>The mean age was 12.9 ± 0.7 years and 12.6 ± 0.9 years in the BAMPG and CG, respectively. At DC2, the BAMPG achieved a class III ANB improvement of +0.6° compared with -0.7° in the CG (<i>P</i> = 0.004). The overjet improvement was +1.4 mm for the BAMPG and -0.2 mm for the CG (<i>P</i> = 0.002). There was no evidence of any other group differences for the other skeletal or dental cephalometric outcomes (<i>P</i> > 0.05) or the questionnaire data (OASIS <i>P</i> = 0.10, OHQOL <i>P</i> = 0.75). At DC2, the 18-month follow-up, 22% of the BAMPG achieved a positive overjet. At the 3-year follow-up (DC3), fewer participants in the BAMPG were perceived to need orthognathic surgery (48%) compared with 75% of participants in the CG (<i>P</i> = 0.04), with an odds ratio of 0.31 (95% confidence interval = 0.10-0.95).</p><p><strong>Conclusion: </strong>The BAMP technique did not show any social or psychological benefits; however, the skeletal class III improvement in ANB and the overjet change were sufficient to reduce the perceived need for orthognathic surgery by 27% compared with the CG.</p>","PeriodicalId":16677,"journal":{"name":"Journal of Orthodontics","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effectiveness of bone anchored maxillary protraction (BAMP) in the management of class III skeletal malocclusion in children aged 11-14 years compared with an untreated control group: A multicentre two-arm parallel randomised controlled trial.\",\"authors\":\"Nicky Mandall, Wesam Aleid, Richard Cousley, Edith Curran, Susi Caldwell, Andrew DiBiase, Fiona Dyer, Simon Littlewood, Spencer Nute, Sarah Jayne Campbell, Simon Atkins, Sherif Bayoumi, Vyomesh Bhatt, Paul Chambers, Nicholas Goodger, Claire Bates, Ovais Malik, David Waring, Paul Bassett\",\"doi\":\"10.1177/14653125241255139\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the effectiveness of bone anchored maxillary protraction (BAMP) in the management of class III skeletal malocclusion in children aged 11-14 years compared with an untreated control group in terms of perceived need for orthognathic surgery, skeletal and dental change, and psychological impact.</p><p><strong>Design: </strong>A multicentre two-armed parallel randomised controlled trial.</p><p><strong>Setting: </strong>Six UK hospital orthodontic units.</p><p><strong>Methods: </strong>A total of 57 patients were randomly allocated into either the BAMP group (BAMPG) (n = 28) or a no treatment control group (CG) (n = 29).</p><p><strong>Outcomes: </strong>Data collection occurred at registration (DC1),18 months (DC2) and 3 years (DC3), where skeletal and dental changes were measured from lateral cephalograms and study models. Oral Aesthetic Subjective Impact Score (OASIS) and Oral Quality of Life (OHQOL) questionnaires were used to assess the psychological impact of treatment.</p><p><strong>Results: </strong>The mean age was 12.9 ± 0.7 years and 12.6 ± 0.9 years in the BAMPG and CG, respectively. At DC2, the BAMPG achieved a class III ANB improvement of +0.6° compared with -0.7° in the CG (<i>P</i> = 0.004). The overjet improvement was +1.4 mm for the BAMPG and -0.2 mm for the CG (<i>P</i> = 0.002). There was no evidence of any other group differences for the other skeletal or dental cephalometric outcomes (<i>P</i> > 0.05) or the questionnaire data (OASIS <i>P</i> = 0.10, OHQOL <i>P</i> = 0.75). At DC2, the 18-month follow-up, 22% of the BAMPG achieved a positive overjet. At the 3-year follow-up (DC3), fewer participants in the BAMPG were perceived to need orthognathic surgery (48%) compared with 75% of participants in the CG (<i>P</i> = 0.04), with an odds ratio of 0.31 (95% confidence interval = 0.10-0.95).</p><p><strong>Conclusion: </strong>The BAMP technique did not show any social or psychological benefits; however, the skeletal class III improvement in ANB and the overjet change were sufficient to reduce the perceived need for orthognathic surgery by 27% compared with the CG.</p>\",\"PeriodicalId\":16677,\"journal\":{\"name\":\"Journal of Orthodontics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthodontics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/14653125241255139\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/6 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthodontics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/14653125241255139","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/6 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
The effectiveness of bone anchored maxillary protraction (BAMP) in the management of class III skeletal malocclusion in children aged 11-14 years compared with an untreated control group: A multicentre two-arm parallel randomised controlled trial.
Objective: To evaluate the effectiveness of bone anchored maxillary protraction (BAMP) in the management of class III skeletal malocclusion in children aged 11-14 years compared with an untreated control group in terms of perceived need for orthognathic surgery, skeletal and dental change, and psychological impact.
Design: A multicentre two-armed parallel randomised controlled trial.
Setting: Six UK hospital orthodontic units.
Methods: A total of 57 patients were randomly allocated into either the BAMP group (BAMPG) (n = 28) or a no treatment control group (CG) (n = 29).
Outcomes: Data collection occurred at registration (DC1),18 months (DC2) and 3 years (DC3), where skeletal and dental changes were measured from lateral cephalograms and study models. Oral Aesthetic Subjective Impact Score (OASIS) and Oral Quality of Life (OHQOL) questionnaires were used to assess the psychological impact of treatment.
Results: The mean age was 12.9 ± 0.7 years and 12.6 ± 0.9 years in the BAMPG and CG, respectively. At DC2, the BAMPG achieved a class III ANB improvement of +0.6° compared with -0.7° in the CG (P = 0.004). The overjet improvement was +1.4 mm for the BAMPG and -0.2 mm for the CG (P = 0.002). There was no evidence of any other group differences for the other skeletal or dental cephalometric outcomes (P > 0.05) or the questionnaire data (OASIS P = 0.10, OHQOL P = 0.75). At DC2, the 18-month follow-up, 22% of the BAMPG achieved a positive overjet. At the 3-year follow-up (DC3), fewer participants in the BAMPG were perceived to need orthognathic surgery (48%) compared with 75% of participants in the CG (P = 0.04), with an odds ratio of 0.31 (95% confidence interval = 0.10-0.95).
Conclusion: The BAMP technique did not show any social or psychological benefits; however, the skeletal class III improvement in ANB and the overjet change were sufficient to reduce the perceived need for orthognathic surgery by 27% compared with the CG.
期刊介绍：
The Journal of Orthodontics has an international circulation, publishing papers from throughout the world. The official journal of the British Orthodontic Society, it aims to publish high quality, evidence-based, clinically orientated or clinically relevant original research papers that will underpin evidence based orthodontic care. It particularly welcomes reports on prospective research into different treatment methods and techniques but also systematic reviews, meta-analyses and studies which will stimulate interest in new developments. Regular features include original papers on clinically relevant topics, clinical case reports, reviews of the orthodontic literature, editorials, book reviews, correspondence and other features of interest to the orthodontic community. The Journal is published in full colour throughout.
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