强支抗拔牙对双颌前突青少年上气道的影响

doi:10.19439/j.sjos.2018.04.017

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (4): 419-423.doi: 10.19439/j.sjos.2018.04.017

强支抗拔牙对双颌前突青少年上气道的影响

陈威^1,*, 刘月华², 徐啟^1,*

1.杭州口腔医院城西分院正畸科,浙江杭州 310013;
2.上海市口腔疾病防治院·上海市口腔医院正畸科,上海 200001;

收稿日期:2017-08-26 修回日期:2017-12-14 出版日期:2018-08-25 发布日期:2018-10-09
通讯作者: 刘月华,E-mail：liuyuehua@fudan.edu.cn
作者简介:陈威（1983-）,男,硕士,主治医师, E-mail:88294426@qq.com;徐啟（1992-）,女,硕士, E-mail：joshua66@126.com。^*并列第一作者

Effect of maximum anchorage extraction on upper airway in adolescent patients with bimaxillary protrusion

CHEN Wei¹, LIU Yue-hua², XU Qi¹

1.Department of Orthodontics, Hangzhou West Dental Hospital. Hangzhou 310013, Zhejiang Province;
2.Department of Orthodontics, Shanghai Stomatological Hospital. Shanghai 200001, China

Received:2017-08-26 Revised:2017-12-14 Online:2018-08-25 Published:2018-10-09

摘要/Abstract

摘要： 目的: 利用锥形束CT（cone beam computed tomography, CBCT）从三维方向上研究强支抗拔牙内收对双颌前突青少年上气道的影响。方法: 回顾分析本院50例予以强支抗拔牙治疗的双颌前突青少年治疗前、后的CBCT资料,测量治疗前、后上气道的变化。采用SPSS 17.0软件包对数据进行配对t检验和Pearson相关性分析。结果: 治疗后,口咽和咽下的体积、平均截面积、最小截面积显著减小(P<0.001);口咽、咽下的横截面形态更趋于椭圆形(P<0.001)。Pearson相关分析发现,下颌切牙内收、舌骨后移与咽下气道平均截面积减少有显著相关性(P<0.05);上、下颌切牙内收与舌骨后移有显著相关性(P<0.01)。结论: 对于青少年双颌前突患者,制订治疗计划时应兼顾上气道形态,避免造成上气道狭窄,影响患者正常发育。

关键词: 上气道, 锥形束CT, 青少年, 强支抗, 拔牙

Abstract: PURPOSE: To investigate the effect of maximum anchorage on upper airway in adolescent patients with bimaxillary protrusion and extraction from three-dimensional direction on cone-beam computed tomography(CBCT). METHODS: A retrospective evaluation was carried out on pre- and post-orthodontic treatment records of 50 adolescents with bimaxillary protrusion treated by maximum anchorage extraction. The changes on upper airway pre- and post-treatment were measured. The data were analyzed using SPSS 17.0 software package. RESULTS: It was found that the volume, mean cross-section area, minimum cross-section area of oropharyngeal and hypopharyngeal airway were significantly decreased after treatment (P<0.001). The cross-section morphology of oropharyngeal and hypopharyngeal airway showed more ellipsoid(P<0.001). Pearson's correlation analysis indicated that the lower incisor retraction and hyoid retraction was correlated with mean cross-section area of hypopharyngeal airway (P<0.05). There was significant correlation in the upper and lower incisor retraction and hyoid retraction(P<0.01). CONCLUSIONS: The upper airway dimension should be given serious consideration on the decision when closing the space with maximum anchorage in adolescent patients.

Key words: Upper airway, Cone-beam CT, Adolescent, Maximum anchorage, Extraction

中图分类号:

R783.5

陈威, 刘月华, 徐啟. 强支抗拔牙对双颌前突青少年上气道的影响[J]. 上海口腔医学, 2018, 27(4): 419-423.

CHEN Wei, LIU Yue-hua, XU Qi. Effect of maximum anchorage extraction on upper airway in adolescent patients with bimaxillary protrusion[J]. Shanghai Journal of Stomatology, 2018, 27(4): 419-423.

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强支抗拔牙对双颌前突青少年上气道的影响

Effect of maximum anchorage extraction on upper airway in adolescent patients with bimaxillary protrusion

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