Cephalometric changes of pushing splints 3 compared to rapid maxillary expansion and facemask therapy on the airway space in class III growing patients: A randomized clinical trial

IF 2.4 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Orthodontics & Craniofacial Research Pub Date : 2024-02-17 DOI:10.1111/ocr.12767

Angela Galeotti, Valeria Viarani, Lorenzo Franchi, Stefano Martina, Roberto Rongo, Vincenzo D'Antò, Roberto Uomo, Francesco Aristei, Paola Festa

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引用次数: 0

Abstract

Background

Early orthopaedic treatment with rapid maxillary expansion (RME) associated with facemask (FM) has been shown to be effective in correcting Class III malocclusions in children. Treatment with pushing splints 3 (PS3) has shown to correct skeletal discrepancies in Class III growing patients. However, the effects of orthopaedic treatment on the upper airways in children with Class III malocclusion is controversial.

Objectives

The aim of this study was to evaluate the cephalometric changes in the airways of PS3 compared to the RME/FM protocol.

Materials and Methods

In this study, 48 patients with Class III malocclusion (age range 5.5–8.5 years old) were selected for this study, and 24 were treated with PS3 appliance and 24 with RME/FM therapy. Lateral cephalograms before (T0) and at the end of the treatment (T1) were analysed to compare pharyngeal spaces. Paired and unpaired t tests were used for data analysis (P < .05).

Results

A total of 41 patients (21 patients for the PS3 group, 11 males and 10 females, mean age 7.0 ± 1.2 years; 20 patients for the RME/FM group, 10 males and 10 females, mean age 7.2 ± 1.3 years) were included. The results showed a statistically significant (P < .05) increase in the nasopharyngeal space after both therapies. However, the effects were similar considering that there were no differences between groups for the assessed variables at T0–T1.

Conclusions

Early treatment of Class III malocclusion with PS3 does not induce a statistically significant increase in the sagittal airway space compared to RME/FM. The absence of untreated group could not define the role of growth in the increase of space.

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查看原文本刊更多论文

推压夹板 3 与快速上颌扩张和面罩疗法相比对 III 类生长期患者气道空间的头颅测量变化：随机临床试验。

背景：事实证明，早期上颌快速扩弓（RME）配合面罩（FM）的矫形治疗可以有效矫正儿童的III类错颌畸形。推压夹板3（PS3）治疗已证明可以矫正III类生长期患者的骨骼差异。然而，矫形治疗对 III 类错牙合畸形儿童上呼吸道的影响还存在争议：本研究的目的是评估与RME/FM方案相比，PS3气道的头测量变化：本研究选择了48名III类错牙合畸形患者（年龄在5.5-8.5岁之间）作为研究对象，其中24名患者接受了PS3矫治器治疗，24名患者接受了RME/FM治疗。研究人员对治疗前（T0）和治疗结束时（T1）的侧头颅照片进行了分析，以比较咽部空间。数据分析采用配对和非配对 t 检验（P 结果：共纳入 41 名患者（PS3 组 21 名，男性 11 名，女性 10 名，平均年龄（7.0 ± 1.2）岁；RME/FM 组 20 名，男性 10 名，女性 10 名，平均年龄（7.2 ± 1.3）岁）。结果表明，RME/FM 组与 RME/FM 组相比，差异有统计学意义（P＜0.05）：与 RME/FM 相比，PS3 早期治疗 III 类错牙合畸形不会导致矢状面气道间隙有统计学意义的增加。未治疗组的缺失无法确定生长在空间增加中的作用。

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

Orthodontics & Craniofacial Research 医学-牙科与口腔外科

CiteScore

5.30

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.