Evaluation of the presence of the premaxillary-maxillary suture in growing patients: A retrospective CBCT study.

IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
María Jesús Larrañaga, Taly Lopez, Agustina Maass, María Paz Rodríguez, Ingrid Arndt, Rodrigo Villanueva, Pamela Villalón
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引用次数: 0

Abstract

Background: The premaxillary-maxillary suture (PMS) is related to midface development, but its exact closure period remains undefined. Some authors consider the premaxilla as an independent bone with potential for orthopaedic stimulation, while others see it as a phylogenetic vestige.

Objective: To determine the prevalence of the premaxillary-maxillary suture (PMS) in cone beam computed tomography (CBCT) images of patients aged 6 to 16years, according to age and sex, treated at the Dental Clinic of the Pontificia Universidad Católica de Chile's Oral Imaging Service between 2015 and 2023.

Material and methods: CBCT images from 511 subjects were analysed. The presence or absence of the PMS was evaluated in the oblique axial slice. Descriptive statistics of the sample were performed, followed by logistic regression models to assess the relationship between the presence of the PMS and age and sex variables, with a significance level of 5%.

Results: Of the total sample (511 subjects), only 190 cases presented a visible PMS in CBCT images (37.18%), with 104 females and 86 males. When analysing the relationship with sex, no statistically significant association was found (P=0.090, OR=0.72). However, a statistically significant association with age was observed (P<0.001, OR=0.75).

Conclusion: The prevalence of the PMS in this study was 37.18%, significantly associated with age. The probability of observing the PMS in CBCT images decreases by 25% for each additional year of age. This suggests that PMS is more likely to be observed at younger ages and may be a factor to consider for anterior maxillary advancement in patients with maxillary retrusion. Further studies are needed to evaluate the degree of suture fusion to determine if it can be effectively stimulated by orthopaedic appliances.

评估生长期患者颌前-颌缝的存在情况:回顾性 CBCT 研究。
背景:颌前-颌缝(PMS)与中面部的发育有关,但其确切的闭合期仍未确定。一些学者认为颌前骨是一种独立的骨骼,具有刺激矫形的潜力,而另一些学者则将其视为系统发育的遗迹:目的:根据年龄和性别,确定2015年至2023年间在智利天主教大学口腔影像服务部牙科诊所接受治疗的6至16岁患者的锥形束计算机断层扫描(CBCT)图像中颌前-颌缝(PMS)的患病率:对 511 名受试者的 CBCT 图像进行了分析。在斜轴切片中评估是否存在 PMS。对样本进行描述性统计,然后用逻辑回归模型评估是否存在 PMS 与年龄和性别变量之间的关系,显著性水平为 5%:在所有样本(511 名受试者)中,只有 190 例(37.18%)在 CBCT 图像中出现明显的 PMS,其中女性 104 例,男性 86 例。在分析与性别的关系时,未发现有统计学意义的关联(P=0.090,OR=0.72)。不过,与年龄的关系有统计学意义(PC结论:本研究中经前期综合征的发病率为 37.18%,与年龄有明显关系。年龄每增加一岁,CBCT 图像中观察到 PMS 的概率就会降低 25%。这表明,年龄越小越容易观察到PMS,这可能是上颌后缩患者进行上颌前移术时需要考虑的一个因素。还需要进一步的研究来评估缝合融合的程度,以确定矫形器是否能有效地刺激缝合融合。
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
International Orthodontics
International Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.50
自引率
13.30%
发文量
71
审稿时长
26 days
期刊介绍: Une revue de référence dans le domaine de orthodontie et des disciplines frontières Your reference in dentofacial orthopedics International Orthodontics adresse aux orthodontistes, aux dentistes, aux stomatologistes, aux chirurgiens maxillo-faciaux et aux plasticiens de la face, ainsi quà leurs assistant(e)s. International Orthodontics is addressed to orthodontists, dentists, stomatologists, maxillofacial surgeons and facial plastic surgeons, as well as their assistants.
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