Guido Artemio Marañón-Vásquez, Ana Carolina Dias Viana de Andrade, Lucianne Cople Maia, Rogério Lacerda dos Santos, Orlando Motohiro Tanaka, Luiz Renato Paranhos, Dauro Douglas Oliveira, Matheus Melo Pithon
{"title":"使用快速腭部扩张术治疗上颌骨横向缺损对儿童口腔健康相关生活质量的影响:对照临床试验的补充结果","authors":"Guido Artemio Marañón-Vásquez, Ana Carolina Dias Viana de Andrade, Lucianne Cople Maia, Rogério Lacerda dos Santos, Orlando Motohiro Tanaka, Luiz Renato Paranhos, Dauro Douglas Oliveira, Matheus Melo Pithon","doi":"10.1007/s00784-024-05902-0","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>To evaluate the effect of rapid palatal expansion (RPE) using Haas-type expanders on children’s oral health-related quality of life (OHRQOL) and compare said effect with that previously reported for the use of Hyrax-type expanders.</p><h3 data-test=\"abstract-sub-heading\">Materials and methods</h3><p>Forty participants aged 8–10 years with transverse maxillary deficiency were treated using Haas appliances. OHRQOL was measured using the CPQ<sub>8 − 10</sub> before RPE, during RPE (T<sub>1</sub>), at the end of RPE (T<sub>2</sub>), and 1 month after appliance removal (T<sub>3</sub>). Generalized mixed models were fitted to assess the effect of the Haas-type expander compared to previously collected data (a nontreated and a Hyrax-type expander-treated group).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>RPE with Haas-type appliances had a negative impact on overall OHRQOL at T<sub>1</sub> and T<sub>2</sub> (<i>P</i> = 0.001), and a positive impact at T<sub>3</sub> (<i>P</i> = 0.001). The Haas-type expander had a significantly greater negative impact on OHRQOL than the Hyrax-type appliance during RPE. At T<sub>1</sub>, overall scores using the Haas-type expander were 1.08 times the scores using the Hyrax-type expander (i.e., 8% increase; 95% CI, 1.01–1.17; <i>P</i> = 0.033). Patients using the Haas appliance had 1.24 times the scores of those using Hyrax-type devices for the oral symptoms domain at T<sub>1</sub> (i.e., 24% increase; 95% CI, 1.06–1.46; <i>P</i> = 0.009).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Correction of the transverse maxillary deficiency by RPE using the Haas appliance in children 8–10 years improves OHRQOL. The Haas- and Hyrax-type devices temporarily worsen OHRQOL during treatment, however, the negative impact is less with the Hyrax-type expander than with the Haas-type expander, because it causes fewer negative oral symptoms.</p><h3 data-test=\"abstract-sub-heading\">Clinical relevance</h3><p>From a patient-centered perspective, the use of the Hyrax over the Haas appliance may be suggested as it causes less negative oral symptoms during use.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":null,"pages":null},"PeriodicalIF":3.1000,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of treatment of transverse maxillary deficiency using rapid palatal expansion on oral health-related quality of life in children: complementary results for a controlled clinical trial\",\"authors\":\"Guido Artemio Marañón-Vásquez, Ana Carolina Dias Viana de Andrade, Lucianne Cople Maia, Rogério Lacerda dos Santos, Orlando Motohiro Tanaka, Luiz Renato Paranhos, Dauro Douglas Oliveira, Matheus Melo Pithon\",\"doi\":\"10.1007/s00784-024-05902-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3 data-test=\\\"abstract-sub-heading\\\">Objective</h3><p>To evaluate the effect of rapid palatal expansion (RPE) using Haas-type expanders on children’s oral health-related quality of life (OHRQOL) and compare said effect with that previously reported for the use of Hyrax-type expanders.</p><h3 data-test=\\\"abstract-sub-heading\\\">Materials and methods</h3><p>Forty participants aged 8–10 years with transverse maxillary deficiency were treated using Haas appliances. OHRQOL was measured using the CPQ<sub>8 − 10</sub> before RPE, during RPE (T<sub>1</sub>), at the end of RPE (T<sub>2</sub>), and 1 month after appliance removal (T<sub>3</sub>). Generalized mixed models were fitted to assess the effect of the Haas-type expander compared to previously collected data (a nontreated and a Hyrax-type expander-treated group).</p><h3 data-test=\\\"abstract-sub-heading\\\">Results</h3><p>RPE with Haas-type appliances had a negative impact on overall OHRQOL at T<sub>1</sub> and T<sub>2</sub> (<i>P</i> = 0.001), and a positive impact at T<sub>3</sub> (<i>P</i> = 0.001). The Haas-type expander had a significantly greater negative impact on OHRQOL than the Hyrax-type appliance during RPE. At T<sub>1</sub>, overall scores using the Haas-type expander were 1.08 times the scores using the Hyrax-type expander (i.e., 8% increase; 95% CI, 1.01–1.17; <i>P</i> = 0.033). Patients using the Haas appliance had 1.24 times the scores of those using Hyrax-type devices for the oral symptoms domain at T<sub>1</sub> (i.e., 24% increase; 95% CI, 1.06–1.46; <i>P</i> = 0.009).</p><h3 data-test=\\\"abstract-sub-heading\\\">Conclusions</h3><p>Correction of the transverse maxillary deficiency by RPE using the Haas appliance in children 8–10 years improves OHRQOL. The Haas- and Hyrax-type devices temporarily worsen OHRQOL during treatment, however, the negative impact is less with the Hyrax-type expander than with the Haas-type expander, because it causes fewer negative oral symptoms.</p><h3 data-test=\\\"abstract-sub-heading\\\">Clinical relevance</h3><p>From a patient-centered perspective, the use of the Hyrax over the Haas appliance may be suggested as it causes less negative oral symptoms during use.</p>\",\"PeriodicalId\":10461,\"journal\":{\"name\":\"Clinical Oral Investigations\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2024-09-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Oral Investigations\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00784-024-05902-0\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Oral Investigations","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00784-024-05902-0","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Effect of treatment of transverse maxillary deficiency using rapid palatal expansion on oral health-related quality of life in children: complementary results for a controlled clinical trial
Objective
To evaluate the effect of rapid palatal expansion (RPE) using Haas-type expanders on children’s oral health-related quality of life (OHRQOL) and compare said effect with that previously reported for the use of Hyrax-type expanders.
Materials and methods
Forty participants aged 8–10 years with transverse maxillary deficiency were treated using Haas appliances. OHRQOL was measured using the CPQ8 − 10 before RPE, during RPE (T1), at the end of RPE (T2), and 1 month after appliance removal (T3). Generalized mixed models were fitted to assess the effect of the Haas-type expander compared to previously collected data (a nontreated and a Hyrax-type expander-treated group).
Results
RPE with Haas-type appliances had a negative impact on overall OHRQOL at T1 and T2 (P = 0.001), and a positive impact at T3 (P = 0.001). The Haas-type expander had a significantly greater negative impact on OHRQOL than the Hyrax-type appliance during RPE. At T1, overall scores using the Haas-type expander were 1.08 times the scores using the Hyrax-type expander (i.e., 8% increase; 95% CI, 1.01–1.17; P = 0.033). Patients using the Haas appliance had 1.24 times the scores of those using Hyrax-type devices for the oral symptoms domain at T1 (i.e., 24% increase; 95% CI, 1.06–1.46; P = 0.009).
Conclusions
Correction of the transverse maxillary deficiency by RPE using the Haas appliance in children 8–10 years improves OHRQOL. The Haas- and Hyrax-type devices temporarily worsen OHRQOL during treatment, however, the negative impact is less with the Hyrax-type expander than with the Haas-type expander, because it causes fewer negative oral symptoms.
Clinical relevance
From a patient-centered perspective, the use of the Hyrax over the Haas appliance may be suggested as it causes less negative oral symptoms during use.
期刊介绍:
The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.