利用韩国10个多中心的数据，比较单颌和双颌正颌手术治疗骨骼III类错颌患者:第一部分:人口统计学和骨骼牙学特征。

IF 2.6 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Korean Journal of Orthodontics Pub Date : 2022-01-25 DOI:10.4041/kjod.2022.52.1.66

Seung-Weon Lim, Minsoo Kim, Mihee Hong, Kyung-Hwa Kang, Minji Kim, Su-Jung Kim, Yoon-Ji Kim, Young Ho Kim, Sung-Hoon Lim, Sang Jin Sung, Seung-Hak Baek, Jin-Hyoung Cho

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引用次数: 1

摘要

目的:探讨骨性ⅲ类错颌患者单颌(1J-OGS)和双颌正颌手术(2J-OGS)的人口学和骨性牙学特征。方法:对2015年至2019年在韩国10所大学医院接受OGS的750例骨骼III类患者进行调查;将其分为1J-OGS组(186例)和2J-OGS组(564例)，统计学分析人口学和骨牙学特征。结果:2J-OGS的实施频率高于1J-OGS(75.2比24.8%)，尽管存在地区差异(首都地区与省份，86.6比30.7%，p < 0.001)。男性多于女性，两组患者的平均手术年龄均较大。在牙型方面，1J-OGS组最常见的上颌弓长差异是拥挤(52.7%，p < 0.001)， 2J-OGS组最常见的上颌弓长差异是间隔(40.4%，p < 0.001)。两组骨型分布差异无统计学意义(均p > 0.05)。两组中最常见的骨骼模式是超发散模式(分别为50.0%和54.4%)和左侧下巴点偏差(均为49.5%)。上颌间距(优势比[OR]， 3.645;p < 0.001)增加了2J-OGS的概率，而上颌拥挤(OR, 0.672;p < 0.05)和正态发散模式(OR, 0.615;p < 0.05)降低2J-OGS的概率。结论:两组患者男性多于女性，平均手术年龄较大。1J-OGS组最常见的ALD是拥挤，2J-OGS组最常见的ALD是间隔，而两组之间的骨骼特征无显著差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Comparison of one-jaw and two-jaw orthognathic surgery in patients with skeletal Class III malocclusion using data from 10 multi-centers in Korea: Part I. Demographic and skeletodental characteristics.

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Objective: To investigate demographic and skeletodental characteristics of one-jaw (1J-OGS) and two-jaw orthognathic surgery (2J-OGS) in patients with skeletal Class III malocclusion.

Methods: 750 skeletal Class III patients who underwent OGS at 10 university hospitals in Korea between 2015 and 2019 were investigated; after dividing them into the 1J-OGS (n = 186) and 2J-OGS groups (n = 564), demographic and skeletodental characteristics were statistically analyzed.

Results: 2J-OGS was more frequently performed than 1J-OGS (75.2 vs. 24.8%), despite regional differences (capital area vs. provinces, 86.6 vs. 30.7%, p < 0.001). Males outnumbered females, and their mean operation age was older in both groups. Regarding dental patterns, the most frequent maxillary arch length discrepancy (ALD) was crowding in the 1J-OGS group (52.7%, p < 0.001) and spacing in the 2J-OGS group (40.4%, p < 0.001). However, the distribution of skeletal pattern was not significantly different between the two groups (all p > 0.05). The most prevalent skeletal patterns in both groups were hyper-divergent pattern (50.0 and 54.4%, respectively) and left-side chin point deviation (both 49.5%). Maxillary spacing (odds ratio [OR], 3.645; p < 0.001) increased the probability of 2J-OGS, while maxillary crowding (OR, 0.672; p < 0.05) and normo-divergent pattern (OR, 0.615; p < 0.05) decreased the probability of 2J-OGS.

Conclusions: In both groups, males outnumbered females, and their mean operation age was older. The most frequent ALD was crowding in the 1J-OGS group, and spacing in the 2J-OGS group, while skeletal characteristics were not significantly different between the two groups.

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来源期刊

Korean Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.50

自引率

10.50%

发文量

审稿时长

>12 weeks

期刊介绍： The Korean Journal of Orthodontics (KJO) is an international, open access, peer reviewed journal published in January, March, May, July, September, and November each year. It was first launched in 1970 and, as the official scientific publication of Korean Association of Orthodontists, KJO aims to publish high quality clinical and scientific original research papers in all areas related to orthodontics and dentofacial orthopedics. Specifically, its interest focuses on evidence-based investigations of contemporary diagnostic procedures and treatment techniques, expanding to significant clinical reports of diverse treatment approaches. The scope of KJO covers all areas of orthodontics and dentofacial orthopedics including successful diagnostic procedures and treatment planning, growth and development of the face and its clinical implications, appliance designs, biomechanics, TMJ disorders and adult treatment. Specifically, its latest interest focuses on skeletal anchorage devices, orthodontic appliance and biomaterials, 3 dimensional imaging techniques utilized for dentofacial diagnosis and treatment planning, and orthognathic surgery to correct skeletal disharmony in association of orthodontic treatment.