Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion.

Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion.
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DOI:
10.2319/111709-651.1
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发表时间:
2010-09
期刊:
The Angle orthodontist
影响因子:
--
通讯作者:
De Clerck H
De Clerck H
中科院分区:
其他
文献类型:
--
作者:
Cevidanes L;Baccetti T;Franchi L;McNamara JA Jr;De Clerck H

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验证骨锚式上颌前牵引(BAMP)诱导的上颌骨前移的主动治疗效果与面罩联合快速上颌骨扩张(RME/FM)的主动治疗效果无差异的假设。这是一项针对连续治疗患者的研究。从治疗开始(T1)到积极治疗结束(T2),平均T1-T2间隔约为1年的牙颌面测量变量的变化进行了对比,在21例受试者的BAMP样本与34例患者的RME/FM样本。所有受试者在T1时均处于青春期前。采用t检验对独立样本进行统计学比较。BAMP方案比RME/FM治疗产生了显著更大的上颌骨前移(差异为2 mm至3 mm)。下颌骨矢状变化相似,而垂直变化更好地控制与BAMP。BAMP患者的矢状面颌间关系改善了2.5 mm。BAMP治疗的其他有利结果是下颌骨没有顺时针旋转以及下切牙没有后倾。这个假设被否定了。BAMP方案比RME/FM疗法产生显著更大的上颌骨前移。
To test the hypothesis that there is no difference in the active treatment effects for maxillary advancement induced by bone-anchored maxillary protraction (BAMP) and the active treatment effects for face mask in association with rapid maxillary expansion (RME/FM). This is a study on consecutively treated patients. The changes in dentoskeletal cephalometric variables from start of treatment (T1) to end of active treatment (T2) with an average T1–T2 interval of about 1 year were contrasted in a BAMP sample of 21 subjects with a RME/FM sample of 34 patients. All subjects were prepubertal at T1. Statistical comparison was performed with t-tests for independent samples. The BAMP protocol produced significantly larger maxillary advancement than the RME/FM therapy (with a difference of 2 mm to 3 mm). Mandibular sagittal changes were similar, while vertical changes were better controlled with BAMP. The sagittal intermaxillary relationships improved 2.5 mm more in the BAMP patients. Additional favorable outcomes of BAMP treatment were the lack of clockwise rotation of the mandible as well as a lack of retroclination of the lower incisors. The hypothesis is rejected. The BAMP protocol produced significantly larger maxillary advancement than the RME/FM therapy.
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DOI: 10.1016/j.joms.2009.03.007
发表时间: 2009-10
期刊: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
影响因子: --
作者:
De Clerck HJ;Cornelis MA;Cevidanes LH;Heymann GC;Tulloch CJ
通讯作者: Tulloch CJ