Dentofacial effects of bone-anchored maxillary protraction: a controlled study of consecutively treated Class III patients.
Dentofacial effects of bone-anchored maxillary protraction: a controlled study of consecutively treated Class III patients.
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DOI：
10.1016/j.ajodo.2009.10.037
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发表时间：
2010-11
影响因子：
3
通讯作者：
Baccetti, Tiziano
中科院分区：
文献类型：
--
作者：
De Clerck, Hugo;Cevidanes, Lucia;Baccetti, Tiziano
在这个头颅测量学研究中，我们分析了骨锚定上颌牵伸术（BAMP）治疗III类错颌畸形患者的效果。治疗样本包括21例III类患者，在青春期生长突增前（平均年龄11.10±1.8岁）连续接受BAMP治疗，并在BAMP治疗后约1年后重新评估。治疗组与匹配的对照组18名未治疗的III类受试者进行比较。采用独立样本t检验评估治疗组与对照组之间的显著差异（P<0.05）。上颌矢状面测量结果显示，在积极治疗期间，上颌矢状面测量结果有显著改善（比未治疗对照组多约4毫米），眶部和翼状颌骨有明显的拉伸效果。在B点和毒牙的下颌骨骼测量中，记录了覆盖和磨牙关系的显著改善。除治疗组下颚门牙明显前倾外，垂直骨骼变化和门牙倾斜度的改变可以忽略不计。显著的软组织改变反映了潜在的骨骼改变。与未治疗的III类受试者相比，BAMP方案诱导上颌结构的骨骼和软组织推进的平均增量约为4mm，下颌的有利变化超过2mm。
In this cephalometric investigation, we analyzed the treatment effects of bone-anchored maxillary protraction (BAMP) with miniplates in the maxilla and mandible connected by Class III elastics in patients with Class III malocclusion. The treated sample consisted of 21 Class III patients consecutively treated with the BAMP protocol before the pubertal growth spurt (mean age, 11.10 ± 1.8 years) and reevaluated after BAMP therapy, about 1 year later. The treated group was compared with a matched control group of 18 untreated Class III subjects. Significant differences between the treated and control groups were assessed with independent-sample t tests (P<0.05). Sagittal measurements of the maxilla showed highly significant improvements during active treatment (about 4 mm more than the untreated controls), with significant protraction effects at orbitale and pterygomaxillare. Significant improvements of overjet and molar relationship were recorded, as well as in the mandibular skeletal measures at Point B and pogonion. Vertical skeletal changes and modifications in incisor inclination were negligible, except for a significant proclination of the mandibular incisors in the treated group. Significant soft-tissue changes reflected the underlying skeletal modifications. Compared with growth of the untreated Class III subjects, the BAMP protocol induced an average increment on skeletal and soft-tissue advancement of maxillary structures of about 4 mm, and favorable mandibular changes exceeded 2 mm.
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DOI：
10.1016/s0889-5406(03)00052-0
发表时间：
2003-05-01
影响因子：
3
作者：
Enacar, A;Giray, B;Iplikcioglu, H
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发表时间：
2000-10-01
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DOI：
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发表时间：
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期刊：
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
影响因子：
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作者：
De Clerck HJ;Cornelis MA;Cevidanes LH;Heymann GC;Tulloch CJ
通讯作者：
Tulloch CJ
DOI：
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发表时间：
2008-03-01
影响因子：
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作者：
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Pektas, Zafer Oezguer