›› 2019, Vol. 39 ›› Issue (7): 628-631.

• 临床研究 • 上一篇    下一篇

Damon自锁非拔牙正畸矫正对上气道影响的研究

潘永初   

  1. 南京医科大学口腔医学院
  • 收稿日期:2018-10-15 修回日期:2018-11-26 出版日期:2019-07-28 发布日期:2019-08-07
  • 通讯作者: 潘永初 E-mail:panyongchu@njmu.edu.cn

  • Received:2018-10-15 Revised:2018-11-26 Online:2019-07-28 Published:2019-08-07

摘要: 摘要 目的:本研究基于CBCT扫描技术,对Damon自锁非拔牙正畸患者的上气道进行研究,观察正畸治疗前后上气道形态结构变化。 方法:选择采用Damon自锁托槽矫正的患者14例,收集其正畸治疗前、治疗后CBCT图像资料。结合Dolphin软件对图像进行三维重建,根据上气道的解剖结构将重建后的上气道分为四段:鼻咽、腭咽、舌咽、喉咽并测量其体积,横截面积,高度等指标。将所测数据进行统计学分析。结果:除鼻咽部体积减少134.85 mm3(2.2%,P=0.796)外,上气道各测量指标总体上呈增长趋势。正畸治疗后上气道总体积平均增长2013.46 mm3(9.8%,P=0.210),上气道口咽段最小横截面积平均增长14.96 mm2(10.2%,P=0.481)。在上气道各段中,喉咽部体积增长最多,治疗后平均增加了963.93 mm3(23.5%,P=0.018);横截面积增长的最大量发生在腭咽部,其横截面积增长49.61 mm2(16.6%,P=0.130);高度最大增加量为1.74 mm(12.5%,P=0.010),发生在喉咽部。结论:Damon自锁非拔牙正畸治疗对上气道喉咽部的体积和高度的影响较大。

关键词: 上气道, 非拔牙, CBCT, Damon

Abstract: Abstract: Objective To investigate the upper airway of patients who were treated with Damon bracket and non-extraction technique and to observe the changes of morphology and structure of the upper airway before and after operation based on CBCT scan. Methods CBCT images of 14 patients with Damon bracket and non-extraction were collected. Then Dolphin was used to rebuild 3D image data. According to anatomical structure, upper airway can be divided into four sections: nasopharynx, velopharyngeal, tonguepharyngeal, laryngopharyngeal. Airway volumes, across-sectional area and height were measured . All the data were analyzed by SPSS software. Results After the orthodontic treatment, most of measures of upper airway increased except the volume of nasopharynx which decreased 134.85 mm3 (2.2%,P=0.796)compared with pre-treatment. The volume of upper airway increased 2013.46 mm3 (9.8%,P=0.210)and the minimum cross-sectional area of oropharynx area increased 14.96 mm2(10.2%,P=0.481) on average . The most obvious changes on volume occurred in laryngopharyngeal, which increased 963.93mm3 (23.5%,P=0.018). The most remarkable change of cross-sectional area occurred in velopharyngeal with an increase of 49.61 mm2 (16.6%,P=0.130). The most significant change of measures occurred in height with an increase of 1.74 mm (12.5%,P=0.010)in laryngopharyngeal. Conclusion Damon bracket and non-extraction orthodontic treatment can make effectively influence on the height and volume of laryngopharyngeal.

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