功能性矫治对骨性Ⅱ类青少年上气道的影响研究进展
|
摘要
以下颌后缩为主的骨性Ⅱ类错牙合常常会造成上气道的结构性狭窄,正畸医生往往利用生长发育潜力和功能性矫治对其进行改善。本文将从骨性Ⅱ类、功能性矫治、生长发育与上气道及周围软硬组织之间的关系作一综述,以期对骨性Ⅱ类错牙合畸形伴有上气道狭窄患者的临床诊治带来一定的指导作用。
The skeletal Class Ⅱ of the following submandibular retractions often causes structural stenosis in the upper airway,and orthodontists often utilize the growth potential and functional correction to improve them. This article will review the relationship between skeletal Ⅱ,functional correction,growing development and the upper airway and the surrounding soft and hard tissues,hoping to provide some guidance for clinical diagnosis and treatment of patients with skeletal Class Ⅱ malocclusion and upper airway stenosis.
The skeletal Class Ⅱ of the following submandibular retractions often causes structural stenosis in the upper airway,and orthodontists often utilize the growth potential and functional correction to improve them. This article will review the relationship between skeletal Ⅱ,functional correction,growing development and the upper airway and the surrounding soft and hard tissues,hoping to provide some guidance for clinical diagnosis and treatment of patients with skeletal Class Ⅱ malocclusion and upper airway stenosis.
引文
[1]邹冰爽,曾祥龙,曾应魁,等.安氏Ⅱ类分类错牙合颅面类型的研究[J].中华口腔医学杂志,1998,5(2):61-64.
[2]傅民魁,张丁,王邦康,等.中国25 392名儿童与青少年错牙合畸形患病率的研究[J].中华口腔医学杂志,2002,37(5):371-373.
[3]曾祥龙.爱丁堡皇家外科学院口腔正畸专业考试病例精选[M].北京:北京大学医学出版社,2007:99-100.
[4]刘月华,曾祥龙,傅民魁,等.阻塞性睡眠呼吸暂停综合征患者上气道及周围结构的头影测量[J].中华口腔医学杂志,1999,34(4):213-244.
[5]Zheng ZH,Yamaguchi T,Kurihara A,et al.Three-dimensional evaluation of upper airway in patients with different anteroposterior skeletal patterns[J].Orthod Craniofac Res,2014,17(1):38-48.
[6]Oz U,Orhan K,Rubenduz M.Two-dimensional lateral cephalometric evaluation of varying types of ClassⅡsubgroups on posterior airway space in postadolescent girls:a pilot study[J].JOrofac Orthop,2013,74(1):18-27.
[7]El H,Palomo JM.An airway study of different maxillary and mandibular sagittal positions[J].Eur J Orthod,2013,35(2):262-270.
[8]宋锦明,赵祝,宋扬,等.安氏Ⅱ类错牙合患者上下颌骨生长发育特点的研究[J].实用口腔医学杂志,2012,28(2):79-83.
[9]刘萌萌,刘琳,傅尧,等.不同骨面型青少年上气道的锥形束分析[J].中华口腔正畸学杂志,2014,21(2):73-77.
[10]刘媛,蔡萍.上下颌骨矢状向发育不足青年上气道大小的对比研究[J].中华口腔正畸学,2017,24(2):100-105.
[11]曾祥龙,唐志慧.矢状骨面型与上气道形态和舌骨位置关系的研究[J].现代口腔医学杂志,2004,18(3):231-234.
[12]Kaur S,Rais S,Kaur M.Comparision of reliability of cephalogram and computed tomography for assessment of airway space[J].Niger J Clin Pract,2014,17(5):629-636.
[13]Zhong Z,Tang Z,Gao X,et al.A comparison study of upper airway among different skeletal craniofacial patterns in nonsnoring Chinese children[J].Angle Orthod,2010,80(2):267-274.
[14]Bollhalder J,Hanggi MP,Schatzle M,et al.Dentofacial and upper airway characteristics of mild and severe ClassⅡdivision Isubjects[J].Eur J Orthod,2013,35(4):447-453.
[15]Alves MJ,Franzotti ES,Baratieri C,et al.Evalution of pharyngeal airway space amongst different skeletal patterns[J].Int J Oral Maxillofac Surg,2012,41(7):814-819.
[16]Oh KM,Hong JS,Kim YJ,et al.Three-dimensional analysis of phryngeal airway from in children with anteroposterior facial patterns[J].Angle Orthod,2011,81(6):1075-1082.
[17]Ei H,Palomo JM.Airway volume for different dentofacial skeletal patterns[J].Am J Orthod Dentofacial Orthop,2011,139(6):511-521.
[18]Claudino LV,Mattos CT,Ruellas AC,et al.Pharyngeal airway characterization in adolescents related to facial skeletal pattern:a preliminary study[J].Am J Orthod Dentofacial Orthop,2013,143(6):799-809.
[19]陈科名,杨崇实,邓锋,等.不同矢状骨面型与上气道形态和舌骨位置关系的研究[J].口腔医学研究,2012,28(1):54-57.
[20]刘珂,张亚秋.骨性Ⅱ类错牙合畸形青少年上气道生长发育特点的初步研究[J].实用口腔医学杂志,2017,33(1):59-64.
[21]蒋英英,胥欣,胡温庭,等.锥形束CT测量山东地区6~19岁正常骨面型儿童青少年的舌骨位置[J].中国组织工程研究,2015,19(42):6753-6758.
[22]郭涛,丁寅.不同垂直骨面型成年患者上气道形态和舌骨位置差异的研究[J].实用口腔医学杂志,2006,22(1):25-29.
[23]Ucar F,Uysa I T.Orofacial airway dimensions in subjects with Class I malocclusion and different growth patterns[J].Angle Orthod,2011,81(3):460-468.
[24]曹安怡,羊晓,葛红珊,等.高角成人口咽气道形态与颌骨形态间的关系[J].口腔疾病防治,2017,25(8):510-514.
[25]杨莉,韩蓓蕾,邓海艳,等.矢状骨面型错牙合畸形对成年人上气道影响的CBCT研究[J].口腔医学,2017,37(2):144-148.
[26]李志敏,武杰,门海燕,等.成人骨性Ⅲ类错牙合口咽气道大小和舌骨位置的锥形束研究[J].上海口腔医学,2015,24(3):351-355.
[27]曾应魁,张维真,蔡恒惠,等.Ⅰ级和Ⅲ级不正咬合舌骨位置的比较[J].中华牙志,1995,14(1):122-122.
[28]霍振辉,赵堂民,李懿波,等.成人骨性Ⅱ类不同垂直骨面型上气道及舌骨形态位置的三维研究[J].现代生物医学进展,2014,15(14):2835-2838.
[29]古力巴哈·买买提力,陈冲,陈文君,等.传统式Twin-Block矫治器与逐步式前移下颌的Twin-Block矫治器治疗下颌后缩畸形的临床疗效评价[J].口腔医学研究,2015,30(1):45-47.
[30]李晅,周慧玲,沈刚,等.功能矫治器对青春期骨性Ⅱ类患者上气道结构的影响[J].上海口腔医学,2017,26(2):222-227.
[31]Jena AK,Singh SP,Utreja AK,et al.Effectiveness of twin-block and mandibular protraction appliance-Ⅳin the improvement of pharyngeal airway passage dimensions in ClassⅡmalocclusion subjects with a retrognathic mandible[J].Angle Orthod,2013,83(4):728-734.
[32]侯伟,李琥,耿忠凯,等.双牙合垫矫治器对青少年骨性Ⅱ类下颌后缩患者上气道形态的影响[J].南京医科大学学报,2017,(12):1674-1677.
[33]Restrepo C,Santamaria A,Pelaez S,et al.Oropharyngeal airway dimensions after treatment with functional appliances in ClassⅡretrognathic children[J].J Oral Rehabil,2011,38(8):588-594.
[34]Yassaei S,Tabatabaei Z,Ghafurifard R,et al.Stability of pharyngeal airway dimensions:tongue and hyoid changes after treatment with a functional appliance[J].Int J Orthod Milwaukee,2012,23(1):9-15.
[35]Zymperdikas VF,Koretsi V,Papageorgiou SN,et al.Treatment effects of fixed functional appliances in patients with ClassⅡmalocclusion:a systematic review and meta-analysis[J].Eur JOrthod,2016,38(2):113-126.
[36]耿忠凯,侯伟,朱零,等.口腔功能矫治器对阻塞性睡眠呼吸暂停低通气综合征患者的上呼吸道影响[J].口腔医学,2017,37(5):477-480.
[37]邓金荣,高雪梅,曾祥龙,等.儿童颅面和气道形态与阻塞性睡眠呼吸暂停低通气综合征关系的病例-对照研究[J].北京大学学报(医学版),2010,42(6):624-629.
[38]Lin CC,Wang HY,Chiu CH,et al.Effect of oral appliance on endothelial function in sleep apnea[J].Clin Oral Investig,2015,19(2):437-444.
[39]梁秋娟,再努然·艾买提,古力巴哈·买买提力,等.逐步式双牙合垫矫治器治疗青少年下颌后缩畸形上气道形态变化的临床研究[J].实用口腔医学杂志,2015,35(11):943-946.
[40]史建陆,董丽玲,李芸,等.安氏Ⅱ类下颌后缩儿童应用TwinBlock矫治器功能矫治前后上气道变化的锥形束CT研究[J].实用口腔医学杂志,2015,31(4):531-535.
[41]孙福财,张秀华,谢于鹏,等.阻鼾器治疗轻中度阻塞性睡眠呼吸暂停综合征前后上气道CT的研究[J].口腔医学,2009,129(12):57-60.
[42]钱毅,吴建华.应用改良Twin-Block功能性矫治器治疗早期下颌后缩的临床研究[J].中国美容医学,2017,26(6):115-117.
[43]Liu Y,Zeng X,Fu M,et al.Effects of a mandibular repositioner on obstructive sleep apnea[J].Am J Orthod Dentofacial Orthop,2000,118(3):248-256.
[44]田晓光,王蕾,段银钟,等.Forsus矫治器治疗骨性下颌后缩口腔功能间隙变化的研究[J].中国美容医学,2015,9(3):50-53.
[45]吴应龙,金作林,房伟,等.矫形治疗生长期下颌后缩对舌的位置及口咽部气道的影响[J].临床口腔医学杂志,2008,24(3):168-170.
[46]刘伟涛,章晶晶,高雪梅,等.影响儿童上气道因素的锥形束CT研究[J].中华口腔正畸学杂志,2015,22(1):28-31.
[47]李婵,门海艳,李洪发,等.骨性Ⅱ类不同矢状骨面型成人上气道容积和舌骨位置的锥形束CT研究[J].北京口腔医学,2017,12(3):145-148.
[48]袁正林,林久祥,陈莉莉,等.基于颈椎骨龄定量分期法的上颌发育不足患者最佳矫形时机的探讨[J].华中科技大学学报医学版,2013,42(2):156-160.
[49]韩蓓蕾,邓海燕,刘海霞,等.不同垂直骨面型女性青少年上气道形态和舌骨位置锥形束CT分析[J].广东医学,2017,38(7):1024-1028.
[50]刘杉杉,邓金荣,弓煦,等.8~13岁中国健康儿童鼻咽部生长发育变化的纵向研究[J].中华耳鼻喉头颈外科杂志,2016,51(10):733-739.
[2]傅民魁,张丁,王邦康,等.中国25 392名儿童与青少年错牙合畸形患病率的研究[J].中华口腔医学杂志,2002,37(5):371-373.
[3]曾祥龙.爱丁堡皇家外科学院口腔正畸专业考试病例精选[M].北京:北京大学医学出版社,2007:99-100.
[4]刘月华,曾祥龙,傅民魁,等.阻塞性睡眠呼吸暂停综合征患者上气道及周围结构的头影测量[J].中华口腔医学杂志,1999,34(4):213-244.
[5]Zheng ZH,Yamaguchi T,Kurihara A,et al.Three-dimensional evaluation of upper airway in patients with different anteroposterior skeletal patterns[J].Orthod Craniofac Res,2014,17(1):38-48.
[6]Oz U,Orhan K,Rubenduz M.Two-dimensional lateral cephalometric evaluation of varying types of ClassⅡsubgroups on posterior airway space in postadolescent girls:a pilot study[J].JOrofac Orthop,2013,74(1):18-27.
[7]El H,Palomo JM.An airway study of different maxillary and mandibular sagittal positions[J].Eur J Orthod,2013,35(2):262-270.
[8]宋锦明,赵祝,宋扬,等.安氏Ⅱ类错牙合患者上下颌骨生长发育特点的研究[J].实用口腔医学杂志,2012,28(2):79-83.
[9]刘萌萌,刘琳,傅尧,等.不同骨面型青少年上气道的锥形束分析[J].中华口腔正畸学杂志,2014,21(2):73-77.
[10]刘媛,蔡萍.上下颌骨矢状向发育不足青年上气道大小的对比研究[J].中华口腔正畸学,2017,24(2):100-105.
[11]曾祥龙,唐志慧.矢状骨面型与上气道形态和舌骨位置关系的研究[J].现代口腔医学杂志,2004,18(3):231-234.
[12]Kaur S,Rais S,Kaur M.Comparision of reliability of cephalogram and computed tomography for assessment of airway space[J].Niger J Clin Pract,2014,17(5):629-636.
[13]Zhong Z,Tang Z,Gao X,et al.A comparison study of upper airway among different skeletal craniofacial patterns in nonsnoring Chinese children[J].Angle Orthod,2010,80(2):267-274.
[14]Bollhalder J,Hanggi MP,Schatzle M,et al.Dentofacial and upper airway characteristics of mild and severe ClassⅡdivision Isubjects[J].Eur J Orthod,2013,35(4):447-453.
[15]Alves MJ,Franzotti ES,Baratieri C,et al.Evalution of pharyngeal airway space amongst different skeletal patterns[J].Int J Oral Maxillofac Surg,2012,41(7):814-819.
[16]Oh KM,Hong JS,Kim YJ,et al.Three-dimensional analysis of phryngeal airway from in children with anteroposterior facial patterns[J].Angle Orthod,2011,81(6):1075-1082.
[17]Ei H,Palomo JM.Airway volume for different dentofacial skeletal patterns[J].Am J Orthod Dentofacial Orthop,2011,139(6):511-521.
[18]Claudino LV,Mattos CT,Ruellas AC,et al.Pharyngeal airway characterization in adolescents related to facial skeletal pattern:a preliminary study[J].Am J Orthod Dentofacial Orthop,2013,143(6):799-809.
[19]陈科名,杨崇实,邓锋,等.不同矢状骨面型与上气道形态和舌骨位置关系的研究[J].口腔医学研究,2012,28(1):54-57.
[20]刘珂,张亚秋.骨性Ⅱ类错牙合畸形青少年上气道生长发育特点的初步研究[J].实用口腔医学杂志,2017,33(1):59-64.
[21]蒋英英,胥欣,胡温庭,等.锥形束CT测量山东地区6~19岁正常骨面型儿童青少年的舌骨位置[J].中国组织工程研究,2015,19(42):6753-6758.
[22]郭涛,丁寅.不同垂直骨面型成年患者上气道形态和舌骨位置差异的研究[J].实用口腔医学杂志,2006,22(1):25-29.
[23]Ucar F,Uysa I T.Orofacial airway dimensions in subjects with Class I malocclusion and different growth patterns[J].Angle Orthod,2011,81(3):460-468.
[24]曹安怡,羊晓,葛红珊,等.高角成人口咽气道形态与颌骨形态间的关系[J].口腔疾病防治,2017,25(8):510-514.
[25]杨莉,韩蓓蕾,邓海艳,等.矢状骨面型错牙合畸形对成年人上气道影响的CBCT研究[J].口腔医学,2017,37(2):144-148.
[26]李志敏,武杰,门海燕,等.成人骨性Ⅲ类错牙合口咽气道大小和舌骨位置的锥形束研究[J].上海口腔医学,2015,24(3):351-355.
[27]曾应魁,张维真,蔡恒惠,等.Ⅰ级和Ⅲ级不正咬合舌骨位置的比较[J].中华牙志,1995,14(1):122-122.
[28]霍振辉,赵堂民,李懿波,等.成人骨性Ⅱ类不同垂直骨面型上气道及舌骨形态位置的三维研究[J].现代生物医学进展,2014,15(14):2835-2838.
[29]古力巴哈·买买提力,陈冲,陈文君,等.传统式Twin-Block矫治器与逐步式前移下颌的Twin-Block矫治器治疗下颌后缩畸形的临床疗效评价[J].口腔医学研究,2015,30(1):45-47.
[30]李晅,周慧玲,沈刚,等.功能矫治器对青春期骨性Ⅱ类患者上气道结构的影响[J].上海口腔医学,2017,26(2):222-227.
[31]Jena AK,Singh SP,Utreja AK,et al.Effectiveness of twin-block and mandibular protraction appliance-Ⅳin the improvement of pharyngeal airway passage dimensions in ClassⅡmalocclusion subjects with a retrognathic mandible[J].Angle Orthod,2013,83(4):728-734.
[32]侯伟,李琥,耿忠凯,等.双牙合垫矫治器对青少年骨性Ⅱ类下颌后缩患者上气道形态的影响[J].南京医科大学学报,2017,(12):1674-1677.
[33]Restrepo C,Santamaria A,Pelaez S,et al.Oropharyngeal airway dimensions after treatment with functional appliances in ClassⅡretrognathic children[J].J Oral Rehabil,2011,38(8):588-594.
[34]Yassaei S,Tabatabaei Z,Ghafurifard R,et al.Stability of pharyngeal airway dimensions:tongue and hyoid changes after treatment with a functional appliance[J].Int J Orthod Milwaukee,2012,23(1):9-15.
[35]Zymperdikas VF,Koretsi V,Papageorgiou SN,et al.Treatment effects of fixed functional appliances in patients with ClassⅡmalocclusion:a systematic review and meta-analysis[J].Eur JOrthod,2016,38(2):113-126.
[36]耿忠凯,侯伟,朱零,等.口腔功能矫治器对阻塞性睡眠呼吸暂停低通气综合征患者的上呼吸道影响[J].口腔医学,2017,37(5):477-480.
[37]邓金荣,高雪梅,曾祥龙,等.儿童颅面和气道形态与阻塞性睡眠呼吸暂停低通气综合征关系的病例-对照研究[J].北京大学学报(医学版),2010,42(6):624-629.
[38]Lin CC,Wang HY,Chiu CH,et al.Effect of oral appliance on endothelial function in sleep apnea[J].Clin Oral Investig,2015,19(2):437-444.
[39]梁秋娟,再努然·艾买提,古力巴哈·买买提力,等.逐步式双牙合垫矫治器治疗青少年下颌后缩畸形上气道形态变化的临床研究[J].实用口腔医学杂志,2015,35(11):943-946.
[40]史建陆,董丽玲,李芸,等.安氏Ⅱ类下颌后缩儿童应用TwinBlock矫治器功能矫治前后上气道变化的锥形束CT研究[J].实用口腔医学杂志,2015,31(4):531-535.
[41]孙福财,张秀华,谢于鹏,等.阻鼾器治疗轻中度阻塞性睡眠呼吸暂停综合征前后上气道CT的研究[J].口腔医学,2009,129(12):57-60.
[42]钱毅,吴建华.应用改良Twin-Block功能性矫治器治疗早期下颌后缩的临床研究[J].中国美容医学,2017,26(6):115-117.
[43]Liu Y,Zeng X,Fu M,et al.Effects of a mandibular repositioner on obstructive sleep apnea[J].Am J Orthod Dentofacial Orthop,2000,118(3):248-256.
[44]田晓光,王蕾,段银钟,等.Forsus矫治器治疗骨性下颌后缩口腔功能间隙变化的研究[J].中国美容医学,2015,9(3):50-53.
[45]吴应龙,金作林,房伟,等.矫形治疗生长期下颌后缩对舌的位置及口咽部气道的影响[J].临床口腔医学杂志,2008,24(3):168-170.
[46]刘伟涛,章晶晶,高雪梅,等.影响儿童上气道因素的锥形束CT研究[J].中华口腔正畸学杂志,2015,22(1):28-31.
[47]李婵,门海艳,李洪发,等.骨性Ⅱ类不同矢状骨面型成人上气道容积和舌骨位置的锥形束CT研究[J].北京口腔医学,2017,12(3):145-148.
[48]袁正林,林久祥,陈莉莉,等.基于颈椎骨龄定量分期法的上颌发育不足患者最佳矫形时机的探讨[J].华中科技大学学报医学版,2013,42(2):156-160.
[49]韩蓓蕾,邓海燕,刘海霞,等.不同垂直骨面型女性青少年上气道形态和舌骨位置锥形束CT分析[J].广东医学,2017,38(7):1024-1028.
[50]刘杉杉,邓金荣,弓煦,等.8~13岁中国健康儿童鼻咽部生长发育变化的纵向研究[J].中华耳鼻喉头颈外科杂志,2016,51(10):733-739.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |