拔牙矫治对成年骨性Ⅱ类高角错𬌗患者上气道及周围组织的影响

doi:10.13481/j.1671-587X.20240420

Abstract

Abstract:

Objective To compare the changes of the upper airway morphology， hyoid bone position， and craniofacial structure before and after extraction treatment and non-extraction treatment in the adult patients with skeletal class Ⅱ high angle malocclusion，and to analyze the effect of extraction orthodontic treatment on the upper airway structure in these patients，and to provide the theoretical basis for the selection of clinical treatment plans. Methods A retrospective analysis on the clinical data of 60 adult patients with skeletal class Ⅱ high angle malocclusion who required orthodontic treatment was collected from the Orthodontics Department of Stomatology Hospital of Jilin University. The patients were divided into extraction group and non-extraction group according to whether treated with extraction orthodontic treatment， and there were 30 patients in each group.The lateral cephalometric radiographs of the patients before and after orthodontic treatment were obtained， and the upper airway， hyoid bone， and craniofacial tissues were delineated and detected by Dolphin software. SPSS 23.0 statistical software was used to perform the statistical analysis on the related measurement data. Results Compared with before orthodontic treatment， the distance between the uvula tip and midpharyngeal wall （U-MPW）， aryngeal wall （V-LPW）， the inner downward angle between the long axis of the upper central incisor and the anterior cranial base （U1-SN） as well as the inner upward angle between the lower central incisor long axis and mandibular plane （L1-MP）of the patients in extraction group with skeletal class Ⅱ high angle malocclusion after orthodontic treatment were significantly decreased（P<0.05），while the occlusal plane and the anterior cranial base （OP-SN） and the angle between the long axes of the upper and lower central incisors （U1-L1） were significantly increased （P<0.05）.There were no significant differences in the other measurement indicators of the patients between two groups （P>0.05）.Compared with before orthodontic treatment， the angle of posterior nasal spine （ANB） of the patients in non-extraction group with skeletal class Ⅱ high angle malocclusion after orthodontic treatment was significantly decreased （P<0.05）， and the OP-SN and L1-MP significantly were increased （P<0.05）. There were no significant differences in the other measurement indicators of the patients between two groups （P>0.05）. Conclusion The sagittal diameter of upper airway of the adult patients with skeletal class Ⅱ high angle malocclusion tended to be orthodontic treatment after extraction orthodontic treatment，mainly in the oropharynx and laryngopharynx of the upper airway， while the hyoid bone position did not change significantly.

Key words: Extraction, Skeletal classⅡhigh angle, Malocclusion, Upper airway, Hyoid bone position

CLC Number:

R783.5

Yu CHEN, Huan JIANG, Min HU. Effect of extraction orthodontic treatment on upper airway and surrounding tissue in adult patients with skeletal class Ⅱhigh angle malocclusion[J].Journal of Jilin University(Medicine Edition), 2024, 50(4): 1055-1061.

Figures/Tables 8

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References 19

1	JIANG Y Y. Correlation between hyoid bone position and airway dimensions in Chinese adolescents by cone beam computed tomography analysis［J］. Int J Oral Maxillofac Surg， 2016， 45（7）： 914-921.
2	CDDS AUVENSHINE R， JDMD PETTIT N. The hyoid bone： an overview［J］. Cranio， 2020，38（1）： 6-14.
3	王志会，贾莹，丁琪. 不同垂直骨面型骨性Ⅲ类错颅-舌骨的平面投影关系［J］. 中国临床解剖学杂志， 2021， 39（3）： 282-285.
4	董浩鑫，徐文华，马众辉，等. 不同垂直骨面型骨性Ⅲ类错畸形患者正畸掩饰性治疗后上气道形态和舌骨位置的变化［J］. 郑州大学学报（医学版）， 2022，57（6）： 816-821.
5	毛渤淳，田雅婧，文艺峰，等. 基于三维可形变模型的骨性Ⅱ类高角患者正畸前后面型分析［J］. 中华口腔正畸学杂志， 2022， 29（3）： 127-131.
6	SIVAKUMAR A， AZHARUDDIN M， SIVAKUMAR I， et al. Assessment of hyoid bone position among different skeletal patterns［J］. Orthod Waves， 2017， 76（4）： 221-225.
7	CHAN J， EDMAN J C， KOLTAI P J. Obstructive sleep apnea in children［J］. Am Fam Physician， 2004，69（5）： 1147-1154.
8	CHIANG C C， JEFFRES M N， MILLER A， et al. Three-dimensional airway evaluation in 387 subjects from one university orthodontic clinic using cone beam computed tomography［J］. Angle Orthod， 2012， 82（6）： 985-992.
9	IWASAKI T， PAPAGEORGIOU S N， YAMASAKI Y，et al. Nasal ventilation and rapid maxillary expansion （RME）：a randomized trial［J］.Eur J Orthod，2021，43（3）： 283-292.
10	VENEZIA P， NUCCI L， MOSCHITTO S， et al. Short-term and long-term changes of nasal soft tissue after rapid maxillary expansion （RME） with tooth-borne and bone-borne devices. A CBCT retrospective study［J］. Diagnostics， 2022， 12（4）： 875.
11	温伟生，胡敏，柳春明，等. 不同体位下软腭位置与腭后气道的相关性研究［J］. 军医进修学院学报， 2001， 22（1）： 57-59.
12	HUANG T W， CHENG P W. Microdebrider-assisted extended uvulopalatoplasty： an effective and safe technique for selected patients with obstructive sleep apnea syndrome［J］. Arch Otolaryngol Head Neck Surg， 2008， 134（2）： 141-145.
13	何权瀛. 阻塞性睡眠呼吸暂停的主要危险因素及其发病机制［J］. 中华全科医师杂志， 2019， 18（6）： 610-612.
14	CHEN Y， HONG L， WANG C L， et al. Effect of large incisor retraction on upper airway morphology in adult bimaxillary protrusion patients［J］. Angle Orthod， 2012， 82（6）： 964-970.
15	WANG Q Z， JIA P Z， ANDERSON N K， et al. Changes of pharyngeal airway size and hyoid bone position following orthodontic treatment of Class Ⅰbimaxillary protrusion［J］. Angle Orthod， 2012， 82（1）： 115-121.
16	BATTAGEL J M， JOHAL A， L’ESTRANGE P R， et al. Changes in airway and hyoid position in response to mandibular protrusion in subjects with obstructive sleep apnoea （OSA）［J］. Eur J Orthod，1999，21（4）： 363-376.
17	RANA S S， KHARBANDA O P， AGARWAL B. Influence of tongue volume， oral cavity volume and their ratio on upper airway： a cone beam computed tomography study［J］. J Oral Biol Craniofac Res， 2020， 10（2）： 110-117.
18	GUIMARÃES C H Jr， HENRIQUES J F， JANSON G，et al. Prospective study of dentoskeletal changes in Class Ⅱ division malocclusion treatment with twin force bite corrector［J］. Angle Orthod， 2013， 83（2）： 319-326.
19	COSTA E DDA， ROQUE-TORRES G D， BRASIL D M，et al. Correlation between the position of hyoid bone and subregions of the pharyngeal airway space in lateral cephalometry and cone beam computed tomography［J］. Angle Orthod， 2017， 87（5）： 688-695.

Group	PNS-Ba	PNS-UPW	SPP-SPPW	U-MPW
Before orthodontic treatment	43.25±3.79	25.94±3.39	11.31±2.83	10.63±3.24
After orthodontic treatment	42.04±3.29	25.87±2.97	11.18±3.69	9.60±3.04
P	0.068	0.843	0.795	0.023
Group	TB-TPPW	V-LPW	C3-RGn	PNS-V
Before orthodontic treatment	10.82±2.61	13.98±3.70	65.83±6.04	59.74±4.98
After orthodontic treatment	10.30±3.47	12.69±4.64	64.90±6.40	60.62±5.78
P	0.198	0.010	0.357	0.242

Group	Hy-MP	Hy-S	Hy-C3	Hy-RGn
Before orthodontic treatment	9.62±4.14	99.50±6.63	33.87±3.78	33.79±4.60
After orthodontic treatment	10.45±4.49	101.07±7.09	33.50±4.10	33.06±5.30
P	0.125	0.053	0.305	0.405

Group	SNA	SNB		ANB		OP-SN		MP-SN
Before orthodontic treatment	82.43±3.43	75.90±2.90		6.55±1.40		21.23±3.55		40.64±3.51
After orthodontic treatment	82.02±3.11	75.76±2.84		6.26±1.90		22.95±3.78		40.19±4.93
P	0.205	0.617		0.250		0.007		0.461
Group	MP-FH		U1-SN		L1-MP		U1-L1
Before orthodontic treatment	31.99±2.82		106.07±7.33		97.95±5.50		115.32±11.08
After orthodontic treatment	31.69±4.33		98.52±6.51		92.75±7.08		128.53±9.41
P	0.616		0.001		0.001		0.001

Group	PNS-Ba	PNS-UPW	SPP-SPPW	U-MPW
Before orthodontic treatment	41.33±3.01	24.49±2.74	11.17±2.30	9.10±2.43
After orthodontic treatment	41.12±3.06	24.60±2.59	10.35±3.54	8.65±2.75
P	0.607	0.789	0.205	0.410
Group	TB-TPPW	V-LPW	C3-RGn	PNS-V
Before orthodontic treatment	9.57±2.48	12.03±3.73	62.60±5.09	62.29±5.73
After orthodontic treatment	9.35±2.62	12.33±3.25	63.18±5.41	62.15±6.21
P	0.558	0.656	0.485	0.881

Group	Hy-MP	Hy-S	Hy-C3	Hy-RGn
Before orthodontic treatment	13.88±4.22	105.10±8.38	32.26±3.93	32.30±4.85
After orthodontic treatment	13.12±3.85	105.48±10.63	32.17±3.94	33.16±4.75
P	0.234	0.709	0.787	0.218

Effect of extraction orthodontic treatment on upper airway and surrounding tissue in adult patients with skeletal class Ⅱhigh angle malocclusion

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Group	SNA	SNB		ANB		OP-SN		MP-SN
Before orthodontic treatment	82.42±3.86	75.43±3.32		7.00±1.62		20.66±3.44		39.52±1.76
After orthodontic treatment	82.40±4.21	75.94±3.79		6.45±1.59		22.61±3.86		39.09±2.65
P	0.939	0.073		0.033		0.002		0.225
Group	MP-FH		U1-SN		L1-MP		U1-L1
Before orthodontic treatment	31.18±2.46		103.19±8.36		94.04±6.23		123.25±11.02
After orthodontic treatment	30.86±2.94		103.16±5.37		99.22±7.24		118.52±8.19
P	0.322		0.080		0.002		0.080

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