CAJ | 학술논문

目的为下颌前伸式口腔矫治器治疗阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea and hypopnea syndrome,OSAHS)的下颌定位提供参考.方法采用X线头影测量分别对32例患者戴用自行调节式口腔矫治器于治疗前、医师经验位及患者调节位时下颌水平及垂直测量项目的具体数据进行统计学处理.结果医师经验位和患者调节位与治疗前比较时测量项目均有差异,两者比较,S-Ar-Go P值为0.095,H-MP P值为0.84,均大于0.05,其他测量项目均有显著差异(P.<0.05).结论自行调节式口腔矫治器的医师经验位和患者调节位的下颌位置存在差异,该差异可以为下颌前伸类口腔矫治器个性化治疗的下颌前伸定位研究提供参考.
목적 위하합전신식구강교치기치료조새성수면호흡잠정저통기종합정(obstructive sleep apnea and hypopnea syndrome,OSAHS)적하합정위제공삼고.방법 채용X선두영측량분별대32례환자대용자행조절식구강교치기우치료전、의사경험위급환자조절위시하합수평급수직측량항목적구체수거진행통계학처리.결과 의사경험위화환자조절위여치료전비교시측량항목균유차이,량자비교,S-Ar-Go P치위0.095,H-MP P치위0.84,균대우0.05,기타측량항목균유현저차이(P.<0.05).결론 자행조절식구강교치기적의사경험위화환자조절위적하합위치존재차이,해차이가이위하합전신류구강교치기개성화치료적하합전신정위연구제공삼고.
Objective To provide a theoretic reference for mandibular positioning in the treatment of obstructive sleep apnea and hypopnea syndrome (OSAHS) with the mandibular advancement devices.Methods Thirty-two OSAHS patients diagnosed with polysomnography were included in the study.Cephalometric analysis was carried out to compare the position changes of mandible in original position,physician experience position and patient self-adjustable position respectively.Results There is significant difference between physician experience position and patient self-adjustable position (P＜0.05) except for measurements of S-Ar-Go (P=0.095) and H MP (P=0.843).Conclusions The great difference between two positions(physician experience position and patient self-adjustable position ) may suggest an individualized mandibular position for the treatment with mandibular advancement devices.