Evidence map›Paper›PMID 39729161›Full record

Observational studyClinical oral investigations2024

A comparative study of Twin-Block and van Beek Headgear-Activator on the three-dimensional morphology of the upper airway in growing children with mandibular retraction in skeletal class II malocclusion.

Huilin Li, Danfeng Li, Liping Liu, Tian Yang, Yuqian Li, Jiali Tan

Abstract readComparative StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Huilin LiHospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, 510055, China.
Danfeng LiHospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, 510055, China.
Liping LiuHospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, 510055, China.
Tian YangHospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, 510055, China.
Yuqian LiHospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, 510055, China.
Jiali TanHospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, 510055, China. tanjiali@mail.sysu.edu.cn.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2022A1515011094Key Technologies Research and Development Program of Guangzhou Municipality 2024B03J0497National Natural Science Foundation of China 82270985Open Funding of Guangdong Provincial Key Laboratory of Stomatology KF2022120102
6 · The paper itself

Abstract

objectivesTo compare the variations in the upper airway of children with skeletal Class II mandibular retrognathism treated with van Beek Headgear-Activator (vBHGA) and Twin-Block (TB) appliances. MATERIALS AND

methods40 children were involved in this retrospective study and divided into two intervention groups: the vBHGA group and the TB group, each comprising 20 individuals with an average age of 11.13 years. Employing Cone Beam Computed Tomography and Geometric Morphometric analysis, a comprehensive assessment of the upper airway's volume, minimum cross-sectional area (m-CSA), and 3D shape characteristics was conducted pre-and post-treatment.

resultsThe total volume, oropharynx volume, oropharynx m-CSA, and hypopharynx m-CSA significantly increased in both the vBHGA and TB groups (p < 0.05). The sole discrepancy between the two groups was observed in comparing the nasopharynx m-CSA (p < 0.05). A morphological difference was observed in the vBHGA group before and after treatment (p < 0.05), characterized by a wider and shorter airway, positioning of the posterior nasal spine closer to the anterior inferior area, and a more posterior nasopharyngeal wall. However, there were no significant shape differences between the two groups or before and after treatment within the TB group.

conclusionIt appears that both vBHGA and TB interventions contribute positively to alleviating upper airway constriction. Nonetheless, the vBHGA group exhibits more alterations in the configuration of the nasopharynx. CLINICAL RELEVANCE: Both orthodontic appliances have a positive impact on the upper airway but still have differences, emphasizing the need for individualized consideration when selecting orthodontic interventions. CLINICAL

trial registrationThis study was also registered with the Chinese Clinical Trial Registry with registration number ChiCTR2400086867.

Indexed as

Cone-Beam Computed TomographyImaging, Three-DimensionalMalocclusion, Angle Class IIActivator AppliancesAdolescentChildExtraoral Traction AppliancesFemaleHumansMaleOrthodontic Appliance DesignPharynxRetrognathiaRetrospective StudiesTreatment OutcomeThree-dimensional morphologyTwin-BlockUpper airwayvan Beek Headgear-Activator

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.