The effectiveness of bone anchored maxillary protraction (BAMP) in the management of class III skeletal malocclusion in children aged 11-14 years compared with an untreated control group: A multicentre two-arm parallel randomised controlled trial.
| Autor: | Mandall N; Tameside and Glossop Integrated Care NHS Foundation Trust, Manchester, UK., Aleid W; North Manchester General Hospital, Manchester, UK., Cousley R; The Priestgate Clinic, Peterborough, UK., Curran E; Tameside and Glossop Integrated Care NHS Foundation Trust, Manchester, UK., Caldwell S; South Manchester University Hospitals NHS Foundation Trust, Manchester, UK., DiBiase A; William Harvey Hospital, Kent, UK., Dyer F; Charles Clifford Dental Hospital, Sheffield, UK., Littlewood S; Bradford Teaching Hospitals NHS foundation Trust, Bradford, UK., Nute S; Southend University Hospital NHS Foundation Trust, Southend, UK., Campbell SJ; University Dental Hospital of Manchester, Manchester, UK., Atkins S; The University of Sheffield School of Clinical Dentistry, Sheffield, UK., Bayoumi S; North Manchester General Hospital, Manchester, UK., Bhatt V; Southend University Hospital NHS Foundation Trust, Southend, UK., Chambers P; Bradford Teaching Hospitals NHS foundation Trust, Bradford, UK., Goodger N; William Harvey Hospital, Kent, UK., Bates C; Tameside and Glossop Integrated Care NHS Foundation Trust, Manchester, UK., Malik O; Salford Royal Hospitals NHS Trust, Salford, Manchester, UK., Waring D; University Dental Hospital of Manchester, Manchester, UK., Bassett P; Consultant Statistician, Amersham. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of orthodontics [J Orthod] 2024 Sep; Vol. 51 (3), pp. 228-239. Date of Electronic Publication: 2024 Jun 06. |
| DOI: | 10.1177/14653125241255139 |
| Abstrakt: | Objective: To evaluate the effectiveness of bone anchored maxillary protraction (BAMP) in the management of class III skeletal malocclusion in children aged 11-14 years compared with an untreated control group in terms of perceived need for orthognathic surgery, skeletal and dental change, and psychological impact. Design: A multicentre two-armed parallel randomised controlled trial. Setting: Six UK hospital orthodontic units. Methods: A total of 57 patients were randomly allocated into either the BAMP group (BAMPG) (n = 28) or a no treatment control group (CG) (n = 29). Outcomes: Data collection occurred at registration (DC1),18 months (DC2) and 3 years (DC3), where skeletal and dental changes were measured from lateral cephalograms and study models. Oral Aesthetic Subjective Impact Score (OASIS) and Oral Quality of Life (OHQOL) questionnaires were used to assess the psychological impact of treatment. Results: The mean age was 12.9 ± 0.7 years and 12.6 ± 0.9 years in the BAMPG and CG, respectively. At DC2, the BAMPG achieved a class III ANB improvement of +0.6° compared with -0.7° in the CG ( P = 0.004). The overjet improvement was +1.4 mm for the BAMPG and -0.2 mm for the CG ( P = 0.002). There was no evidence of any other group differences for the other skeletal or dental cephalometric outcomes ( P > 0.05) or the questionnaire data (OASIS P = 0.10, OHQOL P = 0.75). At DC2, the 18-month follow-up, 22% of the BAMPG achieved a positive overjet. At the 3-year follow-up (DC3), fewer participants in the BAMPG were perceived to need orthognathic surgery (48%) compared with 75% of participants in the CG ( P = 0.04), with an odds ratio of 0.31 (95% confidence interval = 0.10-0.95). Conclusion: The BAMP technique did not show any social or psychological benefits; however, the skeletal class III improvement in ANB and the overjet change were sufficient to reduce the perceived need for orthognathic surgery by 27% compared with the CG. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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