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反牙合病例中的牙槽骨代偿

Dentoalveolar compensation in negative overjet cases.

作者信息

Ishikawa H, Nakamura S, Iwasaki H, Kitazawa S, Tsukada H, Chu S

机构信息

Department of Orthodontics, School of Dentistry, Hokkaido University, Sapporo, Japan.

出版信息

Angle Orthod. 2000 Apr;70(2):145-8. doi: 10.1043/0003-3219(2000)070<0145:DCINOC>2.0.CO;2.

Abstract

The purpose of this study was to investigate dentoalveolar compensation in negative overjet cases. Eighty-eight adult females with either skeletal Class I or skeletal Class III jaw relationships were examined. Of the total, 44 cases showed anterior crossbite and the remaining 44 cases had normal incisor relationships. Four cephalometric parameters were measured: the sagittal jaw relationship, maxillary and mandibular incisor inclination, and the occlusal plane angulation. In the negative overjet cases, correlation analysis was performed between the skeletal and dental measurements. Stepwise discriminate analysis was carried out to separate the negative and normal overjet cases. Compensatory changes for sagittal jaw discrepancies in the negative overjet cases were statistically confirmed for both incisor inclination and occlusal plane angulation. However, the compensatory effects were weaker than in the normal overjet cases. The discriminate analysis successfully separated the normal and negative overjet cases, suggesting that negative overjet results from insufficient dentoalveolar compensation for variations in the sagittal jaw relationships.

摘要

本研究的目的是调查反覆盖病例中的牙槽骨代偿情况。对88名成年女性进行了检查,她们的颌骨关系为骨骼Ⅰ类或骨骼Ⅲ类。其中,44例表现为前牙反合,其余44例切牙关系正常。测量了四个头影测量参数:矢状颌骨关系、上颌和下颌切牙倾斜度以及平面角。在反覆盖病例中,对骨骼和牙齿测量值进行了相关性分析。进行逐步判别分析以区分反覆盖和正常覆盖病例。对于反覆盖病例中矢状颌骨差异的代偿性变化,在切牙倾斜度和平面角方面均得到了统计学证实。然而,代偿作用比正常覆盖病例弱。判别分析成功地将正常覆盖和反覆盖病例区分开来,表明反覆盖是由于牙槽骨对矢状颌骨关系变化的代偿不足所致。

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