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原发性下颌前牙拥挤与垂直颅面形态或下切牙倾斜度之间无相关性。

No correlation between primary mandibular anterior crowding and vertical craniofacial configuration or lower incisor inclination.

作者信息

Miethke R R

机构信息

Department of Orthodontics, Charité University Hospital, Berlin, Germany.

出版信息

J Orofac Orthop. 2000;61(5):297-304. doi: 10.1007/pl00001900.

Abstract

The aim of the present study was to evaluate the correlation between primary mandibular anterior crowding and vertical craniofacial configuration or sagittal lower incisor inclination. The collective comprised 100 consecutive patients (50 males, 50 females) subject to 4 selection criteria: mandibular anterior crowding > or = 1.0 mm, no previous orthodontic therapy, completely preserved deciduous canines and molars, and lateral cephalograms of good diagnostic quality before initiation of orthodontic treatment. Study casts of all patients were used to measure the mesiodistal width of the incisors and deciduous canines as well as the anterior arch circumference. The difference between the 2 represented the amount of crowding. On all cephalograms 16 parameters of vertical craniofacial configuration and 9 parameters of lower incisor inclination were measured. For error evaluation all measurements were repeated independently on 10 randomly selected study casts and cephalograms. This error amounted for the combined tooth width to 0.51% +/- 0.81, for arch circumference to 0.03% +/- 0.68, and for all cephalometric parameters to 0.38% +/- 4.81. For all parameters, arithmetic means, standard deviations and ranges were calculated. Further, correlation coefficients were calculated between anterior crowding and all 25 cephalometric parameters. The arithmetic mean of crowding was m = 2.0 +/- 1.3 mm with a range of 1.0 to 6.6 mm. The values of all cephalometric parameters were close to well accepted norms in the literature. The correlation coefficients between crowding and all cephalometric parameters varied from r = 0.0 to 0.3. According to this study there is no correlation between primary mandibular anterior crowding and vertical craniofacial configuration or sagittal lower incisor inclination.

摘要

本研究的目的是评估原发性下颌前牙拥挤与垂直颅面形态或矢状位下切牙倾斜度之间的相关性。研究对象为100例连续患者(50例男性,50例女性),符合以下4项入选标准:下颌前牙拥挤≥1.0 mm,未曾接受过正畸治疗,乳牙尖牙和磨牙完全保留,正畸治疗开始前具有诊断质量良好的头颅侧位片。所有患者的研究模型用于测量切牙和乳尖牙的近远中宽度以及前牙弓周长。两者之差代表拥挤量。在所有头颅侧位片上测量16项垂直颅面形态参数和9项下切牙倾斜度参数。为进行误差评估,对10例随机选择的研究模型和头颅侧位片独立重复所有测量。联合牙宽度的误差为0.51%±0.81,牙弓周长的误差为0.03%±0.68,所有头影测量参数的误差为0.38%±4.81。计算所有参数的算术平均值、标准差和范围。此外,计算前牙拥挤与所有25项头影测量参数之间的相关系数。拥挤的算术平均值为m = 2.0±1.3 mm,范围为1.0至6.6 mm。所有头影测量参数的值均接近文献中公认的标准。拥挤与所有头影测量参数之间的相关系数在r = 0.0至0.3之间。根据本研究,原发性下颌前牙拥挤与垂直颅面形态或矢状位下切牙倾斜度之间无相关性。

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