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[关于II类1分类的分类建议:德拉尔分析的贡献]

[Proposal for a classification of Class II Division 1: contribution of Delaire's analysis].

作者信息

Le Guédard-Girault I, Bédhet N, Manière-Ezvan A, Delaire J

出版信息

Orthod Fr. 2000 Dec;71(4):267-76.

Abstract

Class II division 1 dental malocclusions are present in various forms depending on the site, direction and degree of discrepancy between the arches. The ability to recognize the origin of the malocclusion is essential to decide how, and when it is necessary to treat. In this study, the Delaire's analysis was performed for 111 individuals with a Class II division I malocclusion; a classification of these cases is proposed, according to the presence or the absence of a skeletal discrepancy. In 87% of the cases, a Class II division 1 dental malocclusion was associated with a Class II skeletal discrepancy (50% maxillary prognathism, 23.5% normal maxillary relationship and 13.5% maxillary retrognathism). The lines of the cranial base, the shape and size of the mandible varied considerably. In only 6% of cases, the dental malocclusion was associated with a skeletal Class I relationship, and in 7% of cases with a Class III relationship: it was often related to retruded mandibular teeth. It was shown that Class II division 1 dental malocclusions may result from differing causes: therefore, the identification of their etiology seems essential to provide the best possible treatment, at the right period in time.

摘要

安氏II类1分类错牙合畸形有多种表现形式,这取决于牙弓之间差异的部位、方向和程度。识别错牙合畸形的病因对于决定如何以及何时进行治疗至关重要。在本研究中,对111例安氏II类1分类错牙合畸形患者进行了德莱尔分析;根据是否存在骨骼差异对这些病例进行了分类。在87%的病例中,安氏II类1分类牙性错牙合与安氏II类骨骼差异相关(上颌前突占50%,上颌关系正常占23.5%,上颌后缩占13.5%)。颅底线、下颌骨的形状和大小差异很大。仅6%的病例中,牙性错牙合与骨骼I类关系相关,7%的病例与III类关系相关:这通常与下颌牙齿后缩有关。结果表明,安氏II类1分类牙性错牙合可能由不同原因引起:因此,确定其病因对于在合适的时间提供最佳治疗似乎至关重要。

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