Kusnoto J, Kusnoto H
College of Dentistry, Trisakti University, Jakarta, Indonesia.
Am J Orthod Dentofacial Orthop. 2001 Sep;120(3):304-7. doi: 10.1067/mod.2001.116089.
This study was conducted to determine upper and lower lip changes after orthodontic treatment of bimaxillary dental protrusion in adult Indonesians. Pretreatment and posttreatment cephalograms of 40 patients (6 males and 34 females) who required extraction of 4 premolars, were traced, superimposed, and measured. The changes of anterior tooth position (measured as the horizontal distance from the incisal tip to a constructed vertical through sella) were correlated with changes in the upper and lower lip positions with the Pearson correlation method. Significant positive correlation was found between changes of the maxillary and mandibular incisors with the changes in both the upper lip (r(U1) = 0.39, P <.05; r(L1) = 0.44, P <.01) and the lower lip (r(U1) = 0.44, P <.01; r(L1) = 0.51, P <.01) positions. By using stepwise multiple regression, it was found that for every millimeter of mandibular incisor retraction, 0.4 mm of upper lip retraction and 0.6 mm of lower lip retraction were produced. This study concluded that, for this Indonesian sample, a strong correlation exists between mandibular anterior tooth retraction and the position of both lips.
本研究旨在确定成年印度尼西亚人双颌牙前突正畸治疗后上下唇的变化。对40例(6例男性和34例女性)需要拔除4颗前磨牙的患者的治疗前和治疗后头影测量片进行描图、叠加和测量。采用Pearson相关法将前牙位置的变化(测量为切端至通过蝶鞍的构建垂直线的水平距离)与上下唇位置的变化进行相关性分析。发现上颌和下颌切牙的变化与上唇(r(U1)=0.39,P<0.05;r(L1)=0.44,P<0.01)和下唇(r(U1)=0.44,P<0.01;r(L1)=0.51,P<0.01)位置的变化之间存在显著正相关。通过逐步多元回归分析发现,下颌切牙每内收1毫米,上唇内收0.4毫米,下唇内收0.6毫米。本研究得出结论,对于该印度尼西亚样本,下颌前牙内收与双唇位置之间存在强相关性。