Duan Peijia, Li Zhihua, Zhao Qing
Department of Orthodontics, West China College of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2003 Aug;21(4):289-91.
The purpose of this study was to evaluate the role of Angle's class, overall ratio and anterior ratio in the creation of tooth size discrepancies, and to determine whether any tooth extraction combinations create more severe discrepancies.
166 dental casts of orthodontic patients were selected randomly. These models were classified according to angle's criterion. Mesio-distal dimensions of mandibular and maxillary teeth were measured before treatment, and subjected to Bolton's analysis. Hypothetical tooth extraction by the following combinations: all the first premolars, all the second premolars, upper first and lower second premolars, and upper second and lower first premolars, was performed on each patient. The measurement results were again subjected to Bolton's analysis to see whether any tooth-size discrepancy had been created. The results were evaluated statistically by means of Logistic regression model.
Overall ratio, anterior ratio and extraction models affected mesio-distal tooth size ratio of both maxillary and mandibular teeth in the final stage of orthodontic treatment, Whereas, the results showed no significant difference among these groups of malocclusion.
The results suggested that dentists should always keep in mind that each patient should be treated individually and should be aware of that other factors also played important roles in determining what teeth, if any, should be removed and the Bolton analyses of all kinds of extraction models should be carried out, as well as the general Bolton analysis.
本研究旨在评估安氏分类、总比率和前牙比率在牙量不调形成中的作用,并确定是否存在某些拔牙组合会导致更严重的不调。
随机选取166例正畸患者的牙模。这些模型根据安氏标准进行分类。在治疗前测量上下颌牙齿的近远中尺寸,并进行Bolton分析。对每位患者进行以下组合的假设拔牙:所有第一前磨牙、所有第二前磨牙、上颌第一和下颌第二前磨牙、上颌第二和下颌第一前磨牙。测量结果再次进行Bolton分析,以观察是否产生了任何牙量不调。结果采用逻辑回归模型进行统计学评估。
总比率、前牙比率和拔牙模式在正畸治疗的最后阶段影响上下颌牙齿的近远中牙量比率,然而,这些错牙合组之间的结果没有显著差异。
结果表明,牙医应始终牢记,每位患者都应接受个体化治疗,并应意识到其他因素在决定是否拔牙以及应拔除哪些牙齿方面也起着重要作用,应进行各种拔牙模式的Bolton分析以及常规的Bolton分析。