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未经治疗的低、中、高下颌平面角与鼻根点至鼻下点连线夹角的骨性Ⅰ类患者的颅面生长发育:一项纵向研究。

Craniofacial growth in untreated skeletal Class I subjects with low, average, and high MP-SN angles: a longitudinal study.

作者信息

Chung Chun-Hsi, Mongiovi Vincent D

机构信息

Department of Orthodontics, School of Dental Medicine, University of Pennsylvania, 4001 Spruce Street, Philadelphia, PA 19104-6003, USA.

出版信息

Am J Orthod Dentofacial Orthop. 2003 Dec;124(6):670-8. doi: 10.1016/j.ajodo.2003.02.004.

Abstract

Sixty-eight (36 male and 32 female) untreated skeletal Class I subjects with low (< or = 27 degrees ), average (>27 degrees - <37 degrees ), and high (> or = 37 degrees ) mandibular plane (MP-SN) angles were selected from the Bolton-Brush and Burlington Growth Studies. Cephalograms of each subject at ages 9 and 18 were traced, and 28 parameters were measured. The difference in each parameter from ages 9 to 18 was calculated, and comparisons were made between the groups with low, average, and high angles. Results showed that, for boys and girls at age 9, the low-angle groups exhibited significantly larger SNA angle, SNB angle, facial taper, PFH, PFH:AFH, and ramus height, and the high-angle groups showed significantly larger ANS-Me and gonial angle. From ages 9 to 18, all the male and female low-, average-, and high-angle groups showed an increase in SNA and SNB angles, and PFH:AFH, and a decrease in ANB angle, convexity (more flattened face), MP-SN angle, and gonial angle (mandibular forward rotation). The dental measurements showed few changes with growth in all groups. In terms of skeletal measurements from ages 9 to 18, similar growth changes were found between the sexes in most angular measurements, but males had larger values in linear measurements than females.

摘要

从博尔顿-布拉什和伯灵顿生长研究中选取了68名未经治疗的骨骼I类受试者(36名男性和32名女性),他们的下颌平面(MP-SN)角分别为低(≤27度)、平均(>27度-<37度)和高(≥37度)。对每个受试者9岁和18岁时的头影测量片进行描图,并测量28个参数。计算每个参数从9岁到18岁的差值,并对低角、平均角和高角组进行比较。结果显示,对于9岁的男孩和女孩,低角组的SNA角、SNB角、面部锥度、PFH、PFH:AFH和升支高度显著更大,而高角组的ANS-Me和下颌角显著更大。从9岁到18岁,所有男性和女性的低角、平均角和高角组的SNA和SNB角、PFH:AFH均增加,而ANB角、凸度(面部更扁平)、MP-SN角和下颌角(下颌向前旋转)均减小。牙齿测量显示所有组随生长变化不大。在9岁到18岁的骨骼测量方面,大多数角度测量中男女之间发现了相似的生长变化,但男性在直线测量中的值比女性大。

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