Andria Louis M, Leite Luis P, Prevatte Tracie M, King Lydia B
Pediatric Dentistry/Orthodontics, Medical University of South Carolina, Charleston, SC 29425, USA.
Angle Orthod. 2004 Jun;74(3):361-6. doi: 10.1043/0003-3219(2004)074<0361:COTCBA>2.0.CO;2.
Many authors have studied the correlation of cranial base flexure and the degree of mandibular prognathism and classification of malocclusion. This indicates that the cranial base flexure may or may not have an effect on the degree of mandibular prognathism and classification of malocclusion. This study evaluates the correlation of the pretreatment cranial base angle and its component parts to other dental and skeletal cephalometric variables as well as treatment time. The sample consisted of 99 Angle Class II and Class I malocclusions treated in the mixed dentition with cervical headgear and incisor bite plane. Thirty of the patients required full appliance treatment. Treatment duration averaged 4.3 years (SD, 1.5 years). Only the starting cephalograms were used to acquire linear, proportional, and angular cranial base dimensions using Ba-S-N (total cranial base), Ba-S/FH (posterior cranial base), and SN/FH (anterior cranial base). Pearson product moment correlation coefficients were computed and used to assess the association of the following skeletal and dental variables: N-Pg/FH, MP/FH, Y-axis/FH, U1/L1, L1/MP, A-NPg mm, A-Perp, B-Perp, and treatment time with the cranial base measurements. Significance was determined only when the confidence level was P < .05. Although there was no significant correlation of BaSN or SN/FH with NPg, the angular BaS/FH, linear BaS mm, and proportional length of BaS %BaN were all statistically negatively correlated to the facial angle. This indicates that the posterior cranial base leg is the controlling factor in relating the cranial base to mandibular prognathism.
许多作者研究了颅底弯曲与下颌前突程度及错牙合分类之间的相关性。这表明颅底弯曲可能会也可能不会对下颌前突程度及错牙合分类产生影响。本研究评估治疗前颅底角及其组成部分与其他牙齿和骨骼头影测量变量以及治疗时间之间的相关性。样本包括99例在混合牙列期采用颈带和切牙咬合平面治疗的安氏II类和I类错牙合患者。其中30例患者需要全程使用矫治器治疗。治疗持续时间平均为4.3年(标准差为1.5年)。仅使用起始头颅侧位片,采用Ba-S-N(总颅底)、Ba-S/FH(后颅底)和SN/FH(前颅底)来获取线性、比例和角度的颅底尺寸。计算Pearson积差相关系数,并用于评估以下骨骼和牙齿变量之间的关联:N-Pg/FH、MP/FH、Y轴/FH、U1/L1、L1/MP、A-NPg毫米、A-垂线、B-垂线以及治疗时间与颅底测量值之间的关联。仅当置信水平为P <.05时确定具有显著性。尽管BaSN或SN/FH与NPg之间无显著相关性,但角度BaS/FH、线性BaS毫米以及BaS占BaN的比例长度均与面角呈统计学负相关。这表明后颅底段是将颅底与下颌前突相关联的控制因素。