Tibana Raquel H W, Palagi Lisiane Meira, Miguel José Augusto M
Orthodontics, Estacio de Sàcio de Sà University, Rio de Janeiro, Brazil.
Angle Orthod. 2004 Oct;74(5):618-23. doi: 10.1043/0003-3219(2004)074<0618:CIDAMO>2.0.CO;2.
This study evaluates the longitudinal changes in occlusal dimensions in young adults. The sample was composed of 27 individuals (13 male and 14 female individuals) who presented dental Class I and normal occlusion, according to the inclusion protocol. All teeth were present except for the third molars. The mean age of the subjects was 21 years and two months initially and 28 years and four months at the end of the observation period. The measurements collected in both arches were overbite, overjet, intercanine and intermolar distances, irregularity index, and perimeter. All measurements were taken from study dental casts by a calibrated operator, using a digital caliper. The paired t-test was used to evaluate the changes, using the difference between the initial and final mean measurements. Data indicated that the overbite increased 0.39 mm, the incisor irregularity increased 0.38 mm in the upper arch and 0.54 mm in the lower arch, and the arch perimeter decreased 0.67 mm in the upper arch and 0.71 mm in the lower arch (P > .05). The other measurements did not show significant changes. No sexual dimorphism was observed. It could be concluded that occlusal dimensions change throughout adult life. In the sample studied, changes were statistically significant for overbite, incisors irregularity, and arch perimeter after a mean period of seven years and two months. These changes can be observed in both sexes.
本研究评估了年轻成年人咬合尺寸的纵向变化。根据纳入方案,样本由27名个体(13名男性和14名女性)组成,这些个体均为I类牙列且咬合正常。除第三磨牙外,所有牙齿均存在。受试者的初始平均年龄为21岁零2个月,观察期结束时为28岁零4个月。在上下牙弓收集的测量指标包括覆合、覆盖、尖牙间距离、磨牙间距离、不规则指数和周长。所有测量均由经过校准的操作人员使用数字卡尺从研究模型上获取。采用配对t检验评估变化情况,计算初始和最终平均测量值之间的差异。数据表明,覆合增加了0.39mm,上牙弓切牙不规则度增加了0.38mm,下牙弓增加了0.54mm,上牙弓周长减少了0.67mm,下牙弓减少了0.71mm(P>.05)。其他测量指标未显示出显著变化。未观察到性别差异。可以得出结论,咬合尺寸在成年期会发生变化。在本研究样本中,经过平均7年零2个月的时间后,覆合、切牙不规则度和牙弓周长的变化具有统计学意义。这些变化在男女两性中均可观察到。