Jia Hai-chao, Sun Xin-hua
Dept. of Orthodontics, School of Stomatology, Peking University, Beijing 100081, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2005 Oct;23(5):412-4, 437.
To study the characteristics of dental arches in the patients with facial asymmetry.
20 facial asymmetrical patients were chosen as the study subjects. They were 8 boys and 12 girls, aged from 12-year to 16-year old. 20 normal occlusion persons without signs of facial asymmetry were chosen as control. Dental casts were measured by 3-dimension measuring machine. Dental arch asymmetry, coordination between upper and lower dental arch, and dental inclination were measured. SAS 6.03 was used in statistical analysis.
The distance from cuspid and the first bicuspid to the median palatal raphe in the side of crossbite was larger than that of contralateral side in maxilla. The distance from cuspid, bicuspids and the first molar to the midline in the side of crossbite was smaller than that of contralateral side in mandible (P < 0.05). The dental arch width of cuspid and first premolar in maxilla was smaller than that of mandible (P < 0.05) . Significant buccal inclination of the maxillary posterior teeth coupled with lingual inclination of the mandibular posterior teeth was found on the crossbite side. In contrast, significant lingual inclination of the maxillary posterior teeth coupled with buccal inclination of the mandibular posterior teeth was found on the contralateral side (P < 0.05).
The width of upper anterior dental arch was smaller, and the inclination of upper and lower posterior teeth between crossbite side and counterside was different in facial asymmetry patients.
研究面部不对称患者牙弓的特征。
选取20例面部不对称患者作为研究对象。其中男性8例,女性12例,年龄12至16岁。选取20例无面部不对称体征的正常咬合者作为对照。用三维测量仪测量石膏模型。测量牙弓不对称性、上下牙弓协调性及牙齿倾斜度。采用SAS 6.03进行统计学分析。
上颌反合侧尖牙及第一前磨牙至腭中缝的距离大于对侧。下颌反合侧尖牙、前磨牙及第一磨牙至中线的距离小于对侧(P<0.05)。上颌尖牙及第一前磨牙的牙弓宽度小于下颌(P<0.05)。反合侧上颌后牙明显颊倾,下颌后牙舌倾。相反,对侧上颌后牙明显舌倾,下颌后牙颊倾(P<0.05)。
面部不对称患者上前牙弓宽度较小,反合侧与对侧上下后牙倾斜度不同。