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使用咬合质心方法研究下颌骨与上颌骨的垂直和水平关系。

Use of the centroid method of occlusion for studying the vertical and horizontal relationship of the mandible and maxilla.

作者信息

Murata Satoru

机构信息

Murata Orthodontic Clinic, Toyotetu Terminal Building 3F, 1-46-1 Ekimaeohdori, Toyohashi 440-0888, Japan.

出版信息

Eur J Orthod. 2007 Dec;29(6):600-4. doi: 10.1093/ejo/cjm070. Epub 2007 Sep 14.

Abstract

The aim of the present study was to verify whether the centroid method of occlusion for studying mandibular and maxillary growth enables accurate determination of vertical occlusal patterns (open and deep bite). Lateral cephalograms were obtained of Japanese adult females aged over 18 years of age with a Class II malocclusion (61 open bite and 47 deep bite), or a Class III type open bite (70 subjects) or deep bite (21 subjects) malocclusion. One-way analysis of variance followed by a Bonferroni's t-test was used to compare the results among these four groups. The Deltaabc area, which comprised the palatal, Ar-Gn, and A-B planes, was shown to be significantly larger in the open bite than in the deep bite group for both Class II and Class III malocclusion types (P < 0.01). There was no difference in the Deltaabc area between the Class II and Class III open bite groups or between the Class II and Class III deep bite groups. These findings suggest that the centroid method of occlusion is a versatile diagnostic technique that can accurately differentiate between vertical occlusal patterns of Class II and III types of malocclusion limited to Japanese adult females. The analytical method is also unaffected by gnathostatic differences according to Angle classification.

摘要

本研究的目的是验证用于研究下颌和上颌生长的咬合质心方法是否能够准确确定垂直咬合模式(开咬和深覆合)。对年龄超过18岁的日本成年女性进行了头颅侧位片拍摄,这些女性存在安氏II类错合(61例开咬和47例深覆合)、安氏III类开咬(70例受试者)或深覆合(21例受试者)错合。采用单因素方差分析,随后进行Bonferroni t检验,以比较这四组的结果。对于安氏II类和安氏III类错合类型,由腭平面、Ar-Gn平面和A-B平面组成的Deltaabc区域在开咬组中显著大于深覆合组(P < 0.01)。安氏II类和安氏III类开咬组之间以及安氏II类和安氏III类深覆合组之间的Deltaabc区域没有差异。这些发现表明,咬合质心方法是一种通用的诊断技术,能够准确区分仅限于日本成年女性的安氏II类和III类错合的垂直咬合模式。该分析方法也不受根据安氏分类的颌骨静止差异的影响。

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