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具有正常咬合的下颌牙弓形态的新概念。

A new concept of mandibular dental arch forms with normal occlusion.

作者信息

Triviño Tarcila, Siqueira Danilo Furquim, Scanavini Marco Antonio

机构信息

Methodist University of São Paulo, São Bernardo do Campo, São Paulo, Brazil.

出版信息

Am J Orthod Dentofacial Orthop. 2008 Jan;133(1):10.e15-22. doi: 10.1016/j.ajodo.2007.07.014.

Abstract

INTRODUCTION

Because it is important to maintain dental arch dimensions during orthodontic therapy, all possible dental arch forms must be evaluated.

METHODS

A mathematical method associated with a polynomial function was used to evaluate the dental arch forms of 63 mandibular models of Brazilian adolescents in the permanent dentition with normal occlusion. A bead was glued to each tooth to simulate an orthodontic accessory and help in the measurement of distances between the center of the bead to the x- and y-axes. The dental casts were digitized, and images were plotted on a computer program to obtain the sixth-degree polynomial and the graph of this function. These segments were organized into 8 groups according to the form of the anterior curve of the dental arch; these were named forms A through H. Each group was subdivided into 3 subgroups: small, medium, and large sizes.

RESULTS

Form A was the most frequently observed at 22%, whereas form G was observed in only 2% of the total sample. Forms A, B, C, D, E, and F had more curve segments in medium size, and forms G and H had more curves in small size. A mean dental arch curve was calculated; however, this form coincided with form C, which had an incidence of 10%.

CONCLUSIONS

The mandibular dental arch is represented by 23 forms; thus, a normal dental arch cannot be represented by only 1 simple arch form.

摘要

引言

由于在正畸治疗期间保持牙弓尺寸很重要,所以必须评估所有可能的牙弓形态。

方法

采用一种与多项式函数相关的数学方法,对63个巴西恒牙列期正常咬合青少年的下颌模型的牙弓形态进行评估。在每颗牙齿上粘贴一个珠子以模拟正畸附件,并有助于测量珠子中心到x轴和y轴的距离。将石膏模型数字化,并在计算机程序上绘制图像,以获得六次多项式及其函数图像。根据牙弓前曲线的形态,将这些片段分为8组;分别命名为A至H型。每组再细分为3个亚组:小、中、大尺寸。

结果

A形最常见,占22%,而G形仅占总样本的2%。A、B、C、D、E和F形在中等尺寸中有更多的曲线段,而G和H形在小尺寸中有更多的曲线。计算出了平均牙弓曲线;然而,这种形态与C形一致,C形的发生率为10%。

结论

下颌牙弓由23种形态表示;因此,正常牙弓不能仅由1种简单的牙弓形态来表示。

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