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10至14岁III类错牙合畸形患者的牙弓宽度及下颌-上颌基骨宽度

Dental arch widths and mandibular-maxillary base widths in Class III malocclusions from ages 10 to 14.

作者信息

Chen Fengshan, Terada Kazuto, Yang Luyi, Saito Isao

机构信息

Vice professor, Department of Orthodontics, Dental School, Tongji University, Shanghai, China.

出版信息

Am J Orthod Dentofacial Orthop. 2008 Jan;133(1):65-9. doi: 10.1016/j.ajodo.2006.01.045.

Abstract

INTRODUCTION

Evaluations of the dental arch widths and mandibular-maxillary base are needed for a comprehensive dentofacial analysis in subjects with Class III malocclusion. The aim of this study was to analyze the development of the dental arches and the skeletal mandibular-maxillary bases in untreated subjects with Class III malocclusions.

METHODS

Two groups of subjects, 1 with Class III malocclusion and the other with Class I malocclusion, were examined. Maxillary skeletal base width, biantegonial widths, and maxillary and mandibular intermolar widths were determined on posteroanterior cephalograms at annual intervals between the ages of 10 and 14 years.

RESULTS

Maxillary skeletal base widths and intermolar widths in the Class III subjects were significantly smaller than those in the Class I subjects (P <.05). No statistically significant differences were found among the groups for skeletal mandibular width or intermolar width for the total observation period. The deviations in molar differences increased from ages 10 to 14 in the Class III group.

CONCLUSIONS

The main transverse deficiencies in the Class III group were maxillary deficiencies in both skeletal and dental widths. The deviations in molar differences appear to become larger from age 10 to age 14.

摘要

引言

对于III类错牙合畸形患者进行全面的牙颌面分析时,需要评估牙弓宽度和下颌-上颌基骨。本研究的目的是分析未经治疗的III类错牙合畸形患者牙弓和骨骼性下颌-上颌基骨的发育情况。

方法

检查两组受试者,一组为III类错牙合畸形患者,另一组为I类错牙合畸形患者。在10至14岁期间,每年拍摄头颅后前位片,测量上颌骨骼基骨宽度、双侧下颌角点间宽度以及上颌和下颌磨牙间宽度。

结果

III类错牙合畸形患者的上颌骨骼基骨宽度和磨牙间宽度显著小于I类错牙合畸形患者(P <.05)。在整个观察期内,两组在骨骼性下颌宽度或磨牙间宽度方面未发现统计学上的显著差异。III类错牙合畸形组从10岁到14岁磨牙差异的偏差有所增加。

结论

III类错牙合畸形组主要的横向缺陷是上颌骨骼和牙宽度方面的不足。从10岁到14岁,磨牙差异的偏差似乎变得更大。

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