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[第二前磨牙和磨牙钙化与萌出的顺序——一项纵向研究]

[Sequence in calcification and eruption of second premolars and molars--a longitudinal study].

作者信息

Tijanić L

机构信息

Medicinski Fakultet, Nis.

出版信息

Bilt Udruz Ortodonata Jugosl. 1991;24(2):89-96.

PMID:1819306
Abstract

Investigation was done with the purpose of establishing frequency of eruption and calcification of P2 and M2 and to perform a longitudinal analysis of certain types, observing the changes during growth, character of these changes and their durability. Analysis was done on 354 orthopantomographic radiographs of orthodontic patients from Nis, aged 7 to 12 years. Eruption phase was determined on the bases of vertical relation to M1 Development phase was determined with the help of a table with 11 developmental phases. Depending on tooth in predominance, patients were divided into three groups: P2M2, (P2M2) and M2P2. All three types of eruption and calcification were recorded. (P2M2) eruption is dominant in maxilla, while M2 has some advantage in mandible. In calcification of both jaws, type P2M2 is predominant in both sexes. In later age, eruption shows changes of type-in 31% to 39% of cases, but this percentage is lower in calcification-from 22% to 25%. Relation of P2 and M2 in eruption is not permanent and changes with growth: in maxilla, P2 has synchronous position in relation to M2 until 8 years of age, to gain advantage in later years; in mandible, P2 has lower position until 10 years of age, to start quicker growth in eleventh year so that in 42% of cases it erupts before M2. In development phase, P2 has advantage in both jaws. P2M2 type shows least changes with age. Other two types change into type P2M2 in 40% of cases. Once set sequence of eruption and calcification cannot be a reliable indicator of later growth since considerable changes were observed in most patients.

摘要

本次调查旨在确定P2和M2的萌出频率及钙化情况,并对某些类型进行纵向分析,观察其在生长过程中的变化、这些变化的特征及其持续性。对来自尼什的354例7至12岁正畸患者的口腔全景X线片进行了分析。根据与M1的垂直关系确定萌出阶段,借助一个包含11个发育阶段的表格确定发育阶段。根据优势牙,将患者分为三组:P2M2、(P2M2)和M2P2。记录了所有三种类型的萌出和钙化情况。(P2M2)型萌出在上颌中占主导,而M2在下颌中具有一定优势。在上下颌的钙化中,P2M2型在两性中均占主导。在年龄较大时,萌出显示出类型变化——在31%至39%的病例中,但钙化中的这一百分比更低——从22%至25%。P2和M2在萌出中的关系不是固定不变的,会随着生长而变化:在上颌中,P2在8岁之前与M2处于同步位置,之后获得优势;在下颌中,P2在10岁之前位置较低,在11岁时开始更快生长,以至于在42%的病例中它比M2更早萌出。在发育阶段,P2在上下颌中均具有优势。P2M2型随年龄变化最小。其他两种类型在40%的病例中转变为P2M2型。由于在大多数患者中观察到了相当大的变化,萌出和钙化的既定顺序不能作为后期生长的可靠指标。

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