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上颌尖牙萌出与骨骼成熟度的关系。

Eruption of the maxillary canines in relation to skeletal maturity.

作者信息

Baccetti Tiziano, Franchi Lorenzo, De Lisa Simona, Giuntini Veronica

机构信息

Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.

出版信息

Am J Orthod Dentofacial Orthop. 2008 May;133(5):748-51. doi: 10.1016/j.ajodo.2007.10.031.

Abstract

INTRODUCTION

Our aim in this study was to assess the relationship between the eruption of the permanent maxillary canines and skeletal maturity in subjects with different skeletal relationships in the sagittal and vertical planes.

METHODS

A sample of 152 subjects (63 boys, 89 girls) with erupting permanent maxillary canines was analyzed. On the lateral cephalograms, the stage of cervical vertebral maturation was assessed. Then the subjects were divided into prepeak (before the pubertal growth spurt, cervical stage [CS]1 and CS2), peak (during the pubertal growth spurt, CS3 and CS4), and postpeak (after the pubertal growth spurt, CS5 and CS6) groups. Skeletal relationships in the sagittal and vertical planes were evaluated, and relationships to timing of canine eruption were tested statistically.

RESULTS

The prepeak group comprised 86 subjects, the peak group 66 subjects, and the postpeak group 0 subjects. The differences in prevalence rates between either the prepeak or peak groups and the postpeak group were statistically significant (P < 0.001). The prevalence rate for hyperdivergent subjects showing eruption of the permanent maxillary canine in the prepeak group (37.2%) was significantly higher than in the reference orthodontic population (21%).

CONCLUSIONS

The eruption of the permanent maxillary canine can occur at any stage in skeletal maturation before the end the pubertal growth spurt (CS1-CS4), with hyperdivergent subjects more frequently having prepubertal canine eruption.

摘要

引言

本研究的目的是评估矢状面和垂直面骨骼关系不同的受试者中,上颌恒牙尖牙萌出与骨骼成熟之间的关系。

方法

对152名上颌恒牙尖牙正在萌出的受试者(63名男孩,89名女孩)进行了分析。在头颅侧位片上评估颈椎成熟阶段。然后将受试者分为峰前期(青春期生长突增前,颈椎阶段[CS]1和CS2)、高峰期(青春期生长突增期间,CS3和CS4)和峰后期(青春期生长突增后,CS5和CS6)组。评估矢状面和垂直面的骨骼关系,并对与尖牙萌出时间的关系进行统计学检验。

结果

峰前期组有86名受试者,高峰期组有66名受试者,峰后期组有0名受试者。峰前期组或高峰期组与峰后期组之间的患病率差异具有统计学意义(P < 0.001)。峰前期组中表现出上颌恒牙尖牙萌出的高角型受试者的患病率(37.2%)显著高于正畸参考人群(21%)。

结论

上颌恒牙尖牙萌出可发生在青春期生长突增结束前(CS1-CS4)骨骼成熟的任何阶段,高角型受试者青春期前尖牙萌出更为常见。

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