Orthodontic Science, Department of Orofacial Development and Function, Division of Oral Health Science, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.
Angle Orthod. 2009 Nov;79(6):1063-9. doi: 10.2319/120908-620R.1.
To clarify the relationship between occlusal force and mandibular condyle morphology using clinical data.
The subjects were 40 female patients with malocclusion. The mandibular condyle morphology was assessed by using limited cone-beam CT imaging. The maximum occlusal force was calculated by using pressure-sensitive films. Maxillofacial morphologies were analyzed by using data from lateral cephalograms.
Correlation analysis showed that the occlusal force was correlated with the lateral and posterior radii of the condyles, and with the mandibular plane angle to the Frankfort horizontal plane (FH). Moreover, condylar length was significantly correlated with the occlusal plane angle to the FH, the mandibular plane angle to the FH, the ramus inclination, and the posterior facial height (S-Go). Low-occlusal-force patients tended to have smaller mandibular condyles. This size-related difference was more remarkable on the lateral and posterior side.
Occlusal force influences not only maxillofacial morphology but also mandibular condyle morphology.
利用临床资料阐明牙合力与下颌髁突形态之间的关系。
本研究纳入 40 名错牙合女性患者作为研究对象。采用锥形束 CT 有限视野扫描评估髁突形态,通过压力敏感胶片计算最大牙合力,通过侧位头颅定位片分析颌面形态。
相关性分析显示,牙合力与髁突的侧方和后方半径以及下颌平面与法兰克福平面(FH)的交角相关。此外,髁突长度与牙合平面与 FH 的交角、下颌平面与 FH 的交角、下颌升支倾斜度以及后面高(S-Go)显著相关。低牙合力患者的下颌髁突较小。这种与大小相关的差异在髁突的外侧和后侧更为显著。
牙合力不仅影响颌面形态,而且影响下颌髁突形态。