Kochel Janka, Meyer-Marcotty Philipp, Strnad Friederike, Kochel Michael, Stellzig-Eisenhauer Angelika
Department of Orthodontics, University of Wuerzburg, Wuerzburg, Germany.
J Orofac Orthop. 2010 Jan;71(1):40-52. doi: 10.1007/s00056-010-9926-x. Epub 2010 Feb 5.
The aim of this study was to develop a reliable three-dimensional (3D) analysis of facial soft tissues. We determined the mean sagittal 3D values and relationships between sagittal skeletal parameters, and digitally recorded 3D soft tissue parameters.
A total of 100 adult patients (n(female) = 53, n(male) = 47) of Caucasian ethnic origin were included in this study. Patients with syndromes, cleft lip and palate, noticeable asymmetry or anomalies in the number of teeth were excluded. Arithmetic means for seven sagittal 3D soft tissue parameters were calculated. The parameters were analyzed biometrically in terms of their reliability and gender-specific differences. The 3D soft tissue values were further analyzed for any correlations with sagittal cephalometric values.
Reproducible 3D mean values were defined for 3D soft tissue parameters. We detected gender-specific differences among the parameters. Correlations between the sagittal 3D soft tissue and cephalometric measurements were statistically significant.
3D soft tissue analysis provides additional information on the sagittal position of the jaw bases and on intermaxillary sagittal relations. Further studies are needed to integrate 3D soft tissue analysis in future treatment planning and assessment as a supportive diagnostic tool.
本研究旨在开发一种可靠的面部软组织三维(3D)分析方法。我们确定了矢状面3D均值以及矢状面骨骼参数之间的关系,并数字化记录了3D软组织参数。
本研究共纳入100名成年白种人患者(女性53例,男性47例)。排除患有综合征、唇腭裂、明显不对称或牙齿数量异常的患者。计算了七个矢状面3D软组织参数的算术平均值。从可靠性和性别差异方面对这些参数进行了生物统计学分析。进一步分析了3D软组织值与矢状面头影测量值之间的相关性。
为3D软组织参数定义了可重复的3D均值。我们检测到参数之间存在性别差异。矢状面3D软组织与头影测量值之间的相关性具有统计学意义。
3D软组织分析为颌骨基部的矢状位置和颌间矢状关系提供了额外信息。需要进一步研究将3D软组织分析作为一种辅助诊断工具纳入未来的治疗计划和评估中。