Petcu Ana, Maxim A, Haba Danisia
Disciplina de Pedodonţie, Facultatea de Medicină Dentară, Universitatea de Medicină si Farmacie "Gr.T. Popa" Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2009 Oct-Dec;113(4):1253-7.
The aim of our study was to determine the impact of premature loss of temporary molars upon the longitudinal axis of the first permanent molar.
The study sample was formed by 94 orthopanthomografies of child patients with premature loss of lower temporary molars (first or second) after clinical eruption of the first permanent molar. All panoramic radiographs have been realized with the same panoramic unit with 1.4% magnification coefficient and were analyzed using a standardized technique of tracing the images of teeth and bone on matte acetate paper. It was evaluated the angle between longitudinal axis of first permanent lower molar and occlusal plane.
It was observed that premature loss of lower second deciduous molar modifies greater the vertical axis of first permanent molar (between 61 degrees and 79 degrees) then premature loss of first lower primary molar. This is perhaps because the loss of space in the case of premature exfoliation of first primary molar is due more to distal drift of canine then mesial drift of molars.
The drift to mesial of first permanent molar is more accentuated proportional with the age at which appeared premature loss and so it is loss of leeway space.
我们研究的目的是确定乳磨牙过早缺失对第一恒磨牙纵轴的影响。
研究样本由94例第一恒磨牙临床萌出后下颌乳磨牙(第一或第二)过早缺失的儿童患者的口腔全景片组成。所有全景片均使用同一台放大系数为1.4%的全景设备拍摄,并采用在磨砂醋酸纸上描绘牙齿和骨骼图像的标准化技术进行分析。评估了第一恒下颌磨牙纵轴与咬合平面之间的角度。
观察到下颌第二乳磨牙过早缺失对第一恒磨牙垂直轴的改变(61度至79度之间)比下颌第一乳磨牙过早缺失更大。这可能是因为第一乳磨牙过早脱落时空间丧失更多是由于尖牙远中漂移而非磨牙近中漂移。
第一恒磨牙向近中漂移的程度与过早缺失出现时的年龄以及由此导致的可用间隙丧失成正比。