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[不同生长模式的正常及安氏II类1分类错牙合青少年的上颌与下颌旋转类型]

[Maxillary and mandibular rotation type in normal and II (1) malocclusion adolescents with different growth patterns].

作者信息

Wu Hao, Zhou Li, Zhou Lei, Li Ji, Wang Yan-Min

机构信息

Dept. of Orthodontics, West China College of Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2010 Feb;28(1):48-51, 56.

Abstract

OBJECTIVE

To investigate maxillary and mandibular rotation type and characteristics in normal and II (1) malocclusion adolescents with different growth patterns.

METHODS

158 cephalometric films of normal occlusion and 246 cephalometric films of II (1) malocclusion aged between 10 and 13 years old were selected. Linear regression method was used to analyze the correlation between facial height index and inclination of palatal plane, occlusal plane and mandibular plane in normal occlusion, and to establish floating norm diagram. Then maxillary and mandibular rotational types in normal occlusion and II (1) malocclusion with different growth patterns was clarified and their proportion was counted respectively.

RESULTS

Another type was found beside from traditional ones, which was characterized by that on of the palatal plane and mandibular plane remained unchanged while the other rotated either anteriorly or posteriorly, or both planes remained unchanged. In normal occlusion with different growth patterns, the proportion of five types showed no marked difference, while in II (1) malocclusion with different growth patterns, they displayed remarkable distinction: The proportion of downward rotation type in vertical growth pattern and converging type in horizontal growth pattern increased remarkably.

CONCLUSION

A new rotation type was put forward and the difference of five rotation types in II (1) malocclusion would provide reference to clinical diagnosis and treatment.

摘要

目的

探讨正常及安氏II(1)错牙合不同生长型青少年的上颌与下颌旋转类型及特点。

方法

选取158例10至13岁正常牙合青少年的头影测量片和246例安氏II(1)错牙合青少年的头影测量片。采用线性回归分析正常牙合中面高指数与腭平面、牙合平面及下颌平面倾斜度的相关性,建立浮动正常值图。进而明确正常牙合及不同生长型安氏II(1)错牙合的上颌与下颌旋转类型,并分别计算其比例。

结果

除传统类型外,发现另一种类型,其特点为腭平面和下颌平面其中之一保持不变,而另一个向前或向后旋转,或两个平面均保持不变。在不同生长型的正常牙合中,五种类型的比例无显著差异,而在不同生长型的安氏II(1)错牙合中,它们表现出显著差异:垂直生长型中向下旋转型的比例以及水平生长型中会聚型的比例显著增加。

结论

提出了一种新的旋转类型,安氏II(1)错牙合中五种旋转类型的差异可为临床诊断和治疗提供参考。

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