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[哈尔滨地区安氏Ⅰ、Ⅱ、Ⅲ类错(牙合)唇面形态的对比研究]

[The contrastive study on lip profile of malocclusion of Class I, II and II in Harbin].

作者信息

Zhao Yuan, Shao Ping, Yan Wei-Jun

机构信息

Dept. of Orthodontics, School of Stomatology, Harbin Medical University, Harbin 150001, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2010 Feb;28(1):52-6.

PMID:20337076
Abstract

OBJECTIVE

To get reference for the diagnosis design and the clinical diagnosis, the difference is compared among lip profile on malocclusion of Class I, II and III from patients in Harbin, and the relationship is established between the linear cephalometric measurements and the regional cephalometric measurements.

METHODS

120 female patients, 18-25 years old, were selected. According to the value of / ANB which was measured on the pre-treatment cephalographs, they were divided into three groups--Class I, II and III. Each group had 40 patients. Each patient had the same type of skeletal pattern and occlusion pattern, and then 21 lip soft tissues were measured. Finally, the results of measurements were statistically analyzed with ANOVA and were compared between members in each group via SPSS 13.0 software.

RESULTS

The differences among patients with lip profile on malocclusion had statistic significances (P < 0.05). In order of Class II, I and III, the UL-E, ULP, ULP-LLP, Sn-Ns-B' and S4 were progressively decreased and the B'-LL-FH, S-Ns-B' and S1 were increased. In order of Class II, III and I, the LL-B'-Pos and Z-angle were raised and LL-E was reduced. The length of the upper lip and the lower lip had no statistic significance (P > 0.05).

CONCLUSION

There is difference among the Class I, II and III. The lip covering area is inclined to decrease the changes of the upper lip and increase the changes of the lower lip progressively with the variation of skeletal patterns in order of Class II, I, and III. Moreover, the condition of lip tissues can be accurately presented by the regional cephalometric measurements.

摘要

目的

比较哈尔滨地区安氏Ⅰ、Ⅱ、Ⅲ类错牙合患者的唇貌差异,为诊断设计及临床诊断提供参考,并建立头影测量线性指标与区域指标之间的关系。

方法

选取120例18 - 25岁女性患者,根据治疗前头颅侧位片测量的/ANB值分为安氏Ⅰ、Ⅱ、Ⅲ类三组,每组40例。每组患者具有相同的骨骼型和牙合型,测量21项唇软组织指标。最后采用方差分析对测量结果进行统计学分析,并通过SPSS 13.0软件对每组内成员进行比较。

结果

错牙合患者唇貌间差异有统计学意义(P < 0.05)。按安氏Ⅱ、Ⅰ、Ⅲ类顺序,上唇缘点至E线距(UL-E)、上唇突点(ULP)、上唇突点至下唇突点距(ULP-LLP)、鼻根点-鼻前棘点-B’角(Sn-Ns-B’)及S4逐渐减小,B’点至下唇-下颌平面角(B’-LL-FH)、蝶鞍点-鼻前棘点-B’角(S-Ns-B’)及S1增大。按安氏Ⅱ、Ⅲ、Ⅰ类顺序,下唇突点至B’点-颏前点距(LL-B’-Pos)及Z角增大,下唇缘点至E线距(LL-E)减小。上、下唇长度差异无统计学意义(P > 0.05)。

结论

安氏Ⅰ、Ⅱ、Ⅲ类之间存在差异。随着骨骼型按安氏Ⅱ、Ⅰ、Ⅲ类顺序变化,唇覆盖面积倾向于逐渐减小,上唇变化逐渐增大,下唇变化逐渐增大。此外,头影测量区域指标能准确反映唇组织情况。

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