Erdoglija L J
Bilt Udruz Ortodonata Jugosl. 1990;23(2):59-68.
The aim of this investigation was to estimate dynamics of changes of maxillary (SNAns) and mandibular (SNMe) prognathism relative of the cranial base from 14th to 24th week of normal intrauterine growth. Investigation was performed on lateral cephalometric radiographs of 50 fetuses, both sexes, derived from artificial abortions in advanced uncomplicated pregnancies, due to social indication. Estimation of gestational ages was made according to contemporary ultrasonic standards of the normal fetal growth. The results obtained from this study showed that enlargement of the SNAns angle was relatively more rapid and regular (2.806 degrees +/- 0.483 degrees per week). The average change of this angle was from 61.047 degrees (in 14th week) to 89.107 degrees (in 24th week), with total change of 28.060 degrees during the period investigated. On the other hand, enlargement of the SNMe angle was, relatively, moderate an variably of 1.678 degrees +/- 0.597 degrees per week. Changes of this angle were ranged, in average from 46.295 degrees (in 14th week) to 63.074 degrees (in 24th week), with the total change of the 16.780 degrees during the same period. Rhythm of enlargement of SNAns angle was 76.222% more rapid than in SNMe angle (p less than 0.05). However, individual variability of SNMe angle enlargement was 23.602% higher compared with SNAns angle (p greater than 0.05). The author concluded that changes of anteroposterior position of the upper jaw relative to the cranial base ranged from marked retrognathism to mild prognathism. During the period investigated, changes of anteroposterior position of the lower jaw relative to the cranial base ranged from marked to moderate retrognathism.
本研究的目的是评估正常宫内生长第14至24周期间,上颌(SNAns)和下颌(SNMe)相对于颅底的前突变化动态。研究对象为50例因社会原因在晚期无并发症妊娠中接受人工流产的胎儿(男女均有)的头颅侧位X线片。根据当前正常胎儿生长的超声标准估算孕周。本研究结果显示,SNAns角增大相对更快且更规律(每周2.806°±0.483°)。该角度的平均变化从第14周的61.047°到第24周的89.107°,在所研究期间总变化为28.060°。另一方面,SNMe角增大相对适中,每周变化为1.678°±0.597°。该角度的变化范围平均从第14周的46.295°到第24周的63.074°,同期总变化为16.780°。SNAns角增大的速度比SNMe角快76.222%(p<0.05)。然而,SNMe角增大的个体变异性比SNAns角高23.602%(p>0.05)。作者得出结论,上颌相对于颅底的前后位置变化范围从明显的后缩到轻度前突。在所研究期间,下颌相对于颅底的前后位置变化范围从明显到中度后缩。