Tatsuno T
Department of Orthodontics, School of Dentistry, Asahi University.
Gifu Shika Gakkai Zasshi. 1990 Jun;17(1):260-79.
This study was examined the relationships between the condition of dentition of lower third molar and malocclusions and shape of mandibles, and to predict eruption for third molars by their relationships. Data were obtained from 90 degrees and 60 degrees rotated cephalometlic radiographs, orthopantomographic radiographs, mandibular occlusal films and gnathostatic models of 101 males showing a complete permanent dentition anterior to the second molars and who had not had extraction lower their molars and orthodontic treatments, were selected from 147 dental students at Asahi University. they were divided into 8 groups by condition of lower third molar dentitions. Bilateral presence of lower third molar occurred in 69.3% and unilateral in 20.8% on 60 degrees rotated cephalometlic radiographs. Bilateral eruption or half eruption occurred in 24.7% and impaction in 44.6% on gnathostatic models. Coronal arch length of erupted cases was longer than that of impacted cases. A apired t-test revealed the significant difference (p less than 0.05). Over bite of impacted cases were deeper than that of erupted cases (p less than 0.05). Arch length discrepancy of presented and impacted cases were larger. There were normal occlusions in each group. Most mal-occlusions were prognathia, second to deep bite, bi-maxillary. The most frequent lower arch conditions were crowding (65%). I. M. P. A. of bilateral impacted cases were langer. Mandiblar length (Cd-Pog) of erupted cases were longer. The distance from Xi-point to the distal surface of second molar was border at 25mm for lower third molar eruption.
本研究探讨了下颌第三磨牙牙列状况与错牙合畸形及下颌骨形态之间的关系,并通过这些关系预测第三磨牙的萌出情况。数据取自101名男性的90度和60度旋转头颅侧位片、曲面断层片、下颌咬合片及全口义齿模型,这些男性第二磨牙前方恒牙列完整,未拔除下颌磨牙且未接受正畸治疗,他们是从朝日大学的147名牙科学生中挑选出来的。根据下颌第三磨牙牙列状况将他们分为8组。在60度旋转头颅侧位片上,双侧下颌第三磨牙存在的比例为69.3%,单侧存在的比例为20.8%。在全口义齿模型上,双侧萌出或半萌出的比例为24.7%,阻生的比例为44.6%。萌出病例的牙弓长度大于阻生病例。配对t检验显示差异有统计学意义(p<0.05)。阻生病例的覆牙合比萌出病例深(p<0.05)。萌出和阻生病例的牙弓长度差异更大。每组均有正常咬合。大多数错牙合畸形为前突,其次为深覆牙合、双颌前突。下颌牙弓最常见的情况是拥挤(65%)。双侧阻生病例的I.M.P.A.更大。萌出病例的下颌长度(Cd-Pog)更长。下颌第三磨牙萌出时,从X点到第二磨牙远中面的距离以25mm为界。