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[下颌孔位置的年龄变化]

[Age changes in location of mandibular foramen].

作者信息

Hwang T J, Hsu S C, Huang Q F, Guo M K

机构信息

College of Medicine, National Taiwan University, Taipei, ROC.

出版信息

Zhonghua Ya Yi Xue Hui Za Zhi. 1990 Sep;9(3):98-103.

PMID:2135997
Abstract

In order to understand the changes in location of the mandibular foramen with age in children, lateral cephalometric radiographs from 112 child and adult patients, including both males and females, were randomly selected according to age. The subjects were divided into 6 age-groups; 3, 5, 7, 9, 11 and adult. Certain lines and points were traced on the radiographs used. The location of the mandibular foramen was identified by two persons. The perpendicular distance from the center of the mandibular foramen to the occlusal plane and the location of the mandibular foramen relative to the ramus height (Ar-Kk), as well as to the ramus width (a-p), were measured. The mandibular foramen was located 4.12 mm below the occlusal plane at the age of 3. It subsequently moved upward with age. By the age of 9, it had reached approximately the same level as the occlusal plane. The foramen continued to move upward to 4.16 mm above the occlusal plane in the adult group. The height percentage averages ranged from the lower 1/3 of the ramus height in the 3 year-old group to the middle of the ramus height in adults. The depth percentage averages ranged from 67.8% in 3 year-old children to 61.7% in adults. For greater accuracy in anesthetic procedures, dentists should relate the locational changes in the mandibular foramen with age when performing block anesthesia for the inferior alveolar nerve.

摘要

为了解儿童下颌孔位置随年龄的变化,根据年龄随机选取了112例儿童及成人患者(包括男性和女性)的头颅侧位片。将受试者分为6个年龄组:3岁、5岁、7岁、9岁、11岁和成人组。在所用的X线片上描绘某些线和点。由两人确定下颌孔的位置。测量下颌孔中心到咬合平面的垂直距离,以及下颌孔相对于下颌支高度(Ar-Kk)和下颌支宽度(a-p)的位置。下颌孔在3岁时位于咬合平面下方4.12mm处。随后随年龄增长向上移动。到9岁时,它已达到与咬合平面大致相同的水平。在成人组中,该孔继续向上移动至咬合平面上方4.16mm处。高度百分比平均值从3岁组下颌支高度的下1/3到成人组下颌支高度的中部不等。深度百分比平均值从3岁儿童的67.8%到成人的61.7%不等。为提高麻醉操作的准确性,牙医在下牙槽神经阻滞麻醉时应考虑下颌孔位置随年龄的变化。

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