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正常覆𬌗三种牙弓类型的覆盖𬌗比较。

Comparison of overjet among 3 arch types in normal occlusion.

机构信息

Department of Orthodontics, College of Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

Am J Orthod Dentofacial Orthop. 2011 Mar;139(3):e253-60. doi: 10.1016/j.ajodo.2010.11.004.

Abstract

INTRODUCTION

The purposes of this study were to examine the amounts of overjet in the anterior and posterior segments of 3 arch forms by using facial axis points on 3-dimensional virtual models and to verify the minimum posterior extension required for classification of the arch form in normal occlusions.

METHODS

Facial axis points were digitized on 97 virtual models with normal occlusion, classified into 20 tapered, 25 ovoid, and 52 square arch forms. Intercanine and intermolar arch widths and depths were measured. The best-fitting curves were created, and overjet was measured at each facial axis point. Two-way analysis of variance (ANOVA) was performed to assess the relationship between arch form and overjet in different areas. The minimum posterior extension to determine arch type was analyzed with the chi-square test.

RESULTS

Subjects with a tapered arch form had larger overjet compared with those with ovoid and square forms, except at the central incisor. A significant difference in overjet among different areas was found in subjects with a square arch form (P <0.0001). No significant difference (P = 0.864) was found among the first and second premolar and the first molar groups for classifying arch-form types.

CONCLUSIONS

A significant difference was found in anterior and posterior overjet according to arch types. The extension to the first premolar was sufficient to classify arch form type. It might be beneficial to consider more coordinated preformed superelastic archwires according to variations in overjet of different arch types.

摘要

简介

本研究旨在通过三维虚拟模型上的面轴点来检查三种弓型的前牙和后牙段的覆𬌗量,并验证正常𬌗中所需的最小后牙段扩展以进行弓型分类。

方法

在 97 个正常𬌗的虚拟模型上数字化面轴点,将其分为 20 个锥形、25 个卵圆形和 52 个方形弓型。测量尖牙间和磨牙间的牙弓宽度和深度。创建最佳拟合曲线,并在每个面轴点测量覆𬌗量。采用双因素方差分析(ANOVA)来评估不同区域的弓型与覆𬌗之间的关系。用卡方检验分析确定弓型所需的最小后牙段扩展。

结果

与卵圆形和方形弓型相比,锥形弓型的覆𬌗量较大,除了中切牙。方形弓型的不同区域之间的覆𬌗量存在显著差异(P<0.0001)。对于分类弓型类型,第一前磨牙和第二前磨牙以及第一磨牙组之间的覆𬌗量没有显著差异(P=0.864)。

结论

根据弓型,前牙和后牙段的覆𬌗量存在显著差异。第一前磨牙的扩展足以分类弓型类型。根据不同弓型的覆𬌗量的变化,考虑使用更协调的预成超弹性弓丝可能会有所裨益。

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