Pontifcal Catholic University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
J Appl Oral Sci. 2011 Apr;19(2):175-81. doi: 10.1590/s1678-77572011000200015.
There is controversy in the literature about possible interaction of the respiratory mode with the facial and dental structures.
The aim of this study was to perform a longitudinal assessment of the changes in facial and dental structures in Angle's Class II, division 1 malocclusion individuals, divided according to the respiratory pattern (predominantly nasal or mouth), at two distinct moments of craniofacial development.
Pogonium and nose measurements were made on the lateral cephalometric tracings (LS'-Pog', LS'-B', B'-Pog', Pog'-PogTeg', Line NB, Pog-NB, N'-Prn, Prn-NPog, N-Prn-Sn, Prn-Sn-LS). Dental measurements were made on the plaster models (distances between the tips of the canine cusps and the tips of mesial cusps of the first molars) of 40 individuals aged 10 to 14 years (moment 1) and 13 to 16 years (moment 2), 23 being nose breathers (NB) and 17 being predominantly mouth breathers (MB).
The Student's-t test and two-way ANOVA with repeated measures were applied to indicate differences between the mean values of these variables according to the moments and/or respiratory mode.
There were alterations in the facial measurements, without interference of the breathing pattern. However, the breathing pattern influenced dental alterations.
关于呼吸模式与面型和牙颌结构之间可能存在相互作用的问题,文献中有争议。
本研究的目的是在颅面发育的两个不同阶段,对安氏Ⅱ类 1 分类错牙合患者的面型和牙颌结构变化进行纵向评估,并根据呼吸模式(主要为鼻呼吸或口呼吸)进行分组。
在头颅侧位片描记图上测量颏顶点和鼻根点(LS′-Pog′、LS′-B′、B′-Pog′、Pog′-PogTeg′、NB 线、Pog-NB、N′-Prn、Prn-NPog、N-Prn-Sn、Prn-Sn-LS)。在 40 名 10 至 14 岁(第 1 阶段)和 13 至 16 岁(第 2 阶段)个体的石膏模型上测量牙测量值(尖牙牙尖与第一磨牙近中颊尖牙尖之间的距离),其中 23 名是鼻呼吸者(NB),17 名是主要口呼吸者(MB)。
采用 Student's-t 检验和双向方差分析(重复测量),根据时间和/或呼吸模式,比较这些变量的平均值之间的差异。
面型测量值存在变化,但不受呼吸模式的影响。然而,呼吸模式会影响牙齿的变化。