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不同垂直生长型患者的裂隙和窗畸形的锥形束 CT 评估。

Dehiscence and fenestration in patients with different vertical growth patterns assessed with cone-beam computed tomography.

机构信息

Department of Periodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.

出版信息

Angle Orthod. 2012 Sep;82(5):868-74. doi: 10.2319/111211-702.1. Epub 2012 Feb 23.

Abstract

OBJECTIVE

To test the null hypothesis that the presence of alveolar defects (dehiscence and fenestration) was not different among patients with different vertical growth patterns.

MATERIALS AND METHODS

A total of 1872 teeth in 26 hyper-divergent (mean age: 24.4 ± 4.8 years), 27 hypo-divergent (mean age: 25.1 ± 4.5 years), and 25 normo-divergent (mean age: 23.6 ± 4.1 years) patients with no previous orthodontic treatment were evaluated using cone-beam computed tomography. Axial and cross-sectional views were evaluated with regard to whether dehiscence and/or fenestration on buccal and lingual surfaces existed or not. For statistical analysis, the Pearson chi-square test was used at a P < .05 significance level.

RESULTS

According to the statistical analysis, the hypo-divergent group (6.56%) had lower dehiscence prevalence than the hyper-divergent (8.35%) and normo-divergent (8.18%) groups (P  =  .004). Higher prevalences of dehiscence and fenestration were found on buccal sides in all vertical growth patterns. While fenestration was a common finding for the maxillary alveolar region, dehiscence was a common finding in the mandible in all groups.

CONCLUSION

The null hypothesis was rejected. Although the prevalence of fenestrations was not different, significant differences for dehiscences were found in patients with different vertical growth patterns.

摘要

目的

检验牙槽缺陷(裂隙和窗孔)在不同垂直生长型患者中无差异的零假设。

材料与方法

对 26 例高角(平均年龄:24.4 ± 4.8 岁)、27 例低角(平均年龄:25.1 ± 4.5 岁)和 25 例均角(平均年龄:23.6 ± 4.1 岁)无正畸治疗史患者的 1872 颗牙进行了锥形束 CT 评估。评估颊面和舌面的轴向和横截面视图,以确定是否存在裂隙和/或窗孔。统计学分析采用 Pearson 卡方检验,P 值<.05 具有统计学意义。

结果

根据统计分析,低角组(6.56%)的裂隙发生率低于高角组(8.35%)和均角组(8.18%)(P=0.004)。所有垂直生长型中,颊侧的裂隙和窗孔发生率较高。上颌牙槽区常见窗孔,而所有组中下颌常见裂隙。

结论

零假设被拒绝。虽然窗孔的发生率无差异,但不同垂直生长型患者的裂隙发生率存在显著差异。

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