Singh R N
Am J Orthod Dentofacial Orthop. 1990 Jul;98(1):41-6. doi: 10.1016/0889-5406(90)70030-G.
The study envisages changes in the contour of the soft tissue chin immediately and 5 years after orthodontic treatment in a group of 31 male and 29 female patients. The group was classified according to facial types and whether treatment involved extraction of first premolar teeth. The average age before treatment was 10 years 7 months, immediately after treatment it was 14 years 6 months, and 5 years after treatment was 21 years 6 months. The chin contour was studied from cephalometric x-ray tracings. The facial types--mesofacial, brachyfacial, and dolichofacial--were identified on the basis of cephalometric analysis. The chin thickness was registered at six different locations around the symphysis, from the point on the soft tissue chin corresponding to B point to the chin point corresponding to menton. Statistical means and standard deviations for all of the six chin thicknesses were calculated. It was found that the overall soft tissue chin thickness increased after orthodontic treatment. The females had less increase at all levels than the males. The dolichofacial group showed a greater increase in the soft tissue chin thickness after treatment. The mesofacial and brachyfacial groups of females showed no statistically significant increases. Regression tests of independent variables, including age, sex, facial type, and such other cephalometric measurements as 1 - A Pog, 1 to A Pog, mandibular plane, mandibular arc, facial axis, lower face height, and classification of malocclusion, indicated that age, sex, and facial type were the only variables that influenced the soft tissue chin thickness.
该研究设想在一组31名男性和29名女性患者中,观察正畸治疗后即刻以及5年后软组织颏部轮廓的变化。该组患者根据面部类型以及治疗是否涉及拔除第一前磨牙进行分类。治疗前的平均年龄为10岁7个月,治疗后即刻为14岁6个月,治疗后5年为21岁6个月。通过头影测量X线描迹研究颏部轮廓。根据头影测量分析确定面部类型——中性面型、短面型和长面型。在颏联合周围六个不同位置记录颏部厚度,从软组织颏部对应B点的位置到对应颏下点的颏部尖端。计算所有六个颏部厚度的统计均值和标准差。结果发现,正畸治疗后软组织颏部的整体厚度增加。在各个水平上,女性的增加幅度均小于男性。长面型组在治疗后软组织颏部厚度增加更大。女性的中性面型组和短面型组没有显示出统计学上的显著增加。对包括年龄、性别、面部类型以及其他头影测量指标(如1 - A Pog、1至A Pog、下颌平面、下颌弓、面部轴、面下高和错牙合分类)等自变量进行回归测试,结果表明年龄、性别和面部类型是影响软组织颏部厚度的唯一变量。