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单侧后牙反合及单侧唇腭裂对下颌垂直向不对称的影响。

Effect of unilateral posterior crossbite and unilateral cleft lip and palate on vertical mandibular asymmetry.

机构信息

Paediatric Dentistry and Orthodontics Department, Rey Juan Carlos University, Madrid, Spain.

出版信息

Ir J Med Sci. 2014 Sep;183(3):357-62. doi: 10.1007/s11845-013-1020-0. Epub 2013 Oct 6.

DOI:10.1007/s11845-013-1020-0
PMID:24097050
Abstract

OBJECTIVE

Evaluate condylar, ramal, and condylar plus ramal vertical mandibular asymmetry in patients with unilateral posterior crossbite (UPCB) and in patients with unilateral cleft lip and palate (UCLP) compared with subjects having normal occlusion.

DESIGN

This cross-sectional study evaluated panoramic radiographs of three groups of subjects: UPCB, 20 patients; UCLP, 20 patients; and normal occlusion sample, 20 subjects. All subjects were picked at random from Rey Juan Carlos University, Madrid, and all films were traced and measured manually by the same author.

RESULTS

Kruskal-Wallis test revealed no statistically significant differences (P < 0.05) in condylar asymmetry index (CAI), ramal asymmetry index (RAI), and condylar plus ramal asymmetry index (C + RAI) among the three groups. The average CAI for group UPCB was 9.03 ± 7.65; 8.03 ± 6.89 for group UCLP; 6.93 ± 9.87 for normal group. Mean RAI for group UPCB was 2.53 ± 2.52; 2.61 ± 1.22 for group UCLP; 2.65 ± 1.90 for normal group.

CONCLUSIONS

Condylar asymmetry was observed in all three groups (UPCB, UCLP and normal occlusion) because condylar asymmetry indexes were higher in each group at the 3 % threshold. No statistically significant differences were found among the three study groups for any of the asymmetry indexes.

摘要

目的

评估单侧后牙反(UPCB)患者和单侧唇腭裂(UCLP)患者与正常牙合患者的髁突、下颌支和髁突加下颌支的垂直下颌骨不对称性。

设计

本横断面研究评估了三组受试者的全景片:UPCB,20 例;UCLP,20 例;正常牙合样本,20 例。所有受试者均随机选自马德里雷胡安卡洛斯大学,所有片子均由同一位作者进行追踪和手动测量。

结果

Kruskal-Wallis 检验显示三组之间的髁突不对称指数(CAI)、下颌支不对称指数(RAI)和髁突加下颌支不对称指数(C+RAI)无统计学差异(P<0.05)。UPCB 组的平均 CAI 为 9.03±7.65;UCLP 组为 8.03±6.89;正常组为 6.93±9.87。UPCB 组的平均 RAI 为 2.53±2.52;UCLP 组为 2.61±1.22;正常组为 2.65±1.90。

结论

所有三组(UPCB、UCLP 和正常牙合)均观察到髁突不对称性,因为每组的髁突不对称指数在 3%的阈值下均较高。三个研究组之间在任何不对称指数上均无统计学差异。

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The association between posterior unilateral crossbite and craniomandibular asymmetry: a systematic review.后牙单侧反合与颅下颌不对称之间的关联:一项系统评价
J Orthod. 2012 Dec;39(4):279-91. doi: 10.1179/1465312512Z.00000000041.
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Long-term maxillomandibular changes after maxillary distraction osteogenesis in growing children with cleft lip with or without palate.唇腭裂患儿上颌骨牵张成骨术后的长期颌骨变化
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Combined 3-dimensional and mirror-image analysis for the diagnosis of asymmetry.
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Am J Orthod Dentofacial Orthop. 2011 Jun;139(6):e523-31. doi: 10.1016/j.ajodo.2010.10.020.
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Mandibular asymmetry in unilateral and bilateral posterior crossbite patients using cone-beam computed tomography.应用锥形束 CT 研究单侧后牙反牙合与双侧后牙反牙合患者的下颌不对称性。
Angle Orthod. 2011 Nov;81(6):966-74. doi: 10.2319/022011-122.1. Epub 2011 May 18.
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Effects of sagittal maxillary growth hypoplasia severity on mandibular asymmetry in unilateral cleft lip and palate subjects.矢状向上颌发育不足严重程度对单侧唇腭裂患者下颌偏斜的影响。
Angle Orthod. 2011 Sep;81(5):872-7. doi: 10.2319/110610-646.1. Epub 2011 Feb 21.
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Mandibular asymmetry in cleft lip and palate patients.腭裂患者的下颌骨不对称。
Eur J Orthod. 2010 Feb;32(1):19-23. doi: 10.1093/ejo/cjp063. Epub 2009 Sep 4.
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Am J Orthod Dentofacial Orthop. 2009 Jul;136(1):37-43. doi: 10.1016/j.ajodo.2007.06.019.
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