Lecturer, Department of Orthodontics, School of Dentistry, Yonsei University, Seoul, South Korea.
Professor, Department of Orthodontics, School of Dentistry, Yonsei University, Seoul, South Korea.
Am J Orthod Dentofacial Orthop. 2014 Mar;145(3):317-24. doi: 10.1016/j.ajodo.2013.11.014.
INTRODUCTION: This study was designed to investigate dentoalveolar compensation in untreated skeletal Class III patients with either positive or negative overjet. METHODS: The positive overjet groups consisted of 104 adults, divided into group 1 (angle between sella-nasion to mandibular plane (SN-MP) > 38°, n = 30), group 2 (30° < SN-MP < 38°, n = 43), and group 3 (SN-MP <30°, n = 31). The negative overjet groups (groups 4-6) consisted of 90 adults who were closely matched to the positive overjet groups with regard to the ANB and SN-MP angles. Twenty-two cephalometric measurements were compared between the matched groups. In the positive overjet groups, correlation analysis was performed between the skeletal and dental measurements, and regression analysis was performed to determine the incisor-mandibular plane angle. RESULTS: The maxillary incisors were more proclined and the occlusal plane was more flattened in the positive overjet groups than in the negative overjet groups; however, there was no statistically significant difference between them with regard to mandibular incisor inclination. The inclinations of the maxillary and mandibular incisors were correlated with both the sagittal and vertical skeletal measurements. Eight regression equations for the incisor-mandibular plane angle were calculated with the highest coefficient of determination of 0.547. CONCLUSIONS: Proclination of the maxillary incisors and flattening of the occlusal plane contributed to a positive overjet. Mandibular incisor inclination was more closely associated with sagittal and vertical skeletal discrepancies and was not affected by the incisal relationship.
简介:本研究旨在探讨正、负覆颌未治疗的骨性 III 类患者的牙牙槽代偿情况。
方法:正覆颌组包括 104 例成人,分为组 1(蝶鞍-下颌平面角(SN-MP)> 38°,n = 30)、组 2(30°< SN-MP < 38°,n = 43)和组 3(SN-MP < 30°,n = 31)。负覆颌组(组 4-6)包括 90 例成人,与正覆颌组在 ANB 和 SN-MP 角度上相匹配。对匹配组进行了 22 项头影测量比较。在正覆颌组中,进行了骨骼和牙齿测量之间的相关分析,并进行了回归分析以确定切牙-下颌平面角。
结果:与负覆颌组相比,正覆颌组上颌切牙更前倾,牙合平面更平坦,但下颌切牙倾斜度无统计学差异。上颌和下颌切牙的倾斜度与矢状和垂直骨骼测量均相关。计算了 8 个切牙-下颌平面角的回归方程,其中决定系数最高为 0.547。
结论:上颌切牙的前倾和牙合平面的平坦导致正覆颌。下颌切牙的倾斜与矢状和垂直骨骼差异更密切相关,不受切牙关系的影响。
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