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[Ⅲ类错牙合病例的头影测量分析]

[Cephalometric analysis in cases with Class III malocclusions].

作者信息

Rak D

出版信息

Stomatol Glas Srb. 1989 Sep-Oct;36(4):277-87.

PMID:2491173
Abstract

Various orthodontic class III anomalies, classified into several experimental groups, and eugnathic occlusions serving as controls were studied by roentgencephalometry. The objective of the study was to detect possible distinctions in the quantitative values of two variables chosen and to select the variables which most significantly discriminate the group of class III orthodontic anomalies. Attempts were made to ascertain whether or not there were sex-related differences. The teleroentgenograms of 269 examines, aged 10-18 years, of both sexes were analyzed. The experimental group consisted of 89 examinees class III orthodontic anomalies. The control group consisted of 180 examines with eugnathic occlusion. Latero-lateral skull roentgenograms were taken observing the rules of roentgenocephalometry. Using acetate paper, the drawings of profile teleroentgenograms were elaborated and the reference points and lines were entered. A total of 38 variables were analyzed, of which there were 10 linear, 19 angular, and 8 variables were obtained by mathematical calculation; the age variable was also analyzed. In statistical analyses an electronic computer was used. The results are presented in tables and graphs. The results obtained showed that: --compared to the findings in the control group, the subjects in the experimental group displayed significant changes in the following craniofacial characteristics a negative difference in the position of the apical base of the jaw, manifest concavity of the osseous profile and diminished convexity of the profile of soft parts, retroinclination of the lower incisors, mandibular prognathism, increased mandibular angle and increased mandibular proportion compared to maxillary and the anterior cranial base; --with regard to the sex of the examinees, only four linear variables of significantly discriminating character were selected, so that in can be concluded that there were no significant sex differences among the morphological characteristics of the viscerocranium.

摘要

通过X线头影测量法对各种正畸III类畸形(分为几个实验组)以及作为对照的正常牙合进行了研究。该研究的目的是检测所选两个变量的定量值中可能存在的差异,并选择最能显著区分III类正畸畸形组的变量。试图确定是否存在与性别相关的差异。对269名年龄在10至18岁的男女受试者的X线头颅侧位片进行了分析。实验组由89名患有III类正畸畸形的受试者组成。对照组由180名正常牙合受试者组成。按照X线头影测量法的规则拍摄头颅侧位X线片。使用醋酸纸绘制侧位X线头颅侧位片,并输入参考点和线。总共分析了38个变量,其中10个是线性变量,19个是角度变量,8个是通过数学计算得到的变量;还分析了年龄变量。在统计分析中使用了电子计算机。结果以表格和图表的形式呈现。所得结果表明:——与对照组的结果相比,实验组受试者在以下颅面特征方面出现了显著变化:下颌根尖基底位置的负向差异、骨性轮廓明显凹陷以及软组织轮廓凸度减小、下切牙向后倾斜、下颌前突、下颌角增大以及下颌与上颌和前颅底相比比例增加;——关于受试者的性别,仅选择了四个具有显著区分特征的线性变量,因此可以得出结论,在内脏颅的形态特征方面不存在显著的性别差异。

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