Raschke G-F, Eberl P, Thompson G-A, Güntsch A, Peisker A, Schultze-Mosgau S, Gomez-Dammeier M, Djedovic G, Rieger U-M, Beuer F
Department of Cranio-Maxillofacial & Plastic Surgery, Friedrich Schiller University Jena, Universitätsklinikum Jena, D-07747 Jena, Germany,
Med Oral Patol Oral Cir Bucal. 2016 Jul 1;21(4):e413-9. doi: 10.4317/medoral.21102.
To adequately perform rehabilitation of edentulous patients by a complete removable dental prosthesis (CRDP) is from basic interest to dentists to understand the morphologic changes caused by re-establishment of a physiologic jaw relationship. Anthropometric analyses of standardized frontal view and profile photographs may help elucidate such changes.
Photographs of 31 edentulous patients were compared in relaxed lip closure and after insertion of a CRDP in stable occlusion. 2232 anthropometric distances were raised. Eighteen anthropometric indices reflecting the perioral morphology and its integration in the vertical facial harmony were investigated.
The intercanthal - mouth width index (p>.001), medial - lateral cutaneous upper lip height index (p=.007), lower vermilion contour index (p=.022), vermilion - total upper lip height index (p=.018), cutaneous - total upper lip height index (p=.023), upper lip - nose height index (p=.001), nose - upper face height index (p=.002), chin - mandible height index (p=.013), upper lip - mandible height index (p=.045), nose - lower face height index (p=.018), and nose - face height index (p=.029) showed significant pre- to post-treatment changes.
The investigated anthropometric indices presented reproducible results related to an increase in occlusal vertical dimension. Their application may be helpful in assessment, planning, and explanation of morphologic effects of CRDPs on the perioral and overall facial morphology, which may helps to improve the aesthetic outcome.
通过全口可摘义齿（CRDP）对无牙颌患者进行充分的康复治疗，对于牙医来说，了解生理颌关系重建所引起的形态学变化具有基本的重要性。对标准化正位和侧位照片进行人体测量分析可能有助于阐明这些变化。
比较了31例无牙颌患者在放松唇部闭合时以及佩戴CRDP并处于稳定咬合状态后的照片。测量了2232个身体测量距离。研究了18个反映口周形态及其在垂直面部和谐中的整合情况的人体测量指标。
内眦-口宽度指数（p>0.001）、上唇皮肤中外侧高度指数（p = 0.007）、下唇朱红色轮廓指数（p = 0.022）、朱红色-上唇总高度指数（p = 0.018）、皮肤-上唇总高度指数（p = 0.023）、上唇-鼻高度指数（p = 0.001）、鼻-上面部高度指数（p = 0.002）、颏-下颌高度指数（p = 0.013）、上唇-下颌高度指数（p = 0.045）、鼻-下面部高度指数（p = 0.018）和鼻-面部高度指数（p = 0.029）在治疗前后显示出显著变化。
所研究的人体测量指标呈现出与咬合垂直距离增加相关的可重复结果。它们的应用可能有助于评估、规划和解释CRDP对口周和整体面部形态的形态学影响，这可能有助于改善美学效果。
