Xia Wen-qian, Gu Yong-jia, Gao Mei-qin
Department of Orthodontics, Stomatology Hospital of Nantong City. Nanjing 226001, Jiangsu Province, China. E-mail:
Department of Orthodontics, Stomatology Hospital of Nantong City. Nanjing 226001, Jiangsu Province, China.
Shanghai Kou Qiang Yi Xue. 2016 Feb;25(1):68-71.
During orthodontic treatment, the incisors in patients with Class II division 1 and division 2 malocclusion showed different clinical features, which determine the different ways to move the teeth to the suitable position. This study analyzed the morphology of alveolar bone around upper central incisor with cone-beam CT (CBCT).
The sample consisted of 20 normal malocclusion and 40 patients with Class II malocclusion (division 1 20 cases and division 2 20 cases). CBCT images before orthodontic treatment were reconstructed by INVIVO 5.0 image processing software. Paired t test was used for statistical analysis with SPSS 19.0 software package.
At the upper central incisors, the alveolar thickness between normal malocclusion and Class II division 1 and division 2 malocclusion had significant difference except the palate thickness between normal malocclusion and Class II division 2 malocclusion (P<0.05).
Orthodontist should consider the relationship between the teeth position and alveolar bone shape comprehensively, choose the correct plan in order to avoid root desorption, alveolar bone loss, fenestration and other adverse reactions.
在正畸治疗过程中,安氏Ⅱ类1分类和2分类错牙合患者的切牙表现出不同的临床特征,这决定了将牙齿移动到合适位置的不同方法。本研究采用锥形束CT(CBCT)分析上颌中切牙周围牙槽骨的形态。
样本包括20例正常牙合和40例安氏Ⅱ类错牙合患者(1分类20例,2分类20例)。正畸治疗前的CBCT图像由INVIVO 5.0图像处理软件重建。使用SPSS 19.0软件包进行配对t检验统计分析。
在上颌中切牙处,除正常牙合与安氏Ⅱ类2分类错牙合之间的腭侧厚度外,正常牙合与安氏Ⅱ类1分类和2分类错牙合之间的牙槽骨厚度有显著差异(P<0.05)。
正畸医生应综合考虑牙齿位置与牙槽骨形态的关系,选择正确的方案,以避免牙根吸收、牙槽骨丧失、开窗等不良反应。