Ponraj Ratna Rachel, Korath Vinoth Abraham, Vijayalakshmi Devaki, Parameswaran Ratna, Raman Priya, Sunitha Catherine, Khan Nayeemullah
Senior Lecturer, Department of Orthodontics, Meenakshi Ammal Dental College , Chennai, Tamilnadu, India .
Professor, Department of Orthodontics, Saveetha Dental College , Chennai, Tamilnadu, India .
J Clin Diagn Res. 2016 May;10(5):ZC29-33. doi: 10.7860/JCDR/2016/18973.7743. Epub 2016 May 1.
One of the major limiting factors in retraction of proclined teeth is the width of the alveolus both in maxilla and mandible.
The objective of this study was to assess the maxillary and mandibular anterior alveolar dimensions and to correlate with mandibular divergence in Class I bi-dento-alveolar protrusion patients.
Pretreatment lateral cephalograms (n=88) were analysed using a composite analysis with cephalometric software. Both maxillary and mandibular anterior alveolar widths and heights were measured and correlated with mandibular divergence. One-way analysis (ANOVA) and Pearson correlation test were used to compare and establish the significance between groups.
Segregation of the data based on variation in the bi-cortical widths and heights showed that lesser alveolar widths and greater alveolar heights were associated with the high angled subjects and greater alveolar widths and lesser heights were associated with low angled subjects.
Patients with hyperdivergent mandible exhibited thin anterior alveolar width and greater alveolar height whereas low angled subjects had wider alveolar width and lesser alveolar height. Orthodontic treatment plan for retraction of anterior teeth must be based on these differences caused by variations in mandibular divergence.
上颌和下颌牙槽宽度是前倾牙内收的主要限制因素之一。
本研究的目的是评估上颌和下颌前牙槽尺寸,并与I类双牙-牙槽前突患者的下颌差异相关联。
使用头影测量软件进行综合分析,分析88例治疗前的头颅侧位片。测量上颌和下颌前牙槽的宽度和高度,并与下颌差异相关联。采用单因素分析(方差分析)和Pearson相关检验比较并确定组间差异的显著性。
根据双皮质宽度和高度的变化对数据进行分类,结果显示,牙槽宽度较小且牙槽高度较大与高角受试者相关,而牙槽宽度较大且高度较小与低角受试者相关。
下颌高度分散的患者表现为前牙槽宽度较窄且牙槽高度较大,而低角受试者的牙槽宽度较宽且牙槽高度较小。前牙内收的正畸治疗计划必须基于下颌差异变化所导致的这些差异。