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[正常咬合头影测量分析中牙冠与牙体长轴的倾斜度]

[Inclination of crown and tooth longitudinal axis in cephalometric analysis of normal occlusions].

作者信息

Xu Liu, Jing Ren, Xianrui Yang, Li Wang

机构信息

Dept. of Stomatology, Central Hospital of Suining City, Suining 629000, China.

Ruian Dental Clinic of Pixian in Chengdu, Chengdu 611730, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2016 Dec 1;34(6):606-610. doi: 10.7518/hxkq.2016.06.011.

Abstract

OBJECTIVE

We measured and analyzed the angle between the longitudinal axis of incisor crown and tooth to provide a reference for orthodontists for selecting orthodontic methods and evaluating treatment results.

METHODS

A total of 120 participants were included according to the criteria of Andrews' six keys, and cephalometric radiograph under the instructions of modified natural head position acquirement method was performed. The angles of maxillary incisor crown longitudinal axis, tooth longitudinal axis, occlusion plane (OP), and true vertical (TV) plane were measured, as well as mandibular incisors.

RESULTS

As for maxillary incisors, the angle between crown longitudinal axis and TV plane, OP, and tooth longitudinal axis were 11.72°±4.71°, 73.29°±5.69°, and 20.04°±3.71°, respectively. For mandibular incisors, the angle between crown longitudinal axis and TV plane, OP, and tooth longitudinal axis were 16.03°±5.40°, 81.76°±4.81°, and 14.82°±4.01°, respectively. For the maxillary incisor, the angles between crown longitudinal axis and tooth longitudinal axis were mainly within 15° to 25°, whereas those for mandibular incisors were within 10° to 20°.

CONCLUSIONS

The longitudinal axis inclinations of the maxillary and mandibular incisor crown and of the incisor tooth need to be considered when cephalometric radiographs are used for treatment planning or for evaluating the treatment result.

摘要

目的

测量并分析切牙冠纵轴与牙齿之间的角度,为正畸医生选择正畸方法和评估治疗效果提供参考。

方法

根据安德鲁斯六要素标准纳入120名参与者,按照改良自然头位获取方法的指导进行头影测量X线摄影。测量上颌切牙冠纵轴、牙齿纵轴、咬合平面(OP)和真垂线(TV)平面的角度,以及下颌切牙的相关角度。

结果

上颌切牙方面,冠纵轴与TV平面、OP及牙齿纵轴之间的角度分别为11.72°±4.71°、73.29°±5.69°和20.04°±3.71°。下颌切牙方面,冠纵轴与TV平面、OP及牙齿纵轴之间的角度分别为16.03°±5.40°、81.76°±4.81°和14.82°±4.01°。上颌切牙冠纵轴与牙齿纵轴之间的角度主要在15°至25°之间,而下颌切牙的该角度在10°至20°之间。

结论

在使用头影测量X线摄影进行治疗计划制定或评估治疗效果时,需要考虑上颌和下颌切牙冠以及切牙的纵轴倾斜度。

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