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上颌侧切牙缺失的正畸患者的骨骼和牙齿影响评估。

Evaluation of the skeletal and dental effects in orthodontic patients with maxillary lateral incisor agenesis.

机构信息

Department of Orthodontics, Faculty of Dentistry, Ordu University, Ordu, Turkey.

Department of Prosthodontics, Faculty of Dentistry, Ordu University, Ordu, Turkey.

出版信息

J Esthet Restor Dent. 2017 Jul 8;29(4):284-290. doi: 10.1111/jerd.12306. Epub 2017 May 31.

Abstract

OBJECTIVE

The purpose of this study was to evaluate the transverse dimension of the dentoalveolar and skeletal widths in both unilateral (UMLIA) and bilateral (BMLIA) maxillary lateral incisor agenesis groups.

MATERIALS AND METHODS

The study sample consisted of 59 patients (34 females and 25 males) divided into three groups as UMLIA group (16 patients; 14.94 ± 1.37 years), BMLIA group (21 patients; 14.46 ± 1.53 years) and control group (22 patients; 15.28 ± 1.70 years) without tooth agenesis. Transversal measurements (maxillary and mandibular intercanine, interpremolar, intermolar, intercanine alveolar, interpremolar alveolar, intermolar alveolar widths) were done on dental casts. Craniofacial skeletal measurements were done with posteroanterior cephalometric radiographs. Statistical testing was performed with the one-way variance analysis, Kruskal-Wallis and post hoc tests.

RESULTS

UMLIA and BMLIA groups had statistically significantly narrower skeletal apical base of the maxilla, maxillary intercanine and intercanine alveolar widths compared with the control group (P < .05). Moreover, UMLIA and BMLIA groups had statistically significantly similar dental, alveolar and skeletal features (P > .05).

CONCLUSIONS

The UMLIA and BMLIA groups showed statistically significantly smaller values for maxillary intercanine, maxillary intercanine alveolar and skeletal maxillary widths compared with the control group.

CLINICAL SIGNIFICANCE

This study provides information the transverse dimension of the dental, alveolar and skeletal widths with maxillary lateral incisor agenesis patients. Knowledge of transverse dimension of the dental, alveolar and skeletal widths with maxillary lateral incisor agenesis patients is important for diagnosis and treatment planning.

摘要

目的

本研究旨在评估单侧(UMLIA)和双侧(BMLIA)上颌侧切牙缺失患者的牙牙槽和骨骼宽度的横向尺寸。

材料和方法

研究样本包括 59 名患者(34 名女性和 25 名男性),分为三组:UMLIA 组(16 名患者;14.94±1.37 岁)、BMLIA 组(21 名患者;14.46±1.53 岁)和无牙缺失的对照组(22 名患者;15.28±1.70 岁)。在牙模上进行横向测量(上颌和下颌尖牙间、前磨牙间、磨牙间、尖牙牙槽、前磨牙牙槽、磨牙牙槽宽度)。颅面骨骼测量采用后前位头颅侧位片进行。统计检验采用单因素方差分析、Kruskal-Wallis 和事后检验。

结果

UMLIA 和 BMLIA 组的上颌骨根尖基底、上颌尖牙间和尖牙牙槽宽度的骨骼明显较对照组狭窄(P<.05)。此外,UMLIA 和 BMLIA 组的牙、牙槽和骨骼特征具有统计学意义上的相似性(P>.05)。

结论

与对照组相比,UMLIA 和 BMLIA 组的上颌尖牙间、上颌尖牙牙槽和上颌骨骼宽度的数值明显较小。

临床意义

本研究提供了上颌侧切牙缺失患者的牙、牙槽和骨骼宽度的横向尺寸信息。了解上颌侧切牙缺失患者的牙、牙槽和骨骼宽度的横向尺寸对于诊断和治疗计划非常重要。

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