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儿童患者中反牙合对下颌骨不对称早期发育的影响。

The influence of crossbite in early development of mandibular bone asymmetries in paediatric patients.

作者信息

Diéguez-Pérez Montserrat, de Nova-García M Joaquín, Mourelle-Martínez Mª Rosa, González-Aranda Cristina

机构信息

Departamento de Odontopediatría, Profilaxis y Ortodoncia. Facultad de Odontología Universidad Complutense de Madrid, Plaza Ramón y Cajal, 3 - Ciudad Universitaria, 28040 Madrid.

出版信息

J Clin Exp Dent. 2017 Sep 1;9(9):e1115-e1120. doi: 10.4317/jced.54110. eCollection 2017 Sep.

DOI:10.4317/jced.54110
PMID:29075414
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5650214/
Abstract

BACKGROUND

All authors agree that posterior crossbite is a malocclusion that affects mandibular growth and may lead to skeletal asymmetry but there are few data on which age these modifications are easily quantifiable.

MATERIAL AND METHODS

For this study, the researchers used x-ray records of 217 children between 6 and 9 years of age, in the mixed dentition stage and with unilateral posterior crossbite. All the horizontal variables were traced and evaluated by the principal researcher, using the tpsDig version 2 computer program. Subsequently, a descriptive and statistical analysis was carried out, using the SPSS 17.0 for Windows program.

RESULTS AND DISCUSSION

After analysing the vertical mandibular traces on the x-rays, the researchers found, in all cases, quantifiable differences between the crossbite side and the non-crossbite side. The differences between horizontal variables were statistically significant (<0.005) for the entire sample (H3-H4), in the group of boys (H3-H4) and in the 7-year old age group (H1-H2 and H3-H4). Differences were observed in the size of the horizontal measures between the crossbite side and the non-crossbite side. Some of these differences were significant as a function of the sex and age of the study sample. Crossbite, Mandibular asymmetry, Panoramic.

摘要

背景

所有作者都认为后牙反合是一种影响下颌生长并可能导致骨骼不对称的错牙合畸形,但关于在哪个年龄段这些改变易于量化的数据很少。

材料与方法

在本研究中,研究人员使用了217名6至9岁处于混合牙列期且患有单侧后牙反合的儿童的X线记录。所有水平变量均由首席研究员使用tpsDig版本2计算机程序进行追踪和评估。随后,使用适用于Windows的SPSS 17.0程序进行描述性和统计分析。

结果与讨论

在分析了X线片上的下颌垂直轨迹后,研究人员发现,在所有病例中,反合侧与非反合侧之间存在可量化的差异。对于整个样本(H3-H4)、男孩组(H3-H4)以及7岁年龄组(H1-H2和H3-H4),水平变量之间的差异具有统计学意义(<0.005)。观察到反合侧与非反合侧之间水平测量值大小的差异。其中一些差异根据研究样本的性别和年龄具有显著性。反合、下颌不对称、全景片。

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本文引用的文献

1
Mandibular asymmetry: a proposal of radiographic analysis with public domain software.下颌不对称:一种使用公共领域软件进行影像学分析的提议。
Dental Press J Orthod. 2014 May-Jun;19(3):52-8. doi: 10.1590/2176-9451.19.3.052-058.oar.
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Precision of dimensional measurements of mandible in different positions on orthopantomogram.全景曲面断层片上不同位置下颌骨尺寸测量的精度
Indian J Dent Res. 2013 Jan-Feb;24(1):48-51. doi: 10.4103/0970-9290.114945.
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Panoramic radiography: effects of head alignment on the vertical dimension of the mandibular ramus and condyle region.曲面体层摄影:头位对线对下颌升支和髁突区垂直向的影响。
Eur J Orthod. 2012 Apr;34(2):164-9. doi: 10.1093/ejo/cjq175. Epub 2011 Apr 5.
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Condylar and ramal vertical asymmetry in unilateral and bilateral posterior crossbite patients and a normal occlusion sample.单侧和双侧后牙反合患者与正常咬合样本中的髁突和升支垂直不对称性。
Am J Orthod Dentofacial Orthop. 2009 Jul;136(1):37-43. doi: 10.1016/j.ajodo.2007.06.019.
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Mandibular asymmetry diagnosis with panoramic imaging.利用全景成像进行下颌不对称诊断。
Am J Orthod Dentofacial Orthop. 2008 Aug;134(2):183-92. doi: 10.1016/j.ajodo.2007.07.021.
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Condylar asymmetry in unilateral posterior crossbite patients.单侧后牙反合患者的髁突不对称性。
Am J Orthod Dentofacial Orthop. 2008 Mar;133(3):382-7. doi: 10.1016/j.ajodo.2006.04.041.
7
Changes in the masticatory cycle after treatment of posterior crossbite in children aged 4 to 5 years.4至5岁儿童后牙反合治疗后咀嚼周期的变化
Am J Orthod Dentofacial Orthop. 2007 Apr;131(4):464-72. doi: 10.1016/j.ajodo.2005.06.030.
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Condylar asymmetry in bilateral posterior crossbite patients.双侧后牙反合患者的髁突不对称性。
Angle Orthod. 2007 Jan;77(1):77-81. doi: 10.2319/010706-5R.1.
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Validity of panoramic radiographs for measuring mandibular asymmetry.全景X线片测量下颌不对称的有效性
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10
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N Y State Dent J. 2005 Aug-Sep;71(5):36-9.