Kumar Drv, Mehta Shrikar Sandeep, Deshpande Sumit, Gupta Arun, Chadha Manish, Kumar Chetna
Department of Prosthodontics and Crown and Bridge, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.
Department of Prosthodontics and Crown and Bridge, Pandit Deendayal Upadhyay Dental College, Solapur, Maharashtra, India.
J Indian Prosthodont Soc. 2018 Oct-Dec;18(4):299-304. doi: 10.4103/jips.jips_190_18.
This study was undertaken with an aim to establish a relationship between normognathic (Class I), retrognathic (Class II), and prognathic (Class III) ridge relation and superior, middle, and inferior levels of the ala-tragus line in edentulous individuals, by utilizing arbitrary and cephalometric methods.
Ninety edentulous male patients were selected for the study, and after establishing tentative jaw relation, radiopaque ball bearings were attached on three levels of the tragus and inferior part of the ala of the nose. Furthermore, orthodontic wire was attached to maxillary occlusal rims. Lateral cephalometric radiographs were taken, and tracings were carried out to compare and to evaluate the cephalometrically derived ridge relations with that of the visually analyzed ridge relations based on the mounted casts in relation to the ala-tragus line. The results obtained were statistically analyzed using one-way ANOVA test, and multiple comparisons were carried out using the Bonferroni tests. The interoperator variability for obtaining ridge relations using visual analysis and the cephalometrically obtained ridge relations were analyzed using the Kappa statistics.
The result obtained states that 78 participants out of 90 participants are in total agreement with the Kappa value of 0.8.
The study concluded that for Class I and Class III, the inferior part of the tragus forming the ala-tragus line, and for Class II, the middle part of the tragus should be considered for establishing the occlusal plane.
本研究旨在通过任意法和头影测量法,确定无牙颌个体中正常颌(I类)、后缩颌(II类)和前突颌(III类)牙槽嵴关系与鼻翼-耳屏线的上、中、下水平之间的关系。
选取90例无牙颌男性患者进行研究,在确定初步颌关系后,在耳屏的三个水平和鼻翼下部附着不透射线的滚珠轴承。此外,在上颌咬合堤上附着正畸钢丝。拍摄头颅侧位X线片,并进行描图,以比较和评估基于模型相对于鼻翼-耳屏线视觉分析的牙槽嵴关系与头影测量得出的牙槽嵴关系。使用单向方差分析对所得结果进行统计学分析,并使用Bonferroni检验进行多重比较。使用Kappa统计分析通过视觉分析获得牙槽嵴关系和通过头影测量获得牙槽嵴关系的操作者间变异性。
所得结果表明,90名参与者中有78名参与者完全一致,Kappa值为0.8。
该研究得出结论,对于I类和III类,应考虑用形成鼻翼-耳屏线的耳屏下部来确定咬合平面,对于II类,应考虑用耳屏中部来确定咬合平面。