Shailaja A M, Romana I R Umme, Narayanappa Goutham, Smitha T, Gowda Nishitha C, Vedavathi H K
Department of Orthodontics and Dentofacial Orthopaedics, VS Dental College and Hospital, RGUHS, Bengaluru, Karnataka, India.
Department of Oral Pathology, VS Dental College and Hospital, RGUHS, Bengaluru, Karnataka, India.
J Oral Maxillofac Pathol. 2018 Sep-Dec;22(3):430-435. doi: 10.4103/jomfp.JOMFP_190_18.
Palatal rugae are nonidentical mucosal elevations seen on anterior third of palate. They are arranged in transverse direction on either side of the mid-palatine raphe. Although they are the most stable anatomical structures in the oral cavity, certain conditions such as expansion in orthodontic treatment contribute to some amount of variations in their pattern qualitatively. The aim of this study was to compare the shape of rugae and its positional changes before and after rapid maxillary expansion.
Fifteen pairs of pre- and post-maxillary expansion casts showing finer details of palatal rugae from seven males to eight females in the age group of 10 ± 2.5 years were selected for this study with transverse maxillary deficiency reporting to Department of Orthodontics, VS Dental College and Hospital. The shape of rugae and the distance between the median points and lateral points of the first and the last two rugae on either side of the mid-palatal raphe were noted and marked. The data collected was statistically analyzed using SPSS program.
There was statistically significant difference in the distance between medial and lateral points of first two and last two rugae.
During maxillary expansion, there is stability of palatal rugae with respect to its shape, number but not with respect to its position. Clinically, the orthodontist can quantify the palatal separation after expansion of the maxillary arch using the interruga distance.
腭皱襞是在腭前部三分之一处可见的形态各异的黏膜隆起。它们在腭中缝两侧呈横向排列。尽管它们是口腔中最稳定的解剖结构,但某些情况,如正畸治疗中的扩弓,会在一定程度上导致其形态出现定性变化。本研究的目的是比较快速上颌扩弓前后腭皱襞的形状及其位置变化。
从VS牙科学院和医院正畸科选取了15对快速上颌扩弓前后的石膏模型,这些模型清晰显示了年龄在10±2.5岁之间的7名男性和8名女性的腭皱襞细节,这些患者存在横向上颌骨发育不足的情况。记录并标记了腭皱襞的形状以及腭中缝两侧第一条和最后两条皱襞中点与外侧点之间的距离。使用SPSS程序对收集到的数据进行统计分析。
第一条和最后两条皱襞的内侧点与外侧点之间的距离存在统计学显著差异。
在上颌扩弓过程中,腭皱襞在形状、数量方面具有稳定性,但位置不稳定。临床上,正畸医生可以使用皱襞间距离对上颌弓扩弓后的腭部间距进行量化。