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腭侧移位尖牙患者上颌骨的形态学

Morphology of maxilla in patients with palatally displaced canines.

作者信息

Miresmaeili Amirfarhang, Shokri Abbas, Salemi Fatemeh, Dehghani Fatemeh, Shahidi-Zandi Vahid, Rad Ramin, Shahdoost Maryam

机构信息

Department of Orthodontics, Dental school, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Oral and Maxillofacial Radiology, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Int Orthod. 2019 Mar;17(1):130-135. doi: 10.1016/j.ortho.2019.01.012. Epub 2019 Feb 14.

Abstract

OBJECTIVES

The aim of this study was to investigate the possible relationship between the morphology of maxilla and the palatally displaced canines (PDC).

MATERIALS AND METHODS

In this cross-sectional study, there were 101 patients (45 males, 56 females) aged 12 to 16years, referred to Hamadan school of dentistry in 2014. They were divided into 3 groups: the bilateral PDC (PDCb) group (male=15, female=21), the unilateral PDC (PDCu) group (male=16, female=19), and the control group (male=14, female=16). Five morphology related variables including intermolar width, maxillary arch length, palatal vault depth, palatal intermolar area, and nasal width were measured using CBCT images with Dolphin Imaging software, version 11.5. Statistical analysis was performed with ANOVA and the Dunnett test using SPSS software, version 16.0.

RESULTS

Only the palatal intermolar area and the palatal vault depth values were significantly less in the PDCu and the PDCb groups than those in the control group (the palatal intermolar area: 376.17, 381.93, and 423.75mm, the palatal vault depth: 13.19, 13.42, and 14.59mm; respectively; P<0.05). For all the variables, there was no statistically significant difference between the PDCu and PDCb groups.

CONCLUSION

Decreased palatal vault depth and palatal intermolar area may be correlated with greater chance of palatal displacement of canines. Future prospective studies in mixed dentition patients are needed as a predictive factor to find the probability of PDC.

摘要

目的

本研究旨在调查上颌骨形态与腭向错位尖牙(PDC)之间可能存在的关系。

材料与方法

在这项横断面研究中,2014年共有101名年龄在12至16岁的患者(45名男性,56名女性)被转诊至哈马丹牙科学院。他们被分为3组:双侧PDC(PDCb)组(男性 = 15名,女性 = 21名)、单侧PDC(PDCu)组(男性 = 16名,女性 = 19名)和对照组(男性 = 14名,女性 = 16名)。使用Dolphin Imaging软件11.5版本的CBCT图像测量了5个与形态相关的变量,包括磨牙间宽度、上颌牙弓长度、腭穹窿深度、腭部磨牙间面积和鼻宽。使用SPSS软件16.0版本进行方差分析和Dunnett检验进行统计分析。

结果

仅PDCu组和PDCb组的腭部磨牙间面积和腭穹窿深度值显著低于对照组(腭部磨牙间面积分别为:376.17、381.93和423.75mm,腭穹窿深度分别为:13.19、13.42和14.59mm;P < 0.05)。对于所有变量,PDCu组和PDCb组之间无统计学显著差异。

结论

腭穹窿深度和腭部磨牙间面积减小可能与尖牙腭向移位的可能性增加相关。需要对混合牙列患者进行未来的前瞻性研究,作为预测因素以确定PDC的概率。

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