Ye Yao, Li Qing-Zhu, Tu Jing-Qiu, Lei Yong-Hua
Dept. of Orthodontics, Center of Stomatology, Xiangya Hospital of Central South University, Changsha 410013, China;The Second Department of Stomatology, Zhuzhou Central Hospital, Zhuzhou 412007, China.
The Second Department of Stomatology, Zhuzhou Central Hospital, Zhuzhou 412007, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2019 Feb 1;37(1):76-80. doi: 10.7518/hxkq.2019.01.015.
We aim to examine teenagers with varying vertical facial skeletal types with near-normal occlusion. We further aim to identify and study mandibular morphology and dentition characteristics to establish normal ranges and variations for future clinical reference.
According to the results of the case studies, 42 adolescents with near-normal occlusion were divided into three groups, namely, low- (7 cases), average- (23 cases) and high-angle (12 cases) groups. We used Invivo 5 software for Digital Imaging and Communications in Medicine (DICOM) data to calculate the cant of occlusal plane, axis corner of L6, ∠L1/MP, ∠L6/MP, Balkwill angle and Bonwill triangle of each group.
Markedly, the finding shows that the cant of occlusal plane and axis corner of L6 in the low-angle group were smaller than those of the other two groups. In the average-angle group, ∠L1/MP was larger than that of the high-angle group. Lastly, in the high-angle group, ∠L6/MP was smaller than those of the two other groups. On the one hand, these differences were considered statistically significant (P<0.05). On the other hand, other measurements show that these differences were considered statistically non-significant (P>0.05).
In the low-angle group, the parallelisation of the occlusal plane tends to be more obvious compared with the two other groups. In the coronal section of the low-angle group, the axis of the mandibular first molar is up-right, whereas it is distally tilted in the sagittal section of the high-angle group. Furthermore, a number of differences are noted in the adult groups. Factors, such as aging and development in the craniofacial region, lead to changes in functional occlusion.
我们旨在研究具有近乎正常咬合关系的不同垂直面部骨骼类型的青少年。我们进一步旨在识别和研究下颌形态及牙列特征,以建立正常范围和变异情况,供未来临床参考。
根据病例研究结果,将42名具有近乎正常咬合关系的青少年分为三组,即低角组(7例)、平均角组(23例)和高角组(12例)。我们使用Invivo 5软件处理医学数字成像和通信(DICOM)数据,以计算每组的咬合平面倾斜度、L6轴角、∠L1/MP、∠L6/MP、Balkwill角和Bonwill三角。
明显地,研究结果显示低角组的咬合平面倾斜度和L6轴角小于其他两组。在平均角组中,∠L1/MP大于高角组。最后,在高角组中,∠L6/MP小于其他两组。一方面,这些差异被认为具有统计学意义(P<0.05)。另一方面,其他测量结果显示这些差异无统计学意义(P>0.05)。
与其他两组相比,低角组咬合平面的平行化倾向更明显。在低角组的冠状面中,下颌第一磨牙的轴向上直立,而在高角组的矢状面中则向远中倾斜。此外,在成人组中还发现了一些差异。诸如颅面区域的衰老和发育等因素会导致功能性咬合的变化。