Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ordu University, Ordu, Turkey.
Department of Orthodontics, Faculty of Dentistry, Ordu University, Ordu, Turkey.
Clin Oral Investig. 2020 Aug;24(8):2919-2924. doi: 10.1007/s00784-019-03158-7. Epub 2019 Dec 5.
The objective of this study is to evaluate the mental index (MI) and panoramic mandibular index (PMI) of a group of adolescent patients in different body mass index (BMI) percentile.
Subjects were divided into three different groups in accordance to their BMI percentile status: normal weight (35 subjects; mean age, 14.81 ± 2.12 years), overweight (32 subjects; mean age, 14.77 ± 2.56 years), and obese (33 subjects; mean age, 14.06 ± 2.59 years) groups. Mental index (MI) and panoramic mandibular index (PMI) were assessed on panoramic radiographs.
There were statistically significant differences in PMI and MI that were observed among groups (p < 0.0001 and p < 0.001, respectivel). MI and PMI are higher in overweight and obese individuals than in normal-weight.
Mandibular cortex was found thicker in patients who are obese and overweight compared to normal weight patients. We can suggest that young obese individuals' bone structure can be take in consideration in orthodontic or dental surgical treatment planning.
Dense cortical bone may cause some difficulties in orthodontic and surgical treatment. Clinicians should understand obesity and overweight-related jaw bone changes and consider these factors to treat their patients.
本研究旨在评估一组不同身体质量指数（BMI）百分位的青少年患者的心理指数（MI）和全景下颌指数（PMI）。
根据 BMI 百分位状态，将受试者分为三组：正常体重组（35 名受试者；平均年龄 14.81 ± 2.12 岁）、超重组（32 名受试者；平均年龄 14.77 ± 2.56 岁）和肥胖组（33 名受试者；平均年龄 14.06 ± 2.59 岁）。在全景片上评估心理指数（MI）和全景下颌指数（PMI）。
各组间 PMI 和 MI 存在统计学差异（p < 0.0001 和 p < 0.001）。超重和肥胖者的 MI 和 PMI 高于正常体重者。
与正常体重患者相比，肥胖和超重患者的下颌骨皮质更厚。我们可以建议，在正畸或牙科手术治疗计划中，应考虑肥胖青少年的骨骼结构。
密集的皮质骨可能会导致正畸和手术治疗出现一些困难。临床医生应了解与肥胖相关的颌骨变化，并考虑这些因素来治疗他们的患者。
