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骨骼开咬颅底特征在具有 I 类、II 类和 III 类错颌的年轻拉丁美洲个体中:一项观察性研究。

Skeletal open bite cranial base characteristics in young Latin-American individuals with class I, II and III malocclusions: An observational study.

机构信息

Universidad Científica del Sur, School of Dentistry, Division of Orthodontics and Division of Oral and Maxillofacial Radiology, Lima, Peru.

Universidad Científica del Sur, School of Dentistry, Division of Orthodontics and Division of Oral and Maxillofacial Radiology, Lima, Peru.

出版信息

Int Orthod. 2020 Jun;18(2):237-245. doi: 10.1016/j.ortho.2020.01.002. Epub 2020 Feb 6.

Abstract

OBJECTIVE

This study aimed to compare cranial base linear and angular measurements between individuals with skeletal open bite and different sagittal skeletal relationships.

MATERIALS AND METHODS

This observational and cross-sectional study included 101 lateral radiographs of young Latin-American individuals with skeletal open bite that met the inclusion criteria and were collected from a private radiological centre. Three groups were formed. Groups 1, 2 and 3 included individuals with skeletal open bite (negative overbite and FMA>30°) and Class I (n=31), II (n=35) and III (n=35) sagittal skeletal relationship, respectively. The anterior and posterior cranial bases (SN and SBa), and cranial base angles (BaSN and ArSN) were measured. Groups were compared with one-way analysis of variance and post-hoc Scheffé tests. The influence of predictor variables on the cranial base were evaluated with linear regressions (α=0.05).

RESULTS

The cranial base angles were significantly smaller (approximately 3° to 5°) in the skeletal open bite Class III group (BaSN=127.97°± 5.86°, ArSN=120.19°±6.12°) when compared with the other groups. BaSN angle, Class I versus Class III (p<0.001) and Class II versus Class III (p<0.001). ArSN angle, Class I versus Class III (p=0.005) and Class II versus Class III (p=0.026). Multiple linear regressions showed that sex had a significant influence on both cranial base dimensions with men showing larger values than women.

CONCLUSIONS

Skeletal open bite Class III individuals show a smaller cranial base angle than Skeletal open bite Class I or II individuals.

摘要

目的

本研究旨在比较颅底线性和角度测量值在骨骼开颌和不同矢状骨骼关系的个体之间的差异。

材料和方法

这是一项观察性和横断面研究,共纳入 101 例符合纳入标准的年轻拉丁美洲骨骼开颌患者的侧位颅面 X 光片,这些 X 光片均来自一家私人放射中心。共分为 3 组,组 1、2 和 3 分别纳入骨骼开颌(负覆盖和 FMA>30°)伴 I 类(n=31)、II 类(n=35)和 III 类(n=35)矢状骨骼关系的个体。测量前颅底(SN)和后颅底(SBa)以及颅底角度(BaSN 和 ArSN)。采用单因素方差分析和事后 Scheffé 检验对各组进行比较。采用线性回归(α=0.05)评估预测变量对颅底的影响。

结果

与其他两组相比,骨骼开颌 III 类组(BaSN=127.97°±5.86°,ArSN=120.19°±6.12°)的颅底角度明显更小(约 3°至 5°)。BaSN 角,I 类与 III 类(p<0.001)和 II 类与 III 类(p<0.001)。ArSN 角,I 类与 III 类(p=0.005)和 II 类与 III 类(p=0.026)。多元线性回归显示,性别对颅底的两个维度均有显著影响,男性的数值大于女性。

结论

骨骼开颌 III 类个体的颅底角度小于骨骼开颌 I 类或 II 类个体。

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