Jain Sandhya, Puniyani Prateek, Saifee Arwa
Department of Orthodontics and Dentofacial Orthopedics, Government College of Dentistry, Indore, India.
Med Pharm Rep. 2020 Jan;93(1):97-104. doi: 10.15386/mpr-1356. Epub 2020 Jan 31.
The purpose of the present study was to assess the symphyseal morphology and lower incisor angulation in different anteroposterior relationship and in different growth patterns and to investigate whether the symphyseal morphology had any correlation with dentofacial parameters.
Random Sampling method and lateral cephalograms of 90 subjects, age group 16-30 years, were divided into 30 in each group, i.e. Class I, Class II & Class III after calculating the following parameters (ANB angle, wits appraisal). After that, groups were again divided into 10 in each subgroup i.e. Average, Horizontal and Vertical growers.
Results showed the increase in actual symphysis width, inclination of the alveolar part, total height of symphysis and reduction in overall width along with retroclination of lower incisors in class III subjects as compared to class I and class II. Similarly actual and overall width of the symphysis were decreased and inclination of the alveolar part, symphyseal height and symphyseal ratio were increased in vertical growers.
The dimensions and configuration of Mandibular Symphysis in class III was found to be different than those in Class I and Class II relationships; the alveolar part of Mandibular Symphyseal compensated for the skeletal relationship in the Class III pattern. Mandibualr Symphysis dimensions were strongly correlated to anterior facial dimensions. Similarly the dimensions and configuration of Mandibular Symphysis was also different in vertical growers as compared to horizontal and average growers, moreover symphyseal morphology and lower incisor angulation had a correlation with dentofacial parameters.
本研究的目的是评估不同前后关系和不同生长模式下的耻骨联合形态及下切牙角度,并研究耻骨联合形态与牙颌面参数之间是否存在相关性。
采用随机抽样法,选取90名年龄在16 - 30岁的受试者的头颅侧位片,根据以下参数(ANB角、Wits评估)计算后分为3组,每组30例,即I类、II类和III类。之后,每组再分为10个亚组,即平均生长型、水平生长型和垂直生长型。
结果显示,与I类和II类受试者相比,III类受试者的实际耻骨联合宽度增加、牙槽部倾斜度增加、耻骨联合总高度增加、整体宽度减小,同时下切牙向后倾斜。同样,垂直生长型受试者的耻骨联合实际宽度和整体宽度减小,牙槽部倾斜度、耻骨联合高度和耻骨联合比率增加。
发现III类下颌耻骨联合的尺寸和形态与I类和II类关系不同;下颌耻骨联合的牙槽部在III类模式中补偿了骨骼关系。下颌耻骨联合尺寸与面前部尺寸密切相关。同样,与水平生长型和平均生长型相比,垂直生长型下颌耻骨联合的尺寸和形态也不同,此外,耻骨联合形态和下切牙角度与牙颌面参数存在相关性。