Private Practice, Jeddah, Saudi Arabia.
Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
J Oral Rehabil. 2020 Dec;47(12):1503-1510. doi: 10.1111/joor.13095. Epub 2020 Oct 5.
To analyse occlusion time, occlusal balance and lateral occlusal scheme in subjects with various dental and skeletal characteristics.
A total of 132 subjects (50 males and 82 females) seeking orthodontic treatment were included in this prospective study. Using the T-Scan III version 7.0 (Tekscan Inc, South Boston, MA, USA), the occlusion time, occlusal balance and lateral occlusal schemes were recorded and compared with gender, Angle's occlusal classification, overjet, overbite, space analysis, skeletal and transverse relations. ANOVA, t test and contingency tables analyses were performed. Statistical significance was set at P < .05.
Occlusion time was significantly shorter in subjects with balanced occlusion (0.18 seconds, P < .001), Class I normal occlusion (0.35 seconds, P = .028) and Class I skeletal profile (0.37 seconds, P = .002). Occlusion time was significantly longer in subjects with decreased overjet (0.60 seconds, P = .003). There were significant associations between the distribution of occlusal balance and Angles' classes of occlusion, skeletal relationship, overjet, overbite and space analysis (P < .05). Lateral occlusal schemes were only associated with Angle's classes of occlusion and skeletal relationship (P < .05).
Patients with Class I occlusion showed the least occlusion time, the most balanced occlusion and a higher frequency of canine guidance. Nonetheless, potentially balanced occlusion and group function were highly prevalent in all groups; therefore, ideal occlusion must be considered an ideal to inspire and aim for, but cannot be considered an essential requirement of every dental treatment.
分析不同牙齿和骨骼特征的患者的咬合时间、咬合平衡和侧向咬合模式。
本前瞻性研究共纳入 132 名(50 名男性和 82 名女性)寻求正畸治疗的患者。使用 T-Scan III 版本 7.0(Tekscan Inc,South Boston,MA,USA)记录咬合时间、咬合平衡和侧向咬合模式,并与性别、Angle 咬合分类、覆颌、覆盖、间隙分析、骨骼和横向关系进行比较。进行 ANOVA、t 检验和列联表分析。统计学意义设为 P<.05。
咬合平衡的患者咬合时间明显更短(0.18 秒,P<.001),正常 I 类咬合(0.35 秒,P=.028)和 I 类骨骼形态(0.37 秒,P=.002)。覆颌减少的患者咬合时间明显更长(0.60 秒,P=.003)。咬合平衡的分布与 Angle 类别的咬合、骨骼关系、覆颌、覆盖和间隙分析存在显著相关性(P<.05)。侧向咬合模式仅与 Angle 类别的咬合和骨骼关系相关(P<.05)。
I 类咬合患者的咬合时间最短、咬合最平衡、犬齿引导的发生率最高。然而,潜在的平衡咬合和组牙功能在所有组中都很常见;因此,理想的咬合只能被视为一种理想,旨在启发和追求,但不能被视为每一项牙科治疗的必要要求。