Lecturer, Department of Orthodontics, Hunan Xiangya Stomatological Hospital, Central South University, Changsha, Hunan Province, China.
Department of Orthodontics, School & Hospital of Stomatology, Laboratory of Oral Biomedicine of Shandong, Shandong University, Jinan, Shandong, China.
Am J Orthod Dentofacial Orthop. 2021 May;159(5):564-573. doi: 10.1016/j.ajodo.2019.12.023. Epub 2021 Mar 2.
The objective of this research was to compare maxillary width and hard palate thickness in men and women with different vertical and sagittal skeletal patterns.
A total of 241 adults (93 men and 148 women aged from 18 to 25 years) were divided into male and female groups. Subjects were then separately divided into 3 sagittal skeletal groups and 3 vertical skeletal groups. A lateral cephalogram and a cone-beam computed tomography were taken for each subject. We measured the parameters to make statistical analyses and compared them between the different groups.
Women had smaller craniomaxillofacial bone width and palatal thickness than men. In sagittal groups, maxillary width, maxillary alveolar width, and external temporomandibular joint fossa width in Class II and Class III malocclusion groups were smaller than in the Class I group for both women and men. The internal temporomandibular joint fossa width was the same results in men and women. In vertical groups, palate thickness, maxillary width, and maxillary alveolar width of the high-angle group were smaller than those of the low-angle group, regardless of sex.
To an extent, maxillary width is correlated with vertical and sagittal skeletal patterns, and insufficient maxillary width would lead to unfavorable skeletal patterns. Differences exist in the morphology of craniomaxillofacial bone between men and women. Therefore, these findings can provide clinicians with references for differential diagnosis and treatment plans.
本研究旨在比较不同垂直和矢状骨骼模式的男性和女性的上颌宽度和硬腭厚度。
共纳入 241 名成年人(男性 93 名,年龄 18 至 25 岁,女性 148 名),分为男性组和女性组。然后,将受试者分别分为 3 个矢状骨骼组和 3 个垂直骨骼组。为每位受试者拍摄侧颅面片和锥形束 CT。我们测量了参数进行统计分析,并比较了不同组之间的参数。
女性的颅颌面骨宽度和腭部厚度均小于男性。在矢状组中,女性和男性的 II 类和 III 类错颌组的上颌宽度、上颌牙槽宽度和外侧颞下颌关节窝宽度均小于 I 类组。男性和女性的内侧颞下颌关节窝宽度相同。在垂直组中,高角组的腭部厚度、上颌宽度和上颌牙槽宽度均小于低角组,与性别无关。
在一定程度上,上颌宽度与垂直和矢状骨骼模式相关,上颌宽度不足会导致不利的骨骼模式。男女之间的颅颌面骨形态存在差异。因此,这些发现可为临床医生提供鉴别诊断和治疗计划的参考。