Milos Danira, Pavlic Andrej, Vandevska Radunovic Vaska, Zigante Martina, Matthewson Alana, Spalj Stjepan
- Public Health Centre Ogulin, Croatia.
- Department of Orthodontics, Faculty of Dental Medicine, University of Rijeka, Croatia.
Acta Stomatol Croat. 2021 Mar;55(1):37-44. doi: 10.15644/asc55/1/5.
BACKGROUND: To analyze craniofacial growth during adolescence from the ages of 12 to 21 years and its relation to late mandibular incisor crowding. MATERIAL AND METHODS: The study included 61 orthodontically untreated subjects (49% males). Lateral cephalograms were used to assess the jaw growth and inclination of the incisors. Little's Irregularity Index and the anterior mandibular dental arch depth of mandibular dentition were measured. RESULTS: A reduction of the skeletal class angle (ANB) was observed in both genders, although it was significant only in males (η2=0.188; p=0.015). The growth of the mandible was more prominent compared to that of the maxilla, and it was more prominent in males than in females. The skeletal vertical dimension, however, demonstrated a significant reduction in both genders (η2=0.527-0.593, p<0.001). The mandibular incisors tended to retrocline in both genders, while the maxillary ones tended to procline in males, and slightly retrocline in females. A decrease in the mandibular dental arch depth occurred in both genders (η2=0.259; p<0.05). An increase in the irregularity of incisors for 1.8±1.7 mm on average (95% CI 1.3-2.2; η2=0.520; p<0.001) was observed in both genders. A logistic regression revealed that less sagittal growth of maxilla (increase of SNA angle ≤2°) and reduction of convexity in skeletal sagittal interjaw relationship (reduction of ANB ≥1°) were significant predictors of the occurrence of crowding (Δ Little Irregularity Index ≥1mm) yielding odds ratios of 4.9 and 4.8. CONCLUSIONS: The differential growth of the maxilla and mandible is related to the occurrence of late crowding, mostly in smaller amounts in maxillary sagittal growth compared to the mandible.
背景:分析12至21岁青春期颅面生长情况及其与下颌第二前磨牙拥挤的关系。 材料与方法:该研究纳入61名未经正畸治疗的受试者(49%为男性)。使用头颅侧位片评估颌骨生长及切牙倾斜度。测量了Little不规则指数及下颌牙列下颌前牙弓深度。 结果:男女骨骼类角(ANB)均减小,不过仅男性减小具有统计学意义(η2 = 0.188;p = 0.015)。与上颌骨生长相比,下颌骨生长更显著,且男性比女性更显著。然而,骨骼垂直维度在男女中均显著减小(η2 = 0.527 - 0.593,p < 0.001)。男女下颌切牙均趋于舌倾,而上颌切牙在男性中趋于唇倾,在女性中略舌倾。男女下颌牙弓深度均减小(η2 = 0.259;p < 0.05)。男女平均切牙不规则度增加1.8±1.7 mm(95%置信区间1.3 - 2.2;η2 = 0.520;p < 0.001)。逻辑回归显示,上颌矢状向生长较少(SNA角增加≤2°)及骨骼矢状向颌间关系凸度减小(ANB减小≥1°)是拥挤发生(Little不规则指数增加≥1mm)的显著预测因素,优势比分别为4.9和4.8。 结论:上颌骨和下颌骨的差异生长与后期拥挤的发生有关,与下颌骨相比,上颌矢状向生长时拥挤程度大多较小。
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