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上下颌基骨弓的匹配及其个体差异。

Match of the Bimaxillary Basal Bone Arches and Its Variations among Individuals.

机构信息

Department of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan, China.

Gregory and Paula Chow Center for Economic Research, Xiamen University, Xiamen, China.

出版信息

Scanning. 2021 Nov 5;2021:9625893. doi: 10.1155/2021/9625893. eCollection 2021.

Abstract

INTRODUCTION

This study is aimed at illustrating the bimaxillary basal bone contours, to clarify the match of the basal bone arches of the upper and lower, especially the posterior segments, including the second molar and retromolar region.

METHODS

Based on 100 cone-beam computed tomography (CBCT) images (50 males and 50 females), we obtained 100 pairs of basal bone arches, which were the horizontal inner cortex contours passing the furcation of the first molar paralleled to the lower occlusal plane. The Generalized Procrustes Analysis (GPA) was applied to depict average contours and calculate the ratio and difference width of both upper and lower dental arches in different positions. Variations of the basal bone morphology among individuals were revealed using Principal Component Analysis (PCA).

RESULTS

The width discrepancy occurred at 7-7 segment (male: upper 65.62 mm and lower 68.81 mm and female: upper 62.98 mm and lower 68.38 mm) and the retromolar region (male: upper 64.67 mm and lower 71.96 mm and female: upper 62.34 mm and lower 71.44 mm). The ratio ( = 0.006) and difference value ( = 0.009) of 7-7 segment and the ratio of retromolar region ( = 0.044) differed in genders. Setting 2 mm overjet, the upper basal bone arch was wider than the lower by approximate 2 mm on both sides, except the second molar and retromolar region. According to PCA, the variation of basal bone arches appeared mainly at terminal segments.

CONCLUSIONS

For both male and female, the bimaxillary basal bone matched except terminal segments. Mismatch of female bimaxillary posterior basal bone was more pronounced than male. The basal bone arches of male were wider and longer than that of female.

摘要

引言

本研究旨在阐明上颌和下颌的基骨轮廓,特别是后段,包括第二磨牙和磨牙后区,以明确上下颌基骨弓的吻合情况。

方法

基于 100 例锥形束 CT(CBCT)图像(50 例男性和 50 例女性),我们获得了 100 对上颌和下颌基骨弓,这些基骨弓是通过第一磨牙分叉平行于下颌咬合平面的水平内皮质轮廓。采用广义主成分分析(GPA)描绘平均轮廓,并计算不同位置上下牙弓的比例和差异宽度。采用主成分分析(PCA)揭示个体基骨形态的变化。

结果

7-7 段(男性:上颌 65.62mm,下颌 68.81mm;女性:上颌 62.98mm,下颌 68.38mm)和磨牙后区(男性:上颌 64.67mm,下颌 71.96mm;女性:上颌 62.34mm,下颌 71.44mm)存在宽度差异。7-7 段的比例(=0.006)和差值(=0.009)以及磨牙后区的比值(=0.044)在性别上存在差异。设定 2mm 的覆𬌗,上颌基骨弓在两侧比下颌基骨弓宽约 2mm,除了第二磨牙和磨牙后区。根据 PCA,基骨弓的变异主要出现在末端段。

结论

无论男女,上下颌的基骨均匹配,除了末端段。女性上下颌后基骨的不匹配程度比男性更明显。男性的基骨弓比女性的更宽更长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f09/8589518/f1536aa39baf/SCANNING2021-9625893.001.jpg

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