使用锥形束计算机断层扫描(CBCT)成像比较正常咬合、安氏II类1分类、安氏II类2分类和安氏III类错牙合畸形中的髁突位置。
Comparison of condylar position in normal occlusion, Class II Division 1, Class II Division 2 and Class III malocclusions using CBCT imaging.
作者信息
Rivero-Millán Pilar, Barrera-Mora Jose-Maria, Espinar-Escalona Eduardo, González-Del Pino Carlos-Antonio, Martín-Salvador Domingo, Llamas-Carreras Jose-Maria
机构信息
Dental Surgeon (DDS). University of Sevilla.
Doctoral Degree (PhD). Assistant Professor. University of Sevilla.
出版信息
J Clin Exp Dent. 2021 Dec 1;13(12):e1216-e1226. doi: 10.4317/jced.58970. eCollection 2021 Dec.
BACKGROUND
The aim of this study was to establish the condylar position in a group of patients with normal occlusion, compared to Class II Div 1, Class II Div 2 and Class III malocclusions using CBCT imaging.
MATERIAL AND METHODS
Retrospective case-control study carried out by analyzing CBCT images of 80 patients. The sample was divided into 4 different groups with 20 patients each (40 TMJ). All patients were positioned using the Frankfurt plane, parallel to the floor and in maximum intercuspation. The control group included asymptomatic patients with normal occlusion (Less than 2mm of tooth size-arch length discrepancy, positive or negative, 0-2mm overjet, 2-4mm overbite, less than 15o rotations, without facial asymmetries, no previous orthodontic or occlusal treatment, without muscular or articular signs or symptoms in both TMJs) and the experimental group with (class II/1, II/2 and III) malocclusions.
RESULTS
The group with normal occlusion had the condyles centrally positioned within the glenoid fossa. The values obtained in this group were considered as optimal and when compared with the other groups with malocclusions. The results established that the position of the condyle was more posterior in class II/2 and more superior in class III patients than the asymptomatic normal occlusion group.
CONCLUSIONS
The data obtained in the asymptomatic group with normal occlusion could be used as a reference for future studies. The comparison of these values with those obtained from analyzing the different sagittal malocclusions show significant differences that could be valuable when establishing the diagnosis and the objectives of the treatment plan in orthodontics. Condylar position, CBCT, dental malocclusion and condylar concentricity.
背景
本研究的目的是使用锥形束计算机断层扫描(CBCT)成像,确定一组正常咬合患者与安氏II类1分类、安氏II类2分类和安氏III类错牙合患者的髁突位置。
材料与方法
通过分析80例患者的CBCT图像进行回顾性病例对照研究。样本分为4个不同组,每组20例患者(40个颞下颌关节)。所有患者均采用法兰克福平面定位,平行于地面且处于最大牙尖交错位。对照组包括无症状的正常咬合患者(牙量-牙弓长度差异小于2mm,正或负,覆盖0-2mm,覆牙合2-4mm,旋转小于15°,无面部不对称,既往无正畸或咬合治疗,双侧颞下颌关节无肌肉或关节体征或症状),实验组为(安氏II类1分类、II类2分类和III类)错牙合患者。
结果
正常咬合组的髁突位于关节窝中心。该组获得的值被认为是最佳值,并与其他错牙合组进行比较。结果表明,与无症状的正常咬合组相比,安氏II类2分类患者的髁突位置更靠后,安氏III类患者的髁突位置更靠上。
结论
无症状正常咬合组获得的数据可作为未来研究的参考。将这些值与分析不同矢状向错牙合获得的值进行比较,显示出显著差异,这在正畸治疗计划的诊断和目标确定中可能具有重要价值。髁突位置、CBCT、牙列错牙合与髁突同心度。