Lewandowska Anahit, Mańka-Malara Katarzyna, Kostrzewa-Janicka Jolanta
Department of Prosthodontics, Medical University of Warsaw, 02-097 Warsaw, Poland.
J Clin Med. 2022 May 9;11(9):2664. doi: 10.3390/jcm11092664.
During prosthodontic treatment, the averaged values of the transversal condylar inclination (TCI) and the sagittal condylar inclination (SCI) are used for articulator settings. This study evaluated different parameters of measurable mandibular movements according to skeletal classes.
Seventy-five patients (mean age 30.8 ± 5.49) had a condylography using the Cadiax Compact device (Gamma Dental, Klosterneuburg, Austria) and cephalometric analysis performed. Statistical analysis was performed using R statistical software.
There was no statistical evidence to state that the value of SCI angle is different in I compared to II Skeletal Class. There were no statistically significant differences when comparing the I vs. III and II vs. III Skeletal Class. The lowest mean SCI angle values were found in subjects with Skeletal Class III. There were statistically significant differences in left-sided TCI between Class I and II. There was a statistically significant linear relationship between ANB angle value and SCI value.
Due to the wide individual variation in SCI and TCI values, it is advisable to use individual measurable parameters of mandibular movements during prosthetic reconstructions. The statistically significant relationship between SCI and ANB angle can be used to individualize the articulating parameters, especially in significant skeletal disproportions.
在口腔修复治疗过程中,髁突横向倾斜度(TCI)和髁突矢状倾斜度(SCI)的平均值用于咬合架设置。本研究根据骨骼类型评估了可测量的下颌运动的不同参数。
75例患者(平均年龄30.8±5.49岁)使用Cadiax Compact设备(Gamma Dental,奥地利克洛斯特新堡)进行髁突描记,并进行头影测量分析。使用R统计软件进行统计分析。
没有统计学证据表明I类骨骼与II类骨骼的SCI角度值存在差异。比较I类与III类以及II类与III类骨骼类型时,没有统计学上的显著差异。SCI角度平均值最低的是III类骨骼的受试者。I类和II类之间左侧TCI存在统计学显著差异。ANB角度值与SCI值之间存在统计学显著的线性关系。
由于SCI和TCI值存在广泛的个体差异,在修复重建过程中建议使用下颌运动的个体可测量参数。SCI与ANB角度之间的统计学显著关系可用于个性化咬合参数,特别是在明显的骨骼比例失调情况下。