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基于三维头影测量分析的唇线与颌骨畸形关系的锥形束 CT 研究。

A cone beam computed tomography study based on three-dimensional cephalometric analysis of relationships between the lip-line and jaw deformity.

机构信息

Nanjing Stomatological Hospital, Medical School of Nanjing University, 210008 Nanjing, China.

Department of Prosthodontics, Nanjing Stomatological Hospital, Medical School of Nanjing University, 210008 Nanjing, China.

出版信息

Arch Oral Biol. 2022 Sep;141:105489. doi: 10.1016/j.archoralbio.2022.105489. Epub 2022 Jun 20.

DOI:10.1016/j.archoralbio.2022.105489
PMID:35772255
Abstract

OBJECTIVE

The aim of this study was to use the cone beam computed tomography (CBCT) to study the relationships between the lip-line and mandible deformity.

DESIGN

CBCT data of 20 patients with jaw deformity (experimental group) and 20 patients without mandible deformity (control group) were selected. Use three-dimensional cephalometry to measure the reconstructed images of CBCT data simulated by the Materialise Interactive Medical Image Control System (Mimics), mark the related points, lines and planes of the three-dimensional craniomaxillofacial structure, and measure relevant distances and angles. The T-test, Pearson correlation analysis and Linear regression were used to analyze the characteristics of the lip-line and jaw deformity.

RESULTS

There was a significant difference in the lip-line between mandible deformity group and control group. Significant positive correlations could been found among the lip-line cant, the occlusal plane cant, the mandibular plane cant and the degree of mandible deformity (r=0.964, 0.942, 0.611, P < 0.01). A linear relationship was found between the left lip-line cant Y and the menton deviation X [the mandible deflection to the right was defined as positive, and the left lip-line below frankfort horizontal was viewed as positive] as Y= 0.340 + 0.505X.

CONCLUSIONS

The lip-line of patients with jaw deformity was inclined, and the lip-line cant was positively correlated with the degree of mandible deformity, and there was a certain linear relationship between the two, which could provide a theoretical reference for clinicians to diagnose and treat patients with mandible deformity.

摘要

目的

本研究旨在使用锥形束 CT(CBCT)研究唇线与下颌骨畸形之间的关系。

设计

选取 20 例颌骨畸形患者(实验组)和 20 例无下颌骨畸形患者(对照组)的 CBCT 数据。使用三维头影测量法对 Materialise Interactive Medical Image Control System(Mimics)模拟的 CBCT 数据进行重建图像测量,标记三维颅颌面结构的相关点、线和平面,并测量相关距离和角度。采用 T 检验、Pearson 相关分析和线性回归分析方法分析唇线与颌骨畸形的特征。

结果

下颌骨畸形组与对照组唇线存在显著差异。唇线倾斜度、咬合平面倾斜度、下颌平面倾斜度与下颌骨畸形程度之间存在显著正相关(r=0.964、0.942、0.611,P<0.01)。左侧唇线倾斜度 Y 与颏点偏距 X 之间存在线性关系[下颌骨向右侧偏为正,法兰克福平面以下的左侧唇线为正],Y=0.340+0.505X。

结论

颌骨畸形患者的唇线倾斜,唇线倾斜度与下颌骨畸形程度呈正相关,两者之间存在一定的线性关系,可为临床医生诊断和治疗下颌骨畸形患者提供理论参考。

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