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检查用于预测错牙合类型和生长模式的各种头影测量参数的可靠性。

To Check the Reliability of Various Cephalometric Parameters used for Predicting the Type of Malocclusions and Growth Patterns.

作者信息

Pawar Ranjit Omprakash, Mane Dipali Raghunath, Patil Chetan Dilip, Bhalerao Snehal Vijay, Parkar Aameer Fazluddin, Agarwal Shivam

机构信息

Department of Orthodontics and Dentofacial Orthopaedics, Aditya Dental College and Hospital, Beed, Maharashtra, India.

Department of Orthodontics and Dentofacial Orthopaedics, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S808-S811. doi: 10.4103/jpbs.jpbs_6_22. Epub 2022 Jul 13.

Abstract

BACKGROUND

There are many different types of malocclusions that may result from the sagittal, vertical, or transverse deviations in normal craniofacial development. When it comes to orthodontic problems, malocclusions in the sagittal plane may have a considerable impact on a person's self-esteem as well as their ability to speak and eat properly. Sagittal anomalies in the skeletal, dental, and soft tissue systems may now be accurately diagnosed using a universally accepted standard lateral cephalogram (SLCE).

METHODS AND MATERIALS

The principal investigator manually traced the cephalograms, identified skeletal landmarks, and measured the following data. The ANB angle (normal range: 0° to 4°) is the angle framed by the point A, Nasion, and B. Estimated oppositely from point A and B on the functional occlusal plane, with Wits evaluation: AO-to-BO direct distance. AB plane angle : the angle formed by the AB and the Npog plane (normal range = -9° to 0°). Beta angle: the angle framed by the A-CB and AB lines, with a typical range of 27° to 35°. W angle: this is the angle created by the opposite line from M to the S-G line and the M-G line, with a typical range of 51 to 55 degrees. The angle of convexity: the angle between N-point A and A-Pog. (Normal range: -8.5 to 10 degree).

RESULTS

We utilised Pearson correlation to see how well the different skeletal studies correlated with one another. Wits and the ANB angle of convexity exhibited an excellent relationship with each other, with = 0.831 and Downs angle of convexity (both = 0.823 and = 0.01) being statistically significant. This study used Kappa statistics to assess the degree of agreement between several cephalometric diagnostic criteria. The agreement between the ANB and final groups was strong (k = 0.802, = 0.01).

CONCLUSION

There was a strong link between all of the cephalometric measures. The cephalometric landmark and valid indication was determined to be the most dependable in evaluating malocclusion and development pattern.

摘要

背景

在正常颅面发育过程中,矢状、垂直或横向偏差可能导致多种不同类型的错牙合畸形。对于正畸问题,矢状面的错牙合畸形可能会对一个人的自尊以及正常的言语和进食能力产生相当大的影响。现在,可以使用普遍接受的标准侧位头影测量片(SLCE)准确诊断骨骼、牙齿和软组织系统中的矢状异常。

方法和材料

主要研究者手动描绘头影测量片,确定骨骼标志点,并测量以下数据。ANB角(正常范围:0°至4°)是由点A、鼻根点和点B构成的角。从功能咬合平面上的点A和点B反向估计,采用Wits评估法:AO到BO的直线距离。AB平面角:AB与Npog平面形成的角(正常范围=-9°至0°)。β角:由A-CB线和AB线构成的角,典型范围为27°至35°。W角:这是由从M到S-G线的对向线与M-G线形成的角,典型范围为51至55度。凸度角:N点-A与A-Pog之间的角。(正常范围:-8.5至10度)。

结果

我们使用Pearson相关性来观察不同骨骼研究之间的关联程度。Wits与凸度ANB角之间呈现出极好的关系,r = 0.831,Downs凸度角(r = 0.823且p = 0.01)具有统计学意义。本研究使用Kappa统计量来评估几种头影测量诊断标准之间的一致程度。ANB与最终分组之间的一致性很强(k = 0.802,p = 0.01)。

结论

所有头影测量指标之间存在紧密联系。头影测量标志点和有效指标被确定为评估错牙合畸形和发育模式最可靠的方法。

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Analysis of factors affecting angle ANB.影响ANB角的因素分析。
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本文引用的文献

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A new approach of assessing sagittal discrepancies: the Beta angle.一种评估矢状面差异的新方法:β角。
Am J Orthod Dentofacial Orthop. 2004 Jul;126(1):100-5. doi: 10.1016/j.ajodo.2003.08.026.
7
The reproducibility and repeatability of the Wits analysis.Wits分析的可重复性和再现性。
Am J Orthod Dentofacial Orthop. 1995 Jun;107(6):640-7. doi: 10.1016/s0889-5406(95)70108-7.
8
Adjusting A-N-B angles to reflect the effect of maxillary position.调整A-N-B角以反映上颌位置的影响。
Angle Orthod. 1981 Apr;51(2):162-71. doi: 10.1043/0003-3219(1981)051<0162:AAATRT>2.0.CO;2.
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The "Wits" appraisal of jaw disharmony.下颌不协调的“Wits”评估
Am J Orthod. 1975 Feb;67(2):125-38. doi: 10.1016/0002-9416(75)90065-2.

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