髁突大小与骨性 II 类错[牙合]患者咬合平面相关性的研究。
Research on the correlation between the size of condyle and occlusion plane in skeletal Class II malocclusions.
机构信息
Department of Orthodontics, Qujing First People's Hospital, Qujing Hospital affiliated to Kunming Medical University, Yunnan, China.
Department of Orthodontics, Shanghai Ninth Peoples's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
出版信息
Clin Exp Dent Res. 2022 Dec;8(6):1547-1554. doi: 10.1002/cre2.672. Epub 2022 Oct 13.
OBJECTIVES
This study was designed to investigate the relationship between the morphological structure of condyle and occlusal plane in skeletal Class II malocclusions by imaging measurement.
MATERIALS AND METHODS
This study included 65 skeletal Class II adult patients (18-35 years old) who met the criteria, and all were taken with cone beam computed tomography (CBCT) images (skeletal Class II high angle 38 cases, average angle 18 cases, and low angle nine cases). The statistical methods of mean standard deviation, Pearson correlation, and analysis of variance were used to study the correlation between the size of the condyle and occlusal plane in skeletal Class II malocclusion.
RESULTS
The FMA and SN-OP between the groups in skeletal Class II malocclusion are considered statistically significant, p < .05 high angle group > average angle group > low angle group, whereas there are significant correlations between FMA, FH-OP, SN-OP, and the medial-lateral diameter (MLD) of the condyle, p < .05, showing a negative correlation. The anteroposterior diameter of the condyle has no significant correlation with these angles, and the high-angle group size is smaller than the other groups.
CONCLUSION
In patients with skeletal Class II high angle malocclusion, the MLD and anteroposterior diameters of condyle were smaller than those of average angle and low angle groups, and negatively correlated with the FMA and SN-OP. That is the steeper occlusal plane, the smaller MLD of the condyle. It suggests whether orthodontists can promote the stability of the morphological structure of the condyle by changing the inclination of the occlusal plane during the orthodontic process.
目的
本研究旨在通过影像学测量探讨骨性 II 类错[牙合]患者髁突形态结构与[牙合]平面的关系。
材料与方法
本研究纳入 65 例符合标准的骨性 II 类成人患者(18-35 岁),均行锥形束 CT(CBCT)检查(高角 38 例、均角 18 例、低角 9 例)。采用均数标准差、Pearson 相关、方差分析等统计学方法,研究骨性 II 类错[牙合]患者髁突大小与[牙合]平面的相关性。
结果
骨性 II 类错[牙合]患者中 FMA 和 SN-OP 组间差异有统计学意义(p<0.05),高角组>FMA 组>均角组>低角组,FMA、FH-OP、SN-OP 与髁突的内外径(MLD)之间存在显著相关性(p<0.05),呈负相关,而髁突前后径与各角度无显著相关性,高角组较小。
结论
在骨性 II 类高角错[牙合]患者中,髁突的 MLD 和前后径均小于均角和低角组,与 FMA 和 SN-OP 呈负相关,即[牙合]平面越陡,髁突 MLD 越小。提示正畸医生在矫治过程中通过改变[牙合]平面的倾斜度,是否可以促进髁突形态结构的稳定性。