Farhat Zeinab, Osman Essam, Kassem Hassan, Bouserhal Joseph
Département des Sciences du Développement, Division d'orthodontie, Faculté de médecine dentaire, Université Arabe de Beyrouth, Tareek El Jadida P.O. Box 11-5020 Riad El Solh 11072809, Beyrouth, Liban.
Département des Sciences de la Réhabilitation Orale, Division des Biomatériaux Dentaires, Faculté de médecine dentaire, Université Arabe de Beyrouth, Tareek El Jadida P.O. Box 11-5020 Riad El Solh 11072809, Beyrouth, Liban.
Orthod Fr. 2022 Dec 1;93(4):321-331. doi: 10.1684/orthodfr.2022.102.
Various studies showed inconsistent and different results regarding the correlation between open bites and palate planes whether normal or abnormal. This study had for objective to investigate the correlation between dentoalveolar heights and palatal plane inclination in different vertical facial patterns.
120 lateral cephalometric radiographs (60 females and 60 males) were selected from the archives of the Faculty of Dentistry, Beirut Arab University. The sample consisted of three equal groups: hypodivergent (SN/MP<27°), normodivergent (SN/MP=27°-37°) and hyperdivergent (SN/MP>37°). The radiographs were digitally traced and cephalometric skeletal and dentoalveolar variables were measured. Statistical analysis was carried out with significance level at p<0.05.
The palatal plane inclination showed statistically significant difference between hyperdivergent and both hypodivergent and normodivergent subjects with no statistically significant difference between hypodivergent and normodivergent subjects. A statistically significant difference in the upper anterior dentoalveolar height (UADAH) was found between hypodivergent and both hyperdivergent and normodivergent subjects. No statistically significant difference was found in the other dentoalveolar heights between the different vertical patterns. A negative moderate correlation was only observed between the palatal plane angle and UADAH in the hyperdivergent group. Multiregression analysis showed that the greatest contribution to overbite pooled across all groups other than the skeletal pattern was attributed to UADAH.
UADAH seems to influence the overbite depth compared to other dentoalveolar heights. It is possible that UADAH acts as a compensatory factor for palatal plane inclination in hyperdivergent subjects.
关于开牙合与腭平面(无论正常与否)之间的相关性,各种研究显示出不一致且不同的结果。本研究旨在调查不同垂直面部模式下牙槽高度与腭平面倾斜度之间的相关性。
从贝鲁特阿拉伯大学牙科学院的档案中选取了120张头颅侧位片(60名女性和60名男性)。样本分为三个相等的组:低角型(SN/MP<27°)、均角型(SN/MP=27°-37°)和高角型(SN/MP>37°)。对这些头颅侧位片进行数字化描图,并测量头颅骨骼和牙槽变量。进行统计分析,显著性水平为p<0.05。
高角型受试者与低角型和均角型受试者之间腭平面倾斜度存在统计学显著差异,而低角型和均角型受试者之间无统计学显著差异。低角型受试者与高角型和均角型受试者之间在上颌前牙槽高度(UADAH)上存在统计学显著差异。不同垂直模式之间的其他牙槽高度无统计学显著差异。仅在高角型组中观察到腭平面角与UADAH之间存在中度负相关。多元回归分析表明,除骨骼模式外所有组中对覆牙合贡献最大的因素是UADAH。
与其他牙槽高度相比,UADAH似乎会影响覆牙合深度。在高角型受试者中,UADAH有可能作为腭平面倾斜的一个补偿因素。