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不同体位下正颌手术患者静态牙齿暴露的比较及其影响因素。

Comparison of static teeth exposure in different postures and its influencing factors of orthognathic surgery patients.

机构信息

Stomatological Center, Peking University Shenzhen Hospital, Shenzhen 518036.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2024 Oct 1;42(5):624-628. doi: 10.7518/hxkq.2024.2024099.

Abstract

OBJECTIVES

This study aimed to explore the differences and influencing factors of static teeth exposure in different postures of orthognathic surgery patients.

METHODS

A total of 148 patients were collected before or after orthognathic surgery. Photographs were taken in the upright and supine positions, and the static teeth exposure values were measured to compare whether the difference among different positions was statistically significant. The patients were classified in accordance with gender, presence or absence of orthodontic brackets, measurement time (preoperative or postoperative), and maxillary movement direction (forward or backward), and the difference of static teeth exposure was compared. The correlation between the difference of static teeth exposure and age was analyzed.

RESULTS

The diffe-rence of static teeth exposure between the two positions was 0.99 mm±0.95 mm, which was statistically significant (=0.000). A statistical difference in the difference of static exposure was observed between female and male (0.05). No statistical difference in the difference of static exposure was observed among orthodontic brackets, preoperative or postoperative time points, and maxillary movement direction. In addition, no significant correlation was found between the difference of static teeth exposure and age (=-0.087, =0.291).

CONCLUSIONS

Compared with the upright position, the static exposure of teeth increased by approximately 0.99 mm in the supine position. The difference of static exposure under different postures was greater in males than in females. Furthermore, orthodontic bracket, maxillary surgery, maxillary movement direction, and age had no effect on the difference of static teeth exposure in different postures.

摘要

目的

本研究旨在探讨正颌手术患者不同体位下静态牙齿暴露的差异及其影响因素。

方法

共收集 148 例正颌手术前后患者的资料。分别在直立位和仰卧位拍摄照片,测量静态牙齿暴露值,比较不同体位下静态牙齿暴露值的差异是否具有统计学意义。按照性别、是否佩戴正畸托槽、测量时间(术前或术后)、上颌骨移动方向(前或后)对患者进行分类,比较静态牙齿暴露差异。分析静态牙齿暴露差值与年龄的相关性。

结果

两种体位下静态牙齿暴露的差值为 0.99mm±0.95mm,差异有统计学意义(=0.000)。女性与男性之间静态暴露差值的差异具有统计学意义(0.05)。正畸托槽、术前或术后时间点、上颌骨移动方向之间静态暴露差值的差异无统计学意义。此外,静态牙齿暴露差值与年龄之间无显著相关性(=-0.087,=0.291)。

结论

与直立位相比,仰卧位时静态牙齿暴露增加约 0.99mm。不同体位下静态暴露的差异在男性中大于女性。此外,正畸托槽、上颌手术、上颌骨移动方向和年龄对不同体位下静态牙齿暴露的差异没有影响。

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