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伴有和不伴有深覆合的安氏II类1分类错牙合儿童的颅面形态

Craniofacial morphology in children with Angle Class II-1 malocclusion with and without deepbite.

作者信息

Karlsen A T

出版信息

Angle Orthod. 1994;64(6):437-46. doi: 10.1043/0003-3219(1994)064<0437:CMICWA>2.0.CO;2.

DOI:10.1043/0003-3219(1994)064<0437:CMICWA>2.0.CO;2
PMID:7864465
Abstract

The craniofacial morphology of children with Class II-1 malocclusion with and without deepbite was studied and compared with that of a control group of children with normal occlusion. Common for the Class II-1 children was a short mandibular corpus, which was probably the main reason these children had a distal basal jaw relationship. The Class II children with deepbite differed from the control group in ways. They had: 1) a distal relationship between points A and B; 2) a distal relationship between points A and pogonion; and 3) a discrepancy in length between the corpora of the two jaws. These deviations discriminated nearly 95% correct between the deepbite group and the controls. The most characteristic deviations in the Class II children without deepbite, in relation to the controls, were: 1) a distal relationship between points A and B; 2) a small angle between the nasal plane and the anterior cranial base; and 3) a long mental process. These deviations discriminated about 95% correct between the experimental group and the controls. Many of the craniofacial differences between the Class II groups could, theoretically, be explained by the MP-SN angle being, on average, 9 degrees larger in the children without deepbite. Most typical was that this group has 1) a larger lower anterior face height, 2) larger maxillary and mandibular incisal heights, and 3) a more obvious distal relationship between points A and pogonion. In combination, these differences discriminated correctly between the Class II groups in 90% and 97% of the cases.

摘要

对伴有和不伴有深覆合的安氏II类1分类错牙合儿童的颅面形态进行了研究,并与正常牙合儿童的对照组进行了比较。安氏II类1分类儿童的共同特点是下颌体短,这可能是这些儿童下颌基骨关系远中的主要原因。伴有深覆合的安氏II类儿童与对照组在以下方面存在差异。他们有:1)A点和B点之间的远中关系;2)A点和颏前点之间的远中关系;3)上下颌体长度的差异。这些偏差在深覆合组和对照组之间的判别正确率接近95%。与对照组相比,不伴有深覆合的安氏II类儿童最典型的偏差是:1)A点和B点之间的远中关系;2)鼻平面与前颅底之间的角度小;3)颏突长。这些偏差在实验组和对照组之间的判别正确率约为95%。理论上,安氏II类两组之间的许多颅面差异可以用不伴有深覆合的儿童平均MP-SN角大9度来解释。最典型的是,该组有:1)较大的下前面高;2)较大的上颌和下颌切牙高度;3)A点和颏前点之间更明显的远中关系。综合起来,这些差异在90%和97%的病例中能够正确地区分安氏II类两组。

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