Morita T, Takeuchi S, Yamashita H
Department of Anatomy, Jikei University School of Medicine, Tokyo, Japan.
Kaibogaku Zasshi. 1993 Jun;68(3):316-27.
For the purpose of studying morphology of edentulous mandibula, not only the bone change of edentulous alveolar part, but the whole morphological change of edentulous mandibula was examined. Thirty-three edentulous mandibulae that have no sockets owing to the bone absorption of alveolar ridge and eighty dentulous mandibulae that possess no missing teeth except wisdom teeth were measured and compared. The authors obtained the following results concerning the morphological change of edentulous mandibula: 1. Although the body height was significantly low on account of bone absorption at the alveolar ridge, bone absorption at base of mandibula was not much observed. 2. Both condylar process height and coronoid process height were significantly low. 3. Mandibular angle of edentulous mandibular was greater. 4. In dentulous mandibula a negative correlation between mandibular angle and condylar process height, coronoid process height was found. A correlation between mandibular angle and the difference of total mandibular length and body length was observed. A great mandibular angle was found because it seems that the bone deposition was less at the inferior and posterior margin of mandibular angle part. 5. It seems that bone absorption at inferior and posterior margin of edentulous mandibular angle part was due to less bone deposition. Because a bite force decreased for missing teeth.
为了研究无牙下颌骨的形态,不仅检查了无牙牙槽部分的骨质变化,还检查了无牙下颌骨的整体形态变化。对33例因牙槽嵴骨质吸收而无牙槽窝的无牙下颌骨和80例除智齿外无牙齿缺失的有牙下颌骨进行了测量和比较。作者获得了关于无牙下颌骨形态变化的以下结果:1. 尽管由于牙槽嵴骨质吸收,体高显著降低,但下颌骨基部的骨质吸收并不明显。2. 髁突高度和冠突高度均显著降低。3. 无牙下颌骨的下颌角更大。4. 在有牙下颌骨中,发现下颌角与髁突高度、冠突高度呈负相关。观察到下颌角与下颌总长度和体长差异之间存在相关性。发现下颌角较大是因为下颌角部分的下缘和后缘骨质沉积较少。5. 无牙下颌角部分的下缘和后缘骨质吸收似乎是由于骨质沉积较少。因为缺牙导致咬合力下降。