Hsu B S
Faculty of Dentistry, National Yang-Ming University, Taipei, Taiwan.
Am J Orthod Dentofacial Orthop. 1998 Mar;113(3):344-50. doi: 10.1016/s0889-5406(98)70307-5.
Measurements were made of study casts of patients with anterior open bite to compare the width of maxillary and mandibular arches and the depth of the palate. This study was designed to (1) explore the nature of the arch width difference for patients with anterior open bite, whether dental or skeletal in nature, and (2) clarify the general impression of "high" palatal vaults for anterior open bite cases, to make sure if there are "absolutely high" or "relatively high" palatal vaults. Measurements in male and female patients with open bite malocclusions were analyzed and compared with those in male and female patients with normal occlusions. Similar trends were found for both sexes. Skeletally narrowed maxillary posterior width and dentally widened mandibular posterior widths were found. Palatal depth was in the normal range in the patients with anterior open bite. Orthopedic widening of the maxillae and inclining of the mandibular posterior teeth lingually are recommended when orthodontic treatment is to be rendered to patients with anterior open bite.
对前牙开颌患者的研究模型进行测量,以比较上颌和下颌牙弓的宽度以及腭部的深度。本研究旨在:(1)探究前牙开颌患者牙弓宽度差异的本质,是牙性还是骨性的;(2)明确前牙开颌病例中“高”腭穹隆的总体印象,确定是否存在“绝对高”或“相对高”的腭穹隆。对前牙开颌错颌畸形的男性和女性患者的测量结果进行分析,并与正常咬合的男性和女性患者的测量结果进行比较。男女两性均发现了相似的趋势。发现上颌后牙宽度骨骼性变窄,下颌后牙宽度牙性变宽。前牙开颌患者的腭部深度在正常范围内。对于前牙开颌患者进行正畸治疗时,建议对上颌进行矫形扩弓,并使下颌后牙舌倾。