Beckmann S H, Kuitert R B, Prahl-Andersen B, Segner D, The R P, Tuinzing D B
Department of Orthodontics, ACTA, Amsterdam, The Netherlands.
Am J Orthod Dentofacial Orthop. 1998 Apr;113(4):443-52.
The aim of this study was to investigate whether in the maxilla and in the mandible the structure of the anterior medial sagittal alveolar and basal bone is related to the overbite. A total of 460 untreated adult subjects were divided into four groups with either deep bite, normal overbite, end-to-end bite, or open bite and were compared. The overbite, lower face height, and anterior alveolar and basal midsagittal cross-sectional areas from the maxilla and the mandible were assessed on lateral cephalometric radiographs. An index was calculated, dividing the sagittal by the vertical dimension of the midsagittal cross-sectional area. A deeper bite coincided with smaller lower face height, larger alveolar and basal areas, and a more widened shape of the symphysis. If the lower face height was introduced as a covariable, the open bite group showed significantly smaller maxillary and mandibular alveolar and basal cross-sectional areas compared with the end-to-end group, the normal overbite group, or the deep bite group. Vertical variation of the overbite probably coincides with a relative hyperdevelopment or hypodevelopment of the symphysis.
本研究的目的是调查上颌骨和下颌骨中矢状位前内侧牙槽骨和基骨的结构是否与覆牙合有关。总共460名未经治疗的成年受试者被分为深覆牙合、正常覆牙合、对刃牙合或开牙合四组并进行比较。在头颅侧位片上评估覆牙合、面下高度以及上颌骨和下颌骨矢状位前牙槽和基骨的横截面积。计算一个指数,即将矢状径除以矢状位横截面积的垂直径。较深的覆牙合与较小的面下高度、较大的牙槽骨和基骨面积以及更宽的下颌联合形状相关。如果将面下高度作为协变量引入,与对刃牙合组、正常覆牙合组或深覆牙合组相比,开牙合组的上颌骨和下颌骨牙槽骨及基骨横截面积显著更小。覆牙合的垂直变化可能与下颌联合的相对过度发育或发育不足有关。