上海口腔医学 ›› 2018, Vol. 27 ›› Issue (4): 376-381.doi: 10.19439/j.sjos.2018.04.008

• 论著 • 上一篇    下一篇

轻度骨性偏颌患者的牙▉及颌骨特征研究

沈丹阳, 胡丽华, 左思慧, 康启超, 阎秀林   

  1. 中国医科大学附属口腔医院 正畸一科,辽宁省口腔医学研究所 口腔正畸教研室, 辽宁省口腔疾病转化医学研究中心,辽宁 沈阳 110002
  • 收稿日期:2017-03-30 修回日期:2017-07-14 出版日期:2018-08-25 发布日期:2018-10-09
  • 通讯作者: 阎秀林,E-mail: chbyxl@163.com
  • 作者简介:沈丹阳(1989-),女,硕士,E-mail:756039013@qq.com
  • 基金资助:
    辽宁省教育厅科学技术研究项目(LK201607)

Evaluation of dental and craniofacial characteristics in patients with mild skeletal facial asymmetry

SHEN Dan-yang, HU Li-hua, ZUO Si-hui, KANG Qi-chao, YAN Xiu-lin   

  1. Department of Orthodontics, Hospital of Stomatology, China Medical University; Lab of Orthodontics, Liaoning Institute of Dental Research. Shenyang 110002, Liaoning Province, China
  • Received:2017-03-30 Revised:2017-07-14 Online:2018-08-25 Published:2018-10-09

摘要: 目的: 通过对轻度骨性偏颌患者与颌面对称患者之间牙及颌骨形态特点的比较,研究轻度骨性偏颌患者牙、颌骨形态特点及其相关关系。方法: 选取恒牙期轻度骨性偏颌患者(实验组)以及面部基本对称的患者(对照组)各30例,采用X线及锥形束CT(CBCT)对所有患者进行头颅扫描,并对扫描数据进行测量。采用SPSS19.0软件包对测量结果进行统计学分析。结果: 实验组左、右侧下颌骨,上、下颌第一磨牙及其周围牙槽骨在冠状面出现不对称现象,差异显著(P<0.05)。实验组与对照组在下颌牙列中线与面中线成角,前下颌平面倾斜角度,上、下颌第一磨牙倾斜角度,下颌第一磨牙区牙槽骨倾斜度、宽度方面均存在显著差异(P<0.05)。颏点偏斜的程度、第一磨牙倾斜度与其周围牙槽骨倾斜度和宽度之间存在一定的相关关系。结论: 轻度骨性偏颌患者磨牙倾斜度、牙槽骨及颌骨在冠状面具有一定的特征性表现。轻度骨性偏颌患者颏点偏斜的程度、第一磨牙倾斜度与其周围牙槽骨倾斜度和宽度之间可能存在一定的相关关系。

关键词: 轻度骨性偏颌, 牙特征, 颌骨特征

Abstract: PURPOSE: The purpose of this study was to investigate the dental and craniofacial morphological characteristics in patients with mild skeletal facial asymmetry, and to investigate the relationship between mild skeletal facial asymmetry and dental anomalies. METHODS: Thirty patients with mild skeletal facial asymmetry (experimental group) and 30 patients with normal faces (control group) were selected. All patients were scanned by cone-beam computed tomography (CBCT) and X-ray machine, Winceph software was used to measure the posteroanterior cephalometric radiographs, NNT software was used to measure the CBCT data. The results were analyzed by Chi-square test, paired t test and independent sample t test using SPSS 19.0 software package. RESULTS: There were significant differences between the left and right sides of faces, teeth and alveolar bone of the first molar in the experimental group. The angle of mandibular dental midline and facial midline, the inclination of the frontal mandibular plane, the inclination of the first molar, the inclination of alveolar bone of the mandibular first molar, the width of alveolar bone of the mandibular first molar showed significant differences between the experimental group and the control group (P<0.05). There are some correlations among menton deviation, inclination of the first molar and alveolar bone of the first molar. CONCLUSIONS: Patients with mild skeletal facial asymmetry showed some specific skeletal and dental characteristics. There could be some correlations between these features.

Key words: Mild skeletal facial asymmetry, Dental characteristics, Craniofacial characteristics

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