成人骨性Ⅱ类错畸形上气道与上、下颌骨形态分析

doi:10.19439/j.sjos.2021.04.016

上海口腔医学 ›› 2021, Vol. 30 ›› Issue (4): 419-423.doi: 10.19439/j.sjos.2021.04.016

成人骨性Ⅱ类错畸形上气道与上、下颌骨形态分析

毛晓燕, 杨佳音, 李佳, 徐睿

上海市嘉定区牙病防治所修复正畸科,上海 201899

收稿日期:2021-04-13 修回日期:2021-06-23 出版日期:2021-08-25 发布日期:2021-09-23
通讯作者: 徐睿,E-mail:yuanzhen822@163.com
作者简介:毛晓燕（1984-）,女,硕士,主治医师,E-mail:maoxiaoyan2013@sina.com
基金资助:
2020年嘉定区自然科学研究课题项目（JDKW-2020-0048）

Evaluation of the upper airway and maxillary and mandibular characters in adult skeletal Class Ⅱ malocclusion

MAO Xiao-yan, YANG Jia-yin, LI Jia, XU Rui

Department of Prosthodontics and Orthodontics, Dental Diseases Prevention & Treatment Center of Jiading District. Shanghai 201899,China

Received:2021-04-13 Revised:2021-06-23 Online:2021-08-25 Published:2021-09-23

摘要/Abstract

摘要： 目的: 应用锥形束CT（CBCT）分析骨性Ⅱ类错畸形患者上气道与上、下颌骨形态的相关关系。方法: 选择骨性Ⅱ类及骨性Ⅰ类错畸形成年患者各33例进行CBCT扫描,保存为Dicom文件,导入Mimics 19.0软件中进行三维重建,对2组患者上气道与上、下颌骨数据进行测量。采用SPSS 19.0软件包进行统计学分析,比较成人骨性Ⅱ类错与个别正常间上气道与上、下颌骨形态、结构的差异,以及骨性Ⅱ类错畸形患者上气道与上、下颌骨测量项目的相关关系。结果: 骨性Ⅱ类错组和个别正常组上气道形态与上、下颌骨测量结果比较,15个测量项目有显著差异(P<0.05)。骨性Ⅱ类错组上气道形态与下颌骨长度存在相关性的项目有10个,骨性Ⅱ类错组上气道形态与上颌骨宽度各测量项目中有显著相关性的项目有13个,骨性Ⅱ类错组上气道形态与下颌骨宽度各测量项目中有显著相关性的项目有3个。结论: 骨性Ⅱ类错畸形患者上气道与上、下颌骨之间具有相关关系。骨性Ⅱ类成人患者的上气道与上、下牙弓宽度也有一定相关关系。

关键词: 骨性Ⅱ类错畸形, 上气道, 牙弓宽度, 相关关系, 锥形束CT

Abstract: PURPOSE: To analyze the relationship between upper airway and mandible morphology in patients with skeletal Class Ⅱ malocclusion with cone-beam CT (CBCT). METHODS: Thirty-three volunteers with individual normal occlusion and thirty-three patients with skeletal Class Ⅱ malocclusion were selected to undergo CBCT. All samples were outputted to Dicom and reconstructed using Mimics 19.0 medical software. SPSS 19.0 software package was used to analyze the differences between the two groups. Correlation between the two groups was evaluated using Pearson's coefficient analysis. RESULTS: Fifteen parameters showed significant difference between individual normal occlusion and the skeletal Class Ⅱ malocclusion(P<0.05). There were 10 significant correlational parameters between mandible length and upper airway of the skeletal Class Ⅱ malocclusion group. There were 13 significant correlational parameters between the arch width of the maxilla and upper airway of the skeletal Class Ⅱ malocclusion group. There were 3 significant correlational parameters between the arch width of the mandible and upper airway of the skeletal Class Ⅱ malocclusion group. CONCLUSIONS: The upper airway morphology of skeletal Class Ⅱ malocclusion is correlated with maxillary and mandibular parameters.

Key words: Skeletal Class Ⅱ malocclusion, Upper airway, Arch width, Correlation, Cone-beam CT

中图分类号:

R783.5

毛晓燕, 杨佳音, 李佳, 徐睿. 成人骨性Ⅱ类错畸形上气道与上、下颌骨形态分析[J]. 上海口腔医学, 2021, 30(4): 419-423.

MAO Xiao-yan, YANG Jia-yin, LI Jia, XU Rui. Evaluation of the upper airway and maxillary and mandibular characters in adult skeletal Class Ⅱ malocclusion[J]. Shanghai Journal of Stomatology, 2021, 30(4): 419-423.

参考文献

[1] Mcnamara JJ.Components of class Ⅱ malocclusion in children 8-10 years of age[J]. Angle Orthod, 1981, 51(3): 177-202.
[2] Alhammadi MS, Halboub E, Fayed MS, et al.Global distribution of malocclusion traits: a systematic review[J]. Dental Press J Orthod, 2018, 23(6): 40.e1-40.e10.
[3] Pancherz H, Zieber K, Hoyer B.Cephalometric characteristics of Class Ⅱ division 1 and Class Ⅱ division 2 malocclusions: a comparative study in children[J]. Angle Orthod, 1997, 67(2): 111-120.
[4] Angle E.Treatment of malocclusion of the teeth[M]. 7th ed. Philadel-phia: SS White Manufacturing Co., 1907.
[5] Iwasaki T, Hayasaki H, Takemoto Y, et al.Oropharyngeal airway in children with Class Ⅲ malocclusion evaluated by cone-beam computed tomography[J]. Am J Orthod Dentofacial Orthop, 2009, 136(3): 311-319.
[6] Joseph AA, Elbaum J, Cisneros GJ, et al.A cephalometric comparative study of the soft tissue airway dimensions in persons with hyperdivergent and normodivergent facial patterns[J]. J Oral Maxillofac Surg, 1998, 56(2): 135-140.
[7] Mattos CT, Cruz CV, Da MT, et al.Reliability of upper airway linear, area, and volumetric measurements in cone-beam computed tomography[J]. Am J Orthod Dentofacial Orthop, 2014, 145(2): 188-197.
[8] Guijarro-Martínez R, Swennen GR.Three-dimensional cone beam computed tomography definition of the anatomical subregions of the upper airway: a validation study[J]. Int J Oral Maxillofac Surg, 2013, 42(9): 1140-1149.
[9] 张红, 王建国, 张锡忠, 等. 骨性Ⅲ类错畸形患者拔牙矫治后的软硬组织变化研究[J]. 天津医药, 2014, 42(5): 473-476.
[10] 郑赵杨, 张苗苗, 刘志杰. 骨性Ⅲ类错畸形上气道与下颌骨形态结构研究[J]. 口腔医学研究, 2018, 34(4): 405-410.
[11] 胡小蓓, 张昆, 王大为, 等. 不同矢状骨面型青少年患者上气道大小的锥形束CT分析[J]. 上海口腔医学, 2017, 26(5): 530-534.
[12] 陈科名, 杨崇实, 邓锋. 不同矢状骨面型错畸形患者气道大小形态的CBCT研究[J]. 口腔医学研究, 2012, 28(1): 54-57.
[13] 陈科名. 不同矢状骨面型错畸形患者气道大小形态的CBCT研究[D]. 重庆: 重庆医科大学, 2012.
[14] 张红. 骨性Ⅱ类错畸形上气道与下颌骨的三维结构研究[D]. 天津: 天津医科大学, 2014.
[15] 杨莉, 韩蓓蕾, 邓海艳, 等. 矢状骨面型错畸形对成年人上气道影响的CBCT研究[J]. 口腔医学, 2017, 37(2): 144-148.
[16] Huth J, Staley RN, Jacobs R, et al.Arch widths in Class Ⅱ² adults compared to adults with Class Ⅱ¹ and normal occlusion[J]. Angle Orthodontist, 2007, 77(5): 837-844.
[17] Ciscar MA, Juan G, Martínez V, et al.Magnetic resonance imaging of the pharynx in OSA patients and healthy subjects[J]. Eur Respir J, 2001, 17(1): 79-86.
[18] Lowe AA, Ono T, Ferguson KA, et al.Cephalometric comparisons of craniofacial and upper airway structure by skeletal subtype and gender in patients with obstructive sleep apnea[J]. Am J Orthod Dentofacial Orthop, 1996, 110(6): 653-664.
[19] Lux CJ, Conradt C, Burden D, et al.Three-dimensional analysis of maxillary and mandibular growth increments[J]. Cleft Palate Craniofac J, 2004, 41(3): 304-314.

成人骨性Ⅱ类错畸形上气道与上、下颌骨形态分析

Evaluation of the upper airway and maxillary and mandibular characters in adult skeletal Class Ⅱ malocclusion

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	李苏娜, 宋文尚, 刘子略, 杜月茹, 蔡世新. 义齿咬合板联合综合物理疗法对颞下颌关节盘不可复性前移位的疗效评价[J]. 上海口腔医学, 2024, 33(3): 273-278.
[2]	彭源浩, 庄昕仪, 喻婷, 吕冬梅, 温秀杰, 程钎. 青少年颧牙槽嵴区皮质骨厚度的锥形束CT测量及其与颈椎骨龄的相关性研究[J]. 上海口腔医学, 2023, 32(6): 623-629.
[3]	王萌, 陶李明, 胡亚男. Twin-block联合上颌扩弓器矫治下颌后缩儿童前后舌位的改变及上气道的三维变化[J]. 上海口腔医学, 2023, 32(6): 635-639.
[4]	鄢洁雅, 林怡君, 李雅欣, 劳安, 廖盛轩, 刘加强. 骨性Ⅲ类错𬌗畸形患者双颌手术后上气道形态变化及相关性分析[J]. 上海口腔医学, 2023, 32(5): 485-490.
[5]	黄仲敏, 张赟, 李小兵. 替牙列早期上颌慢速扩弓对上颌中段牙及牙槽嵴的影响[J]. 上海口腔医学, 2023, 32(5): 501-507.
[6]	李贵宏, 谢思静, 林梓桐, 张婷, 汤旭娜, 胡勤刚. 下颌第二磨牙C形根管治疗前后根管壁厚度测量分析[J]. 上海口腔医学, 2023, 32(4): 395-400.
[7]	王文丽, 傅亚婷, 刘华, 马潇. 上颌前牙美学区牙龈三维形态的锥形束CT测量分析[J]. 上海口腔医学, 2023, 32(2): 177-182.
[8]	张薇, 陈威, 陈志方. 可调式活动牵引器治疗上颌唇侧倒置阻生中切牙效果评价[J]. 上海口腔医学, 2023, 32(2): 193-197.
[9]	宋珏, 刘好好, 刘嘉靓, 陈美华. 上颌磨牙与上颌窦黏膜增厚发生的相关性分析[J]. 上海口腔医学, 2022, 31(6): 638-642.
[10]	吕云松, 李朝晖. 颞下颌关节紊乱综合征伴偏侧咀嚼患者锥形束CT特征分析[J]. 上海口腔医学, 2022, 31(6): 653-656.
[11]	周子芊, 陈振琦. 上颌窦底对上颌第一磨牙近中移动的影响[J]. 上海口腔医学, 2022, 31(6): 661-667.
[12]	黄纯, 温馨, 黄乐, 赵宁. 上颌前方牵引对恒牙早期骨性Ⅲ类错上、下颌骨宽度影响的三维模拟分析[J]. 上海口腔医学, 2022, 31(5): 550-555.
[13]	林翔, 傅裕杰, 任根强, 温佳欢, 陈宇飞, 张旗. U-Net神经网络分割锥形束CT影像中下颌磨牙牙体与牙髓腔及其准确性验证[J]. 上海口腔医学, 2022, 31(5): 454-459.
[14]	马智菲, 周梦琪, 王丽珍, 承清, 洪瑾. Er:YAG 激光在小型猪牙髓血运重建术中的应用效果评价[J]. 上海口腔医学, 2022, 31(4): 367-373.
[15]	黄锦程, 赵华强, 李国菊. Stafne骨腔影像学特征：基于CBCT的回顾性分析[J]. 上海口腔医学, 2022, 31(4): 439-444.