青少年下颌磨牙后间隙的测量分析
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苏比努尔?玉苏蒲(1998.8-),女,新疆喀什人,硕士研究生,主要从事口腔颌面部其他疾病的矫形治疗方面工作

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刘奕杉(1963.9-),女,山东蓬莱人,硕士,教授,主要从事口腔颌面部其他疾病的矫形治疗方面工作

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R78

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Measurement Analysis of the Retromolar of Adolescent Mandibular Molars
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    摘要:

    目的 研究12~15岁的青少年在不同矢状骨面型下,磨牙后间隙和Spee曲线深度、下颌牙列拥挤 程度之间的关系,评估第三磨牙的生长方向和位置。方法 选取2020年1月-2023年12月就诊于新疆医科大 学第一附属医院儿牙预防科及口腔正畸科的182例青少年患者为研究对象,均接受CBCT与头颅侧位片检 查,其中骨性Ⅰ类63例,纳入骨性Ⅰ类组;骨性Ⅱ类57例,纳入为骨性Ⅱ类组;骨性Ⅲ类62例,纳入为 骨性Ⅲ类组。分别测量三组磨牙后间隙(RMS)、Spee曲线深度、下颌牙列拥挤度,观察下颌第三 磨牙生长方向和位置,分析下颌磨牙后间隙在不同矢状骨面型特征及与拥挤度、S pe e曲线深度之 间的相关性。结果 左右侧磨牙后间隙、Spee曲线比较,差异无统计学意义(P >0.05);不同性别 RMS、Spee曲线深度及下颌牙列拥挤度比较,差异无统计学意义(P >0.05);骨性Ⅱ类组RMS大 于骨性Ⅰ类组(P <0.05);骨性Ⅲ类组RMS 小于骨性Ⅰ类组和骨性Ⅱ类组(P <0 . 0 5);骨性Ⅲ 类组S p e e曲线深度大于骨性Ⅰ类组(P <0.05);骨性Ⅲ类组下颌牙列拥挤度大于骨性Ⅰ类和骨性Ⅱ 类(P <0.05);骨性Ⅰ类组下颌牙列拥挤度大于骨性Ⅱ类组(P<0.05);Spearman相关性分析显示,三组 Spee曲线深度、下颌牙列拥挤度与RMS均有相关性,且RMS与 Spee曲线深度、下颌牙列拥挤度呈负相关 (P<0.05)。结论 青少年不同矢状骨面型磨牙后间隙存在差异,不同矢状骨面型下磨牙后间隙、与Spee 曲线深度,下颌牙列拥挤度具有相关性,分析不同错颌畸形下颌磨牙后间隙的影响因素,可作为设计临床 矫治方案、评价矫治成效及稳定度的重要参照。

    Abstract:

    Objective To study the relationship between the retromolar molar space and the depth of the SPEE curve, the degree of crowding of the mandibular dentition in adolescents aged 12~15 years under different sagittal bone shapes, and to evaluate the growth direction and position of the third molar. Methods From January 2020 to December 2023, 182 adolescent patients who were admitted to the Department of Pediatric Dentistry and Orthodontics of the First Affiliated Hospital of Xinjiang Medical University were selected as the research objects. All of them received CBCT and lateral cephalogram examination, including 63 patients of skeletal class Ⅰ, which were included in the skeletal class Ⅰ group; 57 patients of skeletal class Ⅱ, which were included in the skeletal class II group; 62 patients of skeletal class Ⅲ, which were included in the skeletal class Ⅲ group. The retromolar space (RMS), Spee curve depth and mandibular crowding were measured in three groups. The growth direction and position of mandibular third molar were observed. The characteristics of mandibular retromolar space in different sagittal facial types and its correlation with crowding and Spee curve depth were analyzed. Results There were no significant difference between the retromolar space and Spee curves of the left and right molars (P >0.05). There were no statistically significant comparisons of RMS, Spee curve depth and mandibular dentition crowding among different genders (P >0.05). The RMS of skeletal class Ⅱ group was greater than that of skeletal class Ⅰ group (P <0.05), and the RMS of keletal class Ⅲ group was smaller than that of skeletal class Ⅰ group and skeletal class Ⅱ group (P <0.05). The depth of the Spee curve of keletal class Ⅲ group was greater than that of skeletal class Ⅰ group (P <0.05). The crowding degree of mandibular dentition in the skeletal class Ⅲ group was greater than that in skeletal class Ⅰ group and skeletal class Ⅱ group (P <0.05), and the crowding degree of mandibular dentition in skeletal class Ⅰ group was greater than that in skeletal class Ⅱ group (P <0.05). Spearman correlation analysis showed that the depth of Spee curve and the crowding degree of mandibular dentition in the three groups were correlated with the RMS, and the RMS was negatively correlated with the depth of Spee curve and the crowding degree of mandibular dentition (P <0.05). Conclusion There are statistically significant differences in the retromolar space of adolescents with different sagittal bone facial molars. The retromolar space of different sagittal bone types was correlated with the depth of the Spee curve and the congestion of the mandibular dentition.

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苏比努尔?玉苏蒲,刘奕杉,等.青少年下颌磨牙后间隙的测量分析[J].医学美学美容,2024,33(17):55-59.

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  • 在线发布日期: 2024-10-08
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