华西口腔医学杂志

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前牙覆牙合对安氏Ⅲ类错牙合牙合平面的影响

何平1   肖丹娜2   苍松2   高辉2   

  1. 1.天津医科大学研究生院,天津 300070;2.天津市口腔医院正畸科,天津 300041
  • 出版日期:2014-06-01 发布日期:2014-06-01
  • 通讯作者: 肖丹娜,教授,硕士,E-mail:drxiaodanna@gmail.com
  • 作者简介:何平,硕士,E-mail:hepjx2011@sina.com

Occlusal planes of Angle’s class Ⅲ malocclusion impact by anterior overbite

He Ping1, Xiao Danna2, Cang Song2, Gao Hui2   

  1. 1. Graduate School of Tianjin Medical University, Tianjin 300070, China; 2. Dept. of Orthodontics, Tianjin Stoma-tological Hospital, Tianjin 300041, China
  • Online:2014-06-01 Published:2014-06-01

摘要:

目的 探讨安氏Ⅲ类错牙合畸形中牙合平面与前牙覆牙合的相关性,通过控制牙合平面的变化为不同前牙覆牙合安氏Ⅲ类错牙合患者的正畸、正颌治疗提供策略依据。方法 选取90例安氏Ⅲ类前牙反成人正畸患者治疗前的头颅侧位片作为试验组,同时选取30例成人个别正常的头颅侧位片作为对照组。根据前牙覆牙合的大小将安氏Ⅲ类错牙合分为3组,即开组、反覆牙合组、反深覆牙合组,每组各测量14项指标。对各组间的差异进行方差分析和多重比较分析,同时对前牙覆牙合与前后牙合平面的相关性进行直线相关分析。结果 安氏Ⅲ类错牙合中后牙牙合平面倾斜度(OP-P角)和前牙覆牙合呈负相关(r=-0.24,P<0.05),前牙牙合平面倾斜度(OP-A角)与前牙覆牙合呈正相关(r=0.23,P<0.05)。结论   不同前牙覆牙合的牙合平面形态各有不同,在正畸治疗不同前牙覆牙合安氏Ⅲ类错牙合时,应重视后牙垂直高度的控制及后牙牙合平面的倾斜度改变。

关键词: 前牙牙合平面, 后牙牙合平面, 覆牙合, 安氏Ⅲ类错牙合

Abstract:

Objective  To investigate the correlation between Angle’s class Ⅲ patients’ occlusion plane and anterior overbite by controlling the changes in occlusion plane during orthodontic treatment. Methods In total, 90 Angle’s class Ⅲ adult orthodontic patients were selected as the experimental group, and 30 normal adults were selected as the control group. According to the overbite, the class Ⅲ patients were divided into three groups, and 14 indicators were measured. ANOVA and multiple comparison analysis were used to analyze the difference between class Ⅲ patients, and linear analysis was used to analyze the correlation between anterior overbite and anterior-posterior occlusion plane. Results   In class Ⅲ patients, posterior occlusion plane and anterior overbite size were negatively correlated (r=−0.24, P<0.05), whereas anterior occlusal plane and anterior overbite size were positive correlated (r=0.23, P<0.05). Conclusion  The shape of the occlusion plane varies in different anterior overbite patients. During orthodontic treatment in different overbite class Ⅲ patients, the vertical height of the posterior teeth and the rotation of the occlusion plane should be controlled.

Key words: anterior occlusal plane, posterior occlusal plane, overbite, Angle’s class Ⅲ malocclusion