华西口腔医学杂志 ›› 2016, Vol. 34 ›› Issue (6): 606-610.doi: 10.7518/hxkq.2016.06.011

• 临床研究 • 上一篇    下一篇

头影测量中冠长轴与牙长轴倾斜在正常 的表现

刘序1,任静2,杨娴睿3,王莉4   

  1. 1.遂宁市中心医院口腔科,遂宁 629000;2.成都市郫县瑞安口腔,成都 611730;3.口腔疾病研究国家重点实验室 华西口腔医院正畸科(四川大学),成都 610041;4.成都理工大学医院口腔科,成都 610059
  • 收稿日期:2016-07-05 修回日期:2016-09-29 出版日期:2016-12-01 发布日期:2016-12-01
  • 通讯作者: 王莉,副主任医师,硕士,E-mail:wangli@cdut.cn
  • 作者简介:刘序,主治医师,学士,E-mail:937900863@qq.com
  • 基金资助:
    国家自然科学基金(81371171)

Inclination of crown and tooth longitudinal axis in cephalometric analysis of normal occlusions

Liu Xu1, Ren Jing2, Yang Xianrui3, Wang Li4   

  1. 1. Dept. of Stomatology, Central Hospital of Suining City, Suining 629000, China; 2. Ruian Dental Clinic of Pixian in Chengdu, Chengdu 611730, China; 3. State Key Laboratory of Oral Diseases, Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; 4. Dept. of Stomatology, Hospital of Chengdu University of Technology, Chengdu 610059, China) Supported by: The National Natural Science Foundation of China(81371171). Correspondence: Wang Li, E-mail: wangli@ cdut.cn.
  • Received:2016-07-05 Revised:2016-09-29 Online:2016-12-01 Published:2016-12-01

摘要: 目的 本研究通过测量并分析正常头影测量中的切牙冠长轴与牙长轴的倾斜角度,以期为错畸形的方案选择及疗效评判提供参考。方法 按照Andrews正常六项标准纳入120名受试者,于自然头位下拍摄头颅侧位片,并测量其上下颌切牙冠长轴与真性垂线(TV)、平面(OP)及牙长轴的交角。结果 上颌切牙冠长轴与TV交角为11.72°±4.71°,与OP交角为73.29°±5.69°,与上颌切牙长轴交角为20.04°±3.71°;下颌切牙冠长轴与TV、OP和牙长轴的交角分别为16.03°±5.40°、81.76°±4.81°和14.82°±4.01°。多数上颌切牙冠长轴与牙长轴夹角分布于15°~25°之间,多数下颌切牙冠长轴与牙长轴夹角分布于10°~20°之间。结论 在使用头颅侧位片制订治疗方案和评估疗效时,除了关注上下颌切牙的牙长轴倾斜程度,还应考虑上下颌切牙的冠长轴倾斜情况。

关键词: 冠长轴, 牙长轴, 正常, 头颅侧位片, 自然头位

Abstract: Objective We measured and analyzed the angle between the longitudinal axis of incisor crown and tooth to provide a reference for orthodontists for selecting orthodontic methods and evaluating treatment results. Methods A total of 120 participants were included according to the criteria of Andrews’ six keys, and cephalometric radiograph under the instructions of modified natural head position acquirement method was performed. The angles of maxillary incisor crown longitudinal axis, tooth longitudinal axis, occlusion plane (OP), and true vertical (TV) plane were measured, as well as mandibular incisors. Results As for maxillary incisors, the angle between crown longitudinal axis and TV plane, OP, and tooth longitudinal axis were 11.72°±4.71°, 73.29°±5.69°, and 20.04°±3.71°, respectively. For mandibular incisors, the angle between crown longitudinal axis and TV plane, OP, and tooth longitudinal axis were 16.03°±5.40°, 81.76°±4.81°, and 14.82°±4.01°, respectively. For the maxillary incisor, the angles between crown longitudinal axis and tooth longitudinal axis were mainly within 15° to 25°, whereas those for mandibular incisors were within 10° to 20°. Conclusion The longitudinal axis inclinations of the maxillary and mandibular incisor crown and of the incisor tooth need to be considered when cephalometric radiographs are used for treatment planning or for evaluating the treatment result.

Key words: crown inclination, tooth inclination, normal occlusion, cephalometric analysis, natural head position

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