华西口腔医学杂志

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青少年下颌后缩患者颅颌面硬组织结构特征的Delaire头影测量初步分析

周洁1 宋锦璘1 陈梦苇2 王涛1 邓锋1   

  1. 1.重庆医科大学附属口腔医院正畸科, 重庆400015; 2.重庆医科大学附属儿童医院口腔科, 重庆400014
  • 收稿日期:2009-12-25 修回日期:2009-12-25 出版日期:2009-12-20 发布日期:2009-12-20
  • 通讯作者: 宋锦璘,Tel:023-89035739
  • 作者简介:周洁(1983—),女,重庆人,硕士
  • 基金资助:

    重庆市科委攻关基金资助项目(CSTC.2004AD2005);重庆市医学科研基金资助项目(05-1-007)

Preliminary study of cranio-maxillofacial hard tissue structure feature of young mandibular retrusion orthognathic patients with Delaire cephalometric analysis

ZHOU Jie1, SONG Jin-lin1, CHEN Meng-wei2, WANG Tao1, DENG Feng1   

  1. 1. Dept. of Orthodontics, College of Stomatology, Chongqing Medical University, Chongqing 400015, China; 2. Dept. of Stomatology, Children′s Hospital of Chongqing Medical University, Chongqing 400014, China
  • Received:2009-12-25 Revised:2009-12-25 Online:2009-12-20 Published:2009-12-20
  • Contact: SONG Jin-lin,Tel:023-89035739

摘要:

目的采用Delaire头影测量法分析重庆地区青少年下颌后缩患者颅颌面硬组织特征及其补偿机制,为进一步诊断、治疗设计及预后分析提供参考。方法选取重庆地区11~14岁下颌后缩患者56例及正常青少年40例为研究对象,拍摄头颅侧位片,采用传统头影测量法和Delaire头影测量法分析其颅颌面硬组织结构特征。结果传统头影测量法分析发现,与正常相比,下颌后缩患者∠SNB、Co-Go、Co-Pog、U1-L1减小,∠ANB、∠SN-MP、L1-MP增大,∠SNA、Go-Pog无统计学差异。Delaire头影测量法分析发现,下颌后缩患者∠1、∠5、(Cp-Oi)/C2减小,∠2、(M-Cp)/C2、∠3、∠4增大,C3/C2、NP-F1无统计学差异;Me-F1为-8.70 mm±2.48 mm,Me-Met为5.74 mm±2.58 mm。结论Delaire头影测量法可较直观地定量评估下颌后缩患者颅颌面骨骼结构特征及其补偿机制,下颌后缩畸形主要由下颌骨相对后移及下颌骨发育不足所致。

关键词: 安氏Ⅱ类错, 下颌后缩, Delaire头影测量法

Abstract:

Objective To guide the orthodontic diagnosis, treatment planning and prognosis by analyzing the craniofacial morphology and reimbursement mechanism of young patients with mandibular retrusion in Chongqing territory by Delaire cephalometric analysis. Methods Both conventional cephalometric analysis and Delaire cephalometric analysis were conducted on the basis of the lateral cephalograms from 56 young mandibular retrusion patients and 40 teenagers with normal occlusion. Results Decreases in ∠SNB, Co-Go, Co-Pog, U1-L1 and increases in ∠ANB, ∠SN -MP, L1 -MP were seen in mandibular retrusion group by conventional cephalometric analysis. Decreases in ∠1, ∠5, (Cp-Oi)/C2 and increases in ∠2, (M-Cp)/C2, ∠3, ∠4 were seen in mandibular retrusion group by Delaire cephalometric analysis. Me-F1 and Me-Met were -8.70 mm±2.48 mm and 5.74 mm±2.58 mm respectively. Conclusion Delaire cephalometric analysis could evaluate cranio -maxillofacial architectural features of mandibular retrusion patients more visually and quantitatively, which suggests that mandibular retrusion is usually caused by the retrusion of mandibular position and the hypodevelopment of mandibule.

Key words: Angle′s Class Ⅱ malocclusion, mandibular retrusion, Delaire cephalometric analysis