华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

不同矢状骨面型髁突位置的锥形束CT对比研究

杜凌晨1,2  赵强1  田美玉1  衡超1  崔雪涛1  李卿1   

  1. 1.航空总医院口腔科,北京 100012;2.北京市谷山食品厂医务室口腔门诊部,北京 102200
  • 出版日期:2014-08-01 发布日期:2014-08-01
  • 通讯作者: 赵强,主任医师,博士, E-mail:15911025865@139.com
  • 作者简介:杜凌晨,主治医师,硕士, E-mail:m15001228263@163.com
  • 基金资助:

    北京市朝阳区科委科技计划基金资助项目(SF1219)

Comparative study of the condylar positions in different sagittal skeletal facial types with cone-beam computed tomography

Du Lingchen1, 2, Zhao Qiang1, Tian Meiyu1, Heng Chao1, Cui Xuetao1, Li Qing1   

  1. 1. Dept. of Stomatology, Aviation General Hospital, Beijing 100012, China;2. The Clinic Dental of Gushan Food Factory, Beijing 102200, China
  • Online:2014-08-01 Published:2014-08-01

摘要:

目的  比较骨性Ⅰ类和骨性Ⅱ类受试者的髁突位置,为临床诊断与治疗提供指导。方法  选择50例骨性Ⅰ类受试者(A组,男 27例,女 23例,年龄 18~30岁,平均年龄26岁)和50例骨性Ⅱ类受试者(B组,男 24例,女 26例,年龄 18~28岁,平均年龄 25岁)。两组均拍摄锥形束 CT(CBCT)并应用相应软件进行测量分析,测量髁突位置相关测量项目。所有数据采用 SPSS 19.0统计学软件进行统计分析。结果  A组和 B组双侧髁突位置测量值差异无统计学意义(P>0.05); A组前后间隙与 B组相比较,差异有统计学意义(P<0.05); A组前后间隙比较 B组大,差异有统计学意义(P<0.05)。结论  骨性Ⅱ类受试者相对骨性Ⅰ类受试者髁突位置为居中位偏后。

关键词: 骨性Ⅰ类, 骨性Ⅱ类, 髁突位置, 锥形束 CT

Abstract:

 Objective  To investigate the differences in the condylar position of subjects with skeletal class Ⅰ and skeletal class Ⅱ. To provide a basis of diagnosis and treatment. Methods  Group A was composed of 50 subjects with skeletal class Ⅰ(27 males and 26 females;age range=18 years to 30 years;mean age=26 years). Group B comprised 50 subjects with skeletal class Ⅱ(24 males and 26 females; age range=18 years to 28 years; mean age=25 years). The condylar position and the shapes of the condyle and the glenoid fossa were linearly measured on the sagittal and coronal sections by cone-beam computed tomography (CBCT). Data were analyzed by SPSS 19.0. Results No statistically significant differences were found in the measurements of the condylar position between the sides of each group on the sagittal plane and the coronal plane (P>0.05). There were significant differences on the anterior space and the posterior space between group A and B (P<0.05). The A/P joint space ratio ofgroup A waslarger than that ofgroup B (P<0.05). Conclusion The subjectsof skeletalclass Ⅰ show an anteriorcondyleposition. The subjectsof skeletal class Ⅱ show a posterior condyleposition.

Key words: skeletal class Ⅰ, skeletal class Ⅱ, condylarposition, cone-beam computedtomography