华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

安氏Ⅰ、Ⅱ、Ⅲ类错患者Bolton不调量的分析

黄敏方   

  1. 530021 广西壮族自治区人民医院口腔科
  • 收稿日期:2003-06-25 修回日期:2003-06-25 出版日期:2003-06-20 发布日期:2003-06-20

A Study of Bolton Tooth-size Discrepancies of Malocclusion Patients

HUANG Minfang   

  1. Department of Stomatology, People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
  • Received:2003-06-25 Revised:2003-06-25 Online:2003-06-20 Published:2003-06-20

摘要:

目的 了解安氏错患者上下颌Bolton不调量的大小及发生率。方法 选择 4 39例安氏错患者的模型 ,分别测量上下颌 6个前牙 (左右恒尖牙之间 )及 1 2个恒牙 (左右第一恒磨牙之间 )的牙冠近远中宽度总和 ,根据Bolton指数正常值获取上颌Bolton不调量并作统计学分析。结果  439例安氏Ⅰ、Ⅱ、Ⅲ类错患者中 ,前牙或全牙Bolton不调量绝对值大于或等于 1 5mm的错患者占该类患者的百分比分别为 14.02 %、9.49%、19.32 %或19.63%、15.33%、20.45 %。安氏Ⅰ类错患者前牙Bolton不调量以上前牙牙量减少、下前牙牙量增多为常见 ;安氏Ⅱ类、Ⅲ类错患者 ,前牙或全牙Bolton不调者上颌和下颌牙量偏多偏少 ,差异无显著性。结论 错患者Bolton不调不是引起错发生的主要原因。

关键词: 错畸形, Bolton指数, Bolton不调量

Abstract:

Objective To analysis the sum and frequencies of Bolton toothsize discrepancies Angle Class Ⅰ,Ⅱ,Ⅲ malocclusion patients.Methods Measured each tooth crown mesialdistal size between the first molar of 439 dental plaster casts of malocclusion patients and obtained the sums of six anterior toothsize and twelve toothsize between the first molar of upper or lower and calculated the anterior and total toothsize discrepancies by Bolton rate standards, then statistic analysises were done.Results Patients whose sums of anterior toothsize discrepancy were pass 1.5 mm or less than 1.5 mm was 14.02% in Angle Class Ⅰ malocclusion patients and 9.49% in Class Ⅱ and 19.32% in Class Ⅲ. Patients whose sums of tolal toothsize discrepancy were pass 1.5 mm or less than 1.5 mm was 19.63% in Angle Class Ⅰ malocclusion patients and 15.33% in Calss Ⅱ and 20.45% in Class Ⅲ. The upper sum of anterior toothsize of Class I malocclusion patients whose sums of anterior toothsize discrepancies were pass 1.5 mm or less than 1.5 mm was always smaller than normal and the lower sum was always larger The sums of anterior toothsize discrepancy of Class Ⅰ、Ⅱ、Ⅲ and total toothsize discrepancy of Class Ⅰ were always between 1.5 mm~2.5 mm or 2.5 mm~1.5 mm. Patients whose sums of anterior toothsize discrepancy were pass 3.5 mm or less than 3.5 mm was 2.34% in Class Ⅰ malocclusion patients and 0 in class Ⅱ and 0 in class Ⅲ. Patients whose sums of totoal toothsize discrepancy were pass 3.5 mm or less than 3.5 mm was 4.21% in Class Ⅰ and 1.46% in Class Ⅱ and 4.54% in Class Ⅲ.Conclusion Toothsize discrepancy of malocclusion patients was not the general cause of malocclusion.

Key words: malocclusion, Bolton index, dental-size discrepancy (DSD)