华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

不同垂直骨面型正常人切牙区颌骨形态结构的聚类分析

孙 伟1,周 力2,白 丁2,赵美英2   

  1. 1.广西北海市第二人民医院 口腔科,广西 北海536000; 2.四川大学华西口腔医院 正畸科,四川 成都610041
  • 收稿日期:2005-08-25 修回日期:2005-08-25 出版日期:2005-08-20 发布日期:2005-08-20
  • 通讯作者: 周 力, Tel: 028-85501425
  • 作者简介:孙 伟(1970-),男,广西人,主治医师,硕士

K-mean Cluster Analysis for Incisal Jaw Morphology of Normal Occlusion Subjects among Different Vertical Facial Skele- tal Types

SUNWei1, ZHOULi2,BAIDing2, ZHAO Mei-ying2   

  1. 1. Dept. ofStomatology, The Second People′sHospital of Beihai City, GuangxiProvince, Beihai536000, China;2. Dept. ofOrthodontics, West China College ofStomatology, Sichuan University, Chengdu610041, China
  • Received:2005-08-25 Revised:2005-08-25 Online:2005-08-20 Published:2005-08-20

摘要:

目的 研究正常人上下颌切牙区颌骨的形态结构特征及其与垂直骨面型的关系。方法 运用聚类分析的方法,在X线头颅侧位片上对169例恒牙列初期正常人的切牙区颌骨形态进行聚类,并分析其与垂直骨面型的关系。结果 ①正常人上下颌切牙区颌骨形态分为Ⅰ、Ⅱ、Ⅲ、Ⅳ4个聚类分型。上颌切牙区颌骨Ⅰ型宽短;Ⅱ型瘦长;Ⅲ型厚度与Ⅱ型接近,高度与Ⅰ型接近;Ⅳ型与Ⅲ型形态相反,厚度与Ⅰ型接近,高度与Ⅱ型接近。下颌切牙区颌骨Ⅰ型宽短;Ⅱ型瘦长;Ⅲ型形态宽长,厚度接近Ⅰ型,高度接近Ⅱ型;Ⅳ型形态适中。②在上颌,高角面型以Ⅱ型为主,占86·49%;均角面型以Ⅲ型为主,占47·67%;低角面型以Ⅰ、Ⅲ型形态为主,共占82·61%。在下颌,高角面型以Ⅱ型为主,占51·35%;均角面型以Ⅳ型为主,占48·84%;低角面型以Ⅲ、Ⅳ型为主,共占69·57%。结论 对不同的切牙区颌骨聚类分型形态和垂直骨面型,临床移动切牙时应有不同的考虑。

关键词: 正常, 颌骨形态, 聚类分析

Abstract:

Objective To study the incisal jawmorphology of subjectswith normal occlusion and to discuss the relationship be- tween different vertical facial skeletal types and different incisal jaw cluster types.Methods After studied by radiographic cephalometry, the incisal jawmorphology of 169 subjects with normal occlusion in early permanent dentition were analyzed by K- mean cluster analysis.Results ①Morphology of maxillary ormandibular incisal jaws could be divided into fourtypes separately, including divisionⅠ、divisionⅡ、divisionⅢand divisionⅣ. In maxilla or in mandible, the incisal jawmorphology of divisionⅠ was characterized by wideness and shortness. In contrast, divisionⅡwas characterized by thinness and length. As for divisionⅢ and divisionⅣ, both of twowere intermediate types between divisionⅠand divisionⅡ.②Inmaxilla, itwas found that divisionⅡ was the majority(86·49%)in the high-angle subjects, divisionⅢwas the majority(47·67%)in the average-angle subjects, and divisionⅠandⅢwere the majority(82·61%)in the low-angle subjects. Inmandible, itwas found that divisionⅡwas the major- ity(51·35%)in the high-angle subjects, divisionⅣwas the majority(48·84%)in the average-angle subjects, and divisionⅢand Ⅳwere the majority(69·57%)in the low-angle subjects.Conclusion Owingtothe obvious characteristics ofmorphology in each cluster types and in each vertical facial skeletal types, different clinic considerationsmust be put forwardwhenwewanttomove the incisor.

Key words: normal occlusion, jawmorphology, cluster analysis