华西口腔医学杂志

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恒牙列早期安氏Ⅲ类错患者下颌边缘运动轨迹的研究

冯 静1,周 力2,吕 涛2   

  1. 1.上海第二医科大学附属第九人民医院 正畸科,上海200011; 2.四川大学华西口腔医院 正畸科,四川 成都610041
  • 收稿日期:2005-12-25 修回日期:2005-12-25 出版日期:2005-12-20 发布日期:2005-12-20
  • 通讯作者: 周 力, Tel: 028-81973861
  • 作者简介:冯 静(1976-),女,山西人,助教,硕士

Investigation on Border Mandibular Movement of Adolescent with AngleⅢMalocclusion in Initial Stage of Permanent Dentition

FENG Jing1,ZHOULi2,LVTao2   

  1. 1.Dept.ofOrthodontics,The Ninth People′s Hospital Affiliated to Shanghai SecondMedical University,Shanghai200011,China; 2.Dept.ofOrthodontics,West China College ofStomatology,Sichuan University,Chengdu610041,China
  • Received:2005-12-25 Revised:2005-12-25 Online:2005-12-20 Published:2005-12-20

摘要: 目的 定量定性分析恒牙列早期安氏Ⅲ类错患者下颌边缘运动轨迹的特征及其与颅面形态的关系。 方法 选择恒牙列早期安氏Ⅲ类错患者21例作为试验组,20例恒牙列早期个别正常人作对照组,使用K6-I型 下颌运动描记仪描记两组研究对象的下颌边缘运动轨迹,同时拍摄X线头侧位片,分析二者的相关性。结果 试 验组下颌边缘运动范围与对照组无统计学意义。对照组ICP-最大张口线距与前下面高呈正相关,开口度与下颌支 高度及后面高呈正相关;试验组ICP-最大张口线距与前下面高及下前牙牙槽高度呈正相关,开口度与下颌体长度 及下前牙牙槽高度呈正相关。结论 安氏Ⅲ类错患者的下颌边缘运动与颅面形态的关系和个别正常人不同。

关键词: 安氏Ⅲ类错, 恒牙列早期, 下颌边缘运动

Abstract: Objective To investigate characteristics of the bordermandibularmovement of the adolescentwithAngleⅢmaloc- clusion and to find the correlations between craniofacial morphology and border mandibular movement function.Methods The subjects consisted of 21 adolescent patients with AngleⅢmalocclusion in the initial stage of permanent dentition(mean age 12·3 years). 20 adolescents with individual normal occlusion served as control (mean age 12·8 years). The border mandibular move- ment of all cases in the two groupswere traced and recorded byK6-1 Evaluation System and standardized lateral cephalogramswere taken.Results The results revealed no significant difference in the maximal movement range between two groups, but indicated a positive association between the maximum jawopening and both the mandible length(Go-Gn) and the L1-MP. The distance from ICP to maximal opening (D) was positively correlated with facial height and the L1-MP. While to adolescentswith individual nor- mal occlusion, the wider the maximal jawopeningwas, the bigger the posterior facial height and the cephalometric values of man- dibular ramus. The distance D positively correlated with the anterior lower facial height.Conclusion AngleⅢmalocclusion had its characteristics in the tracing and had a specific relationship with the craniofacial morphology.

Key words: AngleⅢmalocclusion, initial stage of permanent dentition, border mandibular movement