华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

替牙期骨性Ⅲ类不同垂直骨面型患者的髁突形态特点

王欢;丁寅;   

  1. 第四军医大学口腔医院  正畸科,陕西  西安 710032
  • 收稿日期:2006-12-25 修回日期:2006-12-25 出版日期:2006-12-20 发布日期:2006-12-20
  • 通讯作者: 丁 寅,Tel:029-84776131
  • 作者简介:王 欢(1980-),女,湖北人,硕士研究生

Condylar Morphology with Different Vertical Facial Types of Skeletal Ⅲ Malocclusions in Mixed Dentition

WANG Huan, DING Yin   

  1. Dept. of Orthodontics, College of Stomatology, The Fourth Military Medical University, Xi′an 710032, China
  • Received:2006-12-25 Revised:2006-12-25 Online:2006-12-20 Published:2006-12-20

摘要:

目的  比较替牙期骨性Ⅲ类不同垂直骨面型患者的髁突形态特点及差异,为替牙期颅面部生长发育的研究和临床诊疗提供一定的参考依据。方法  选择替牙期骨性Ⅲ类错患者共60例为研究对象,按照不同的垂直骨面型分为高角组、均角组和低角组,每组20例。采用计算机辅助X线头影测量技术,对3组患者的全颌曲面断层片进行测量,比较各组间髁突形态特点。结果  替牙期3组患者的髁突上部高度h值有统计学差异(P<0.01),高角组最小,低角组最大(P<0.05);升支高度RH值组间无统计学差异(P>0.05);h/RH值组间有统计学差异(P<0.01),高角组低于均角组和低角组(P<0.05);髁突高度与髁突颈部宽度的比值在组间亦无统计学差异(P>0.05)。结论  替牙期骨性Ⅲ类不同垂直骨面型患者的髁突形态存在差异,这可能与不同垂直骨面型的生长趋势有关。

关键词: 替牙期, 骨性Ⅲ类, 垂直骨面型, 髁突形态

Abstract:

Objective  To study the difference of condylar morphology with different vertical facial types of skele-tal Ⅲ malocclusions in mixed dentition. Methods  Orthopantomograms of 60 children with different vertical facial types were retrospectively investigated by computerized cephalometric analysis. Condylar morphology was compared among different vertical facial type groups. Results  There was statistical difference in upper condylar height among groups, the height increased from high angle group, average angle group to low angle group. There was no significant difference in ramus height in the groups. There was statistical difference in the upper condylar height to the ramus height radio in different vertical facial type groups(P<0.01). The ratio increased from high angle group, average angle group to low angle group. There was no significant difference in the condylar height to the condylar neck width ratio in the groups. Conclusion  In children of skeletal Ⅲ malocclusions in mixed dentition with different vertical facial types, there are statistical differences in condylar morphology, which might be due to different growth of mandibular.

Key words: mixeddentition, skeletalⅢmalocclusion, verticalfacialtype, condylarmorphology