成年女性舌骨位置与牙颌面相关指标的三维分析

doi:10.6040/j.issn.1671-7554.0.2018.024

摘要/Abstract

摘要： 目的探讨成年女性牙颌面复合体的相关指标与舌骨位置的关联性,依据牙颌面相关因素回归分析得到较为敏感的指标。方法选取成年女性患者53例,18.4~30.7岁,平均22.7岁。拍摄自然头位下头颅侧位片和锥形束CT(CBCT)。应用Dolphin软件定点测量分析牙颌面以及舌骨位置的相关指标,采用SPSS 22.0软件进行分析。结果上颌第一磨牙中央窝之间的水平距离(U₆CW)及上颌第一磨牙根分叉点之间的水平距离(U₆FW)与舌骨点到下颌平面的水平距离(H-MP)呈负相关关系(r=-0.262, P=0.029; r=-0.313, P=0.023);下颌下角(FMA)与舌骨点到下颌平面的水平距离(H-MP)呈正相关关系(r=0.298, P=0.030);矢状向上,骨性Ⅱ类的舌骨位置低于骨性Ⅲ类(P=0.017);垂直向上、垂直生长型患者的舌骨位置比水平生长型以及平均生长型更低(P=0.016;P=0.014);舌体长度(TT-Eb)越长,则舌体位置越低,舌骨位置也越低(P=0.007)。结论成年女性舌骨位置与牙颌面复合体具有相关性,垂直生长型、牙弓狭窄及舌位置靠下的患者舌骨位置更靠下。

关键词: 舌骨位置, 牙颌面, 颌骨, 软组织, 上颌宽度

Abstract: Objective To explore the correlation between the hyoid bone position and dental maxillofacial complex in adult women and to obtain the accurate measurement to predict the hyoid bone position. Methods A total of 53 female subjects aged 18.4-30.7 years(average 22.7 years)were selected. Lateral cephalograms and cone-beam computed tomography(CBCT)scans were performed. After orientation of the head posture, 24 measurements of the dental maxillofacial complex, tongue and hyoid position were calculated with Dolphin Imaging^® software. And then these measurements were compared and analyzed using SPSS 22.0 software. Results The upper first molars’ central fossa width(U₆CW)was negatively correlated with the upper first molars’ furcation width(U₆FW)(r=-0.262, P=0.029), and the distance from hyoid to the mandibular plane(H-MP)(r=-0.313, P=0.023). The lower mandibular angle(FMA)was positively correlated with H-MP(r=0.298, P=0.030). Hyoid bone position of Osseous Ⅱ was lower than that of 山东大学学报 (医学版)56卷5期 -李丁洋,等.成年女性舌骨位置与牙颌面相关指标的三维分析 \=-osseous Ⅲ(P=0.017). The position of hyoid bone in patients with vertical growth patterns was lower than that in patients with horizontal and average growth patterns(P=0.016; P=0.014). The length of the tongue(TT-Eb)was positively correlated with the low position of the tongue and hyoid bone(P=0.007). Conclusion The position of hyoid bone is correlated with the maxillofacial complex in adult women. In patients with vertical growth patterns, narrow dental arch and low hyoid position, the hyoid bone position tend to be lower.

Key words: Hyoid bone position, Dental and maxillofacial complex, Jaw, Soft tissue, Width of the upper jaw

中图分类号:

R782.2

李丁洋,曹闪闪,郭泾. 成年女性舌骨位置与牙颌面相关指标的三维分析[J]. 山东大学学报 (医学版), 2018, 56(5): 85-90.

LI Dingyang, CAO Shanshan, GUO Jing. Three-dimensional analysis of the hyoid bone position in the dental and maxillofacial complex in adult women[J]. Journal of Shandong University (Health Sciences), 2018, 56(5): 85-90.

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