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山东大学学报（医学版） ›› 2015, Vol. 53 ›› Issue (2): 75-80.doi: 10.6040/j.issn.1671-7554.0.2014.378

• 临床医学 • 上一篇    下一篇

正畸美学区的CBCT测量分析

李德水1,2, 刘盼盼1,2, 史晓昕1,2, 郭泾1   

  1. 1. 山东大学口腔医院正畸科, 山东 济南 250012;
    2. 山东省口腔生物医学重点实验室, 山东 济南 250012
  • 收稿日期:2014-06-09 发布日期:2015-02-10
  • 通讯作者: 郭泾. E-mail:guojing@sdu.edu.cn E-mail:guojing@sdu.edu.cn
  • 基金资助:
    山东省科技攻关项目(2012G0021834)

Measurement of region of interest for orthodontics using cone beam computed tomography

LI Deshui1,2, LIU Panpan1,2, SHI Xiaoxin1,2, GUO Jing1   

  1. 1. Department of Orthodontics, Hospital of Stomatology, Shandong University, Jinan 250012, Shandong, China;
    2. Shandong Provincial Key Laboratory of Oral Biomedicine, Jinan 250012, Shandong, China
  • Received:2014-06-09 Published:2015-02-10

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摘要： 目的 探究正畸美学区,包括面下1/3前牙区牙槽骨、切牙位置以及唇部软组织在不同矢状面型、年龄及性别之间的差异性.方法 2012年6月至2013年5月间在山东大学口腔医院进行治疗的60例12～50岁汉族人,根据不同矢状骨面型、性别和年龄分组.根据头影测量ANB的角度分为3组:骨性Ⅰ类(1° < ANB≤ 5°,23例,38.3%),骨性Ⅱ类(ANB>5°,18例,30%),骨性Ⅲ类(ANB≤1°,19例,31.7%);根据性别分组:女性41例(68.3%),男性19例(31.7%);根据年龄分组:青少年组12～19岁22例(36.7%),青年组20～29岁20例(33.3%),中年组30～50岁18例(30%).分别进行锥形束CT(CBCT)测量分析.骨性分组以及年龄分组采用方差检验和多个独立样本检验( Kruskal-Wallis检验),性别组间用独立样本t检验.结果 ①不同矢状骨面型之间,骨性Ⅱ类患者前牙区牙槽骨及切牙过度萌出,骨性Ⅲ类患者下唇缘点的唇厚度最小;②不同性别之间,骨和软组织的各项测量值男性均大于女性;③随年龄增长,切牙区牙槽骨的高度、切牙的位置以及唇部软组织变化明显,而牙槽骨的宽度和骨皮质厚度基本稳定.结论 正畸美学区在不同的矢状面型、性别和年龄间呈现一定的变化规律,有利于指导临床决策.

关键词: 正畸美学区, 唇部软组织, 锥形束CT, 切牙位置, 牙槽骨

Abstract: Objective To investigate the region of interest (ROI) for orthodontics, including the dimension of anterior alveolar bone, labio-lingual position (LLP) of central incisors relative to the bone, and soft tissue (ST) between different horizontal face types, genders and age. Methods A total of 60 subjects of Han nationality aged 12 to 50 years were divided into different groups according to horizontal face type, gender and age. According to ANB: skeletal class Ⅰ(n=23, 38.3%, 1° < ANB≤5°), skeletal class Ⅱ(n=18, 30%, ANB>5°), skeletal class Ⅲ(n=19, 31.7%, ANB≤1°). According to gender, the subjects included 41 female (68.3%) and 19 male (31.7%). According to age, the subjects were divided into adolescent group (n=22, 36.7%, 12 to 19 years old), young group (n=20, 33.3%, 20 to 29 years old), and middle age group (n=18, 30%, 30 to 50 years old). The ROI of orthodontics was measured on sagittal sections using cone-beam CT (CBCT). For statistical evaluation, one-way ANOVA and Kruskal-Wallis tests were performed. Results ① Class II group had higher anterior alveolar bone and overeruption of the incisors. ② The ST and the dimension of anterior jaw of males predominated over those of females. ③ The change of the height, LLP and ST was significant while the width and cortical bone thickness (CBT) basically remained stable with age. Conclusion There are some regular changes of ROI among different horizontal face types, genders and age, which should be considered in orthodontic treatment strategies.

Key words: Region of interest for orthodontics, Position of incisor, Cone-beam CT, Anterior alveolar bone, Labial soft tissue

中图分类号: 

  • R781.4
[1] McNamara L, McNamara JA Jr, Ackerman MB, et al. Hard-and soft-tissue contributions to the esthetics of the posed smile in growing patients seeking orthodontic treatment[J]. Am J Orthod Dentofacial Orthop, 2008, 133(4): 491-499.
[2] Ackerman MB, Ackerman JL. Smile analysis and design in the digital era[J]. J Clin Orthod, 2002, 36(4): 221-236.
[3] Schlosser JB, Preston CB, Lampasso J. The effects of computer-aided anteroposterior maxillary incisor movement on ratings of facial attractiveness[J]. Am J Orthod Dentofacial Orthop, 2005, 127(1): 17-24.
[4] Arnett GW, Jelic JS, Kim J, et al. Soft tissue cephalometric analysis: diagnosis and treatment planning of dentofacial deformity[J]. Am J Orthod Dentofacial Orthop, 1999, 116(3): 239-253.
[5] Handelman CS. The anterior alveolus: its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae[J] .Angle Orthod, 1996, 66(2): 95-109.
[6] Yoshida N, Jost-Brinkmann PG, Koga Y, et al. Experimental evaluation of initial tooth displacement, center of resistance, and center of rotation under the influence of an orthodontic force[J]. Am J Orthod Dentofacial Orthop, 2001, 120(2): 190-197.
[7] Buschang PH, Carrillo R, Liu SS, et al. Maxillary and mandibular dentoalveolar heights of French-Canadians 10 to 15 years of age[J]. Angle Orthod, 2008, 78(1): 70-76.
[8] Kamak H, Celikoglu M. Facial soft tissue thickness among skeletal malocclusions: is there a difference?[J]. Korean J Orthod, 2012, 42(1): 23-31.
[9] Fleiss JL, Chilton NW. The measurement of interexaminer agreement on periodontal disease[J]. J Periodontal Res, 1983, 18(6): 601-606.
[10] Swasty D, Lee J, Huang JC, et al. Cross-sectional human mandibular morphology as assessed in vivo by cone-beam computed tomography in patients with different vertical facial dimensions[J]. Am J Orthod Dentofacial Orthop, 2011, 139(4 Suppl): 377-389.
[11] Swasty D, Lee JS, Huang JC, et al. Anthropometric analysis of the human mandibular cortical bone as assessed by cone-beam computed tomography[J]. J Oral Maxillofac Surg, 2009, 67(3): 491-500.
[12] Tsunori M, Mashita M, Kasai K. Relationship between facial types and tooth and bone characteristics of the mandible obtained by CT scanning[J]. Angle Orthod, 1998, 68(6): 557-562.
[13] Janson G, Bombonatti R, Cruz KS, et al. Buccolingual inclinations of posterior teeth in subjects with different facial patterns[J]. Am J Orthod Dentofacial Orthop, 2004, 125(3): 316-322.
[14] El-Dawlatly MM, Fayed MM, Mostafa YA. Deep overbite malocclusion: analysis of the underlying components[J]. Am J Orthod Dentofacial Orthop, 2012, 142(4): 473-480.
[15] Kale Varlk S, Onur Alpakan Ö, Türköz Ç. Deep bite correction with incisor intrusion in adults: a long-term cephalometric study[J]. Am J Orthod Dentofacial Orthop, 2013, 144(3): 414-419.
[16] Horiuchi A, Hotokezaka H, Kobayashi K. Correlation between cortical plate proximity and apical root resorption[J]. Am J Orthod Dentofacial Orthop, 1998, 114(3): 311-318.
[17] Tanne K, Nagataki T, Inoue Y, et al. Patterns of initial tooth displacements associated with various root lengths and alveolar bone heights[J]. Am J Orthod Dentofacial Orthop, 1991, 100(1): 66-71.
[18] 赵弘, 刘洪臣, 顾晓明. 骨皮质厚度及植入角度对支抗种植钉影响的三维有限元分析[J]. 口腔颌面修复学杂志, 2010, 11(1): 24-27. ZHAO Hong, LIU Hongchen, GU Xiaoming. Effect of cortical bone thickness and insert angle on primary stability of orthodontic miniscrews with three dimensional finite element[J]. Chinese Journal of Prosthodontics, 2010, 11(1): 24-27.
[19] Motoyoshi M, Inaba M, Ono A, et al. The effect of cortical bone thickness on the stability of orthodontic mini-implants and on the stress distribution in surrounding bone[J]. Int J Oral Maxillofac Surg, 2009, 38(1): 13-18.
[20] Motoyoshi M, Yoshida T, Ono A, et al. Effect of cortical bone thickness and implant placement torque on stability of orthodontic mini-implants[J]. Int J Oral Maxillofac Implants, 2007, 22(5): 779-784.
[21] Formby WA, Nanda RS, Currier GF. Longitudinal changes in the adult facial profile[J]. Am J Orthod Dentofacial Orthop, 1994, 105(5): 464-476.
[22] Basciftci FA, Uysal T, Buyukerkmen A. Determination of Holdaway soft tissue norms in Anatolian Turkish adults[J].Am J Orthod Dentofacial Orthop, 2003, 123(4): 395-400.
[23] Hwang HS, Kim WS, McNamara JA Jr. Ethnic differences in the soft tissue profile of Korean and European-American adults with normal occlusions and well-balanced faces[J]. Angle Orthod, 2002, 72(1): 72-80.
[24] Miyajima K, McNamara JA Jr, Kimura T, et al. Craniofacial structure of Japanese and European-American adults with normal occlusions and well-balanced faces[J]. Am J Orthod Dentofacial Orthop, 1996, 110(4): 431-438.
[25] Utsuno H, Kageyama T, Uchida K, et al. Facial soft tissue thickness in Japanese children[J]. Forensic Sci Int, 2010, 199(1-3): 109.
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