运用3D数字模型观察前牙区牙齿大小的特征

doi:10.6040/j.issn.1671-7554.0.2014.971

摘要/Abstract

摘要： 目的运用3D数字模型观察前牙区牙齿大小的特征.方法选取汉族(蒙古人种)青少年正畸患者66例,其中男32例,女34例,11～14岁,平均12.8岁.制取上下牙牙合印模,通过电子扫描技术获得3D数字模型,对上下前牙区牙齿临床冠的高度、宽度和厚度进行测量,观察大小变化规律及其对正畸治疗效果的影响.结果正畸患者前牙Bolton指数略大于高加索人种均值(P< 0.05);上颌侧切牙和下颌中切牙对前牙区Bolton指数的变化影响最大;上颌侧切牙舌侧边缘嵴厚度变化最大;同名上颌侧切牙和下颌中切牙临床冠宽度有一定差异;同名上颌尖牙及下颌尖牙临床冠高度有一定差异.结论前牙区牙齿大小有一定变化规律,Bolton指数在不同人种间有一定差异,影响前牙美学及良好咬合关系的建立,从而对正畸疗效稳定产生作用.

关键词: 青少年, 牙齿大小, 人种差异, 前牙区, Bolton指数

Abstract: Objective To observe the size of anterior arch in Han orthodontic patients. Methods A total of 66 teenager orthodontic patients treated in our hospital were enrolled in the research. The 3D digital models and plaster models of all patients were built to measure the height, width and thickness of each anterior tooth. Results The Bolton's ratio showed significant difference between the Mongoloid and Caucasion ethnic groups (P <0.05). The mesiodostal width of maxillary lateral incisor and mandibular central incisor played an important part in Bolton's ratio discrepancies. The thickness of maxillary lateral incisor also displayed a marked difference. The right-left discrepancies in mesiodistal width of maxillary lateral incisor and mandibular central incisor were much more than the other anterior teeth. The significant differences of right-left discrepancies in clinical crown heights were canine. Conclusion The size of anterior teeth in Mongoloid teenager orthodontic patients shows ethnic differences and regularities, which can provide clinical reference for orthodontic treatment.

Key words: Tooth size, Bolton index, Teenager, Anterior teeth, Ethnic group differences

中图分类号:

R574

刘健伟, 郭泾. 运用3D数字模型观察前牙区牙齿大小的特征[J]. 山东大学学报（医学版）, 2015, 53(8): 57-60.

LIU Jianwei, GUO Jing. Anthropometric analysis of the size of anterior arch in teenager orthodontic patients with 3D-model[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(8): 57-60.

参考文献

[1] Correia GD, Habib FA, Vogel CJ. Tooth-size discrepancy: a comparison between manual and digital methods[J]. Dental Press J Orthod, 2014, 19(4): 107-113.
[2] Khanna R, Pandey RK, Tripathi S. Effect of intermaxillary tooth-size discrepancy on accuracy of prediction equations for mixed dentition space analysis[J]. Eur Arch Paediatr Dent, 2015, 16(2):211-217.
[3] Nalcaci R, Topcuoglu T, Ozturk F. Comparison of bolton analysis and tooth size measurements obtained using conventional and three-dimensional orthodontic models[J]. Eur J Dent, 2013, 7(1): 66-70.
[4] Sharma R, Kumar S, Singla A. Prevalence of tooth size discrepancy among north Indian orthodontic patients[J]. Contemp Clin Dent, 2011, 2(3): 170-175.
[5] Kim HK, Kwon HB, Hyun HK, et al. Submorphotypes of the maxillary first molar and their effects on alignment and rotation[J]. Am J Orthod Dentofacial Orthop, 2014, 146(3): 286-293.
[6] Polychronis G, Christou P, Mavragani M, et al. Geometric morphometric 3d shape analysis and covariation of human mandibular and maxillary first molars[J]. Am J Phys Anthropol, 2013, 152(2): 186-196.
[7] Nalcaci R, Topcuoglu T, Ozturk F, et al. Comparison of Bolton analysis and tooth size measurements obtained using conventional and three-dimensional orthodontic models[J]. Eur J Dent, 2013, 7(1): 66-70.
[8] De Luca Canto G, Pachêco-Pereira C, Lagravere MO, et al. Intra-arch dimensional measurement validity of laser-scanned digital dental models compared with the original plaster models: a systematic review[J]. Orthod Craniofac Res, 2015, 18(2):65-76.
[9] Lavelle CL. Maxillary and mandibular tooth size in different racial groups and in different occlusal categories[J]. Am J Orthod, 1972, 61(1): 29-37.
[10] Jensen E, Kai-Jen Yen P, Moorrees CF, et al. Mesiodistal crown diameters of the deciduous and permanent teeth in individuals[J]. J Dent Res, 1957, 36(1): 39-47.
[11] Zerouaoui MF, Bahije L, Zaoui F, et al. Study of variations of the bolton index in the moroccan population depending on angle malocclusion class[J]. Int Orthod, 2014, 12(2): 213-221.
[12] Rosu S, Zetu I, Ogodescu A, et al. Examination of bolton index comparing the traditional method with a 2-dimensional digital measurement method[J]. Rev Med ChirSoc Med Nat Iasi, 2014, 118(1): 205-208.
[13] Ebadifae A, Taliee R. Comparison of Bolton's ratios before and after treatment in an Iranian population[J]. Dent Res Dent Clin Dent Prospects, 2013, 7(1): 30-35.
[14] Doris JM, Bernard BW, Kuftinec MM, et al. A biometric study of tooth size and dental crowding[J]. Am J Orthod, 1981, 79(3): 326-336.
[15] Smith SS, Buschang PH, Watanabe E. Interarch tooth size relationships of 3 populations: “Does bolton's analysis apply?”[J]. Am J Orthod Dentofacial Orthop, 2000, 117(2): 169-174.
[16] Halazonetis DJ. The bolton ratio studied with the use of spreadsheets[J]. Am J Orthod Dentofacial Orthop, 1996, 109(2): 215-219.
[17] Rudolph DJ, Dominguez PD, Ahn K, et al. The use of tooth thickness in predicting intermaxillary tooth-size discrepancies[J]. Angle Orthod,1998, 68(2): 133-138.
[18] 宋宇,周彦恒,林久祥. 上前牙厚度对Bolton指数预测牙合关系准确性影响[J]. 临床口腔医学杂志,2006, 22(9): 548-550. SONG Yu, ZHOU Yanheng, LIN Jiuxiang. The effect of the thickness of the incisal edges on the accuracy when predicted with Bolton analysis[J]. J Clin Stomatol, 2006, 22(9): 548-550.
[19] 宋宇,周彦恒,林久祥. 前部弓形的大小变化对Bolton分析预测最终牙合关系准确性的影响[J].实用口腔医学杂志,2007, 23(4): 546-549. SONG Yu, ZHOU Yanheng, LIN Jiuxiang. Effect of changes in the anterior arch dimension on precision Bolton analysis[J]. J Clin Stomatol, 2007, 23(4): 546-549.
[20] Lapenaite E, Lopatiene K. Interproximal enamel reduction as a part of orthodontic treatment[J]. Stomatologija, 2014, 16(1): 19-24.
[21] Alessandri Bonetti G, Pazzi E, Zanarini M, et al. The effect of zinc-carbonate hydroxyapatite versus fluoride on enamel surfaces after interproximal reduction[J]. Scanning, 2014, 36(3): 356-361.
[22] Lombardo L, Guarneri MP, D'Amico P, et al. Orthofile(r): a new approach for mechanical interproximal reduction: a scanning electron microscopic enamel evaluation[J]. J Orofac Orthop, 2014, 75(3): 203-212.
[23] Pimental W, Tiossi R. Comparison between visual and instrumental methods for natural tooth shade matching[J]. Gen Dent, 2014, 62(6): 47-49.
[24] Wolfart S, Thormann H, Freitag S, et al. Assessment of dental appearance following changes in incisor proportions[J]. Eur J Oral Sci, 2005, 113(2): 159-165.

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