›› 2013, Vol. 4 ›› Issue (4): 199-202.

• 论著 • 上一篇    下一篇

减数矫治骨性前牙反牙合疗效的极坐标方法分析

王世兴,赵俊杰,张良   

  1. 徐州市口腔医院
  • 收稿日期:2013-09-12 修回日期:2013-12-09 出版日期:2013-12-25 发布日期:2014-01-09
  • 通讯作者: 王世兴 E-mail:xzkqwsx@163.com
  • 基金资助:
    徐州市科学技术局社会发展项目

Application of polar coordinate method in analying the treatmeant effect of skeletal cross-bite malocclution

  • Received:2013-09-12 Revised:2013-12-09 Online:2013-12-25 Published:2014-01-09
  • Contact: Wang-Shixing E-mail:xzkqwsx@163.com

摘要: [摘要] 目的:采用单纯正畸方法掩饰性矫治成人骨性前牙反牙合,以头影测量极坐标方法分析其治疗效果。方法:按照纳入标准选择正畸门诊成人前牙反牙合患者18例(年龄18-23岁,平均年龄20.8岁,男女各半),拔除上下颌双侧四个双尖牙,治疗前后正中咬牙合位拍摄头颅侧位定位片,以Bolton(Bo)点为极点,Bo-N线为极轴建立极坐标系,分别测量颌面部A、B、Gn、U1、L1、Sn、UL、LL、Bs、Pos等软硬组织标志点的极角和极径共20个测量项目。测量数据经SPSS17.0统计软件处理进行配对t检验,分析各项指标变化。结果:所有病例均获成功矫治,头影测量显示治疗前后样本Bo-L1平均减小6.54mm,差异具有显著统计学意义(P<0.01),Bo-LL平均减小3.51mm 、Bo-U1平均增大2.17mm,差异具有统计学意义(P<0.05),其余测量项目治疗前后差异无统计学意义。结论:掩饰性拔牙矫治可以达到解除前牙反牙合改善颜面侧貌的治疗目标,头影测量极坐标分析方法能够整体评估患者颅面侧貌软硬组织的变化。 [关键词] 骨性反牙合;减数矫治; 极坐标

Abstract: [Abstract] Objective To investigate the clinical value of polar coordinate measuring method through analyzing effect of adults skeletal cross-bite malocclution. Methods 18 adults skeletal cross-bite patients (aged 18-23, average 20.8, 9 men, 9 women) were chosen. In these cases,four premolars were extracted. Lateral cephalograms were taken at central occlusion position for all of them befor and after treatment. The system of polar coordinates was established with the Bolton Point (Bo) as the pole, and the Bo-N Line as the polar axis. The polar angles and the polar radiuses of soft and hard tissue marking points of maxilla-mandibular facial region were measured respectively. The measured data were processed by SPSS 17.0 with pair t test. Results All cases were treated successfully. Bo-L1 was decreased significantly by 6.54mm in average (P<0.01), Bo-LL was decreased by 3.51mm and Bo-U1 was increased 2.17mm respectively in average (P<0.05). Conclusions Polar coordinates can be used to accurately describe as a whole the craniofacial features for the skeletal cross-bite patients. Soft and hard tissue profiles were improved significantly after treatment . [Key Words] Extraction therapy ; Skeletal cross-bite;Polar coordinates