成人安氏Ⅱ类与Ⅲ类错牙合 颅底形态差异的CBCT测量研究

›› 2017, Vol. 37 ›› Issue (12): 1087-1089.

成人安氏Ⅱ类与Ⅲ类错牙合颅底形态差异的CBCT测量研究

胡芳¹,钱雅婧¹,龚爱秀²

1. 南京医科大学附属口腔医院
2. 南京医科大学附属儿童医院

收稿日期:2017-05-09 修回日期:2017-06-26 出版日期:2017-12-28 发布日期:2017-12-28
通讯作者: 胡芳 E-mail:hufangjssh@yahoo.com.cn
基金资助:
南京市卫生局科技发展基金;江苏省卫生厅妇幼保健项目

Study of the cranial base morphology of patients with Angle class Ⅱ and Ⅲ malocclusion in adult through CBCT

², ²

Received:2017-05-09 Revised:2017-06-26 Online:2017-12-28 Published:2017-12-28

摘要/Abstract

摘要： ［摘要］目的通过CBCT测量研究，探讨成人安氏Ⅱ类与Ⅲ类错牙合畸形患者颅底形态的差异。方法选取19岁到26岁之间安氏Ⅱ类及Ⅲ类错牙合畸形患者各20例，通过CBCT测量分析，比较两种错牙合畸形患者颅底形态的差异。应用SPSS17．0 统计软件，对测量数据进行独立样本t检验及相关分析。结果相对于安氏Ⅱ患者, 安氏Ⅲ类错牙合患者颅底角（NSBa）显著减小，前颅底长、后颅底长及全颅底长变化无统计学差异。SNA 角与前颅底长（S-N）、后颅底长（S-Ba）及全颅底长（N-Ba）呈正相关。SNB 与颅底角（NSBa）呈显著负相关，与前颅底长（S-N）、后颅底长（S-Ba）及全颅底长（N-Ba）呈显著正相关。ANB 与颅底角（NSBa）呈显著负相关。结论成人不同类型错牙合畸形与颅底形态有关，颅底角对颅面形态影响较大。

关键词: 成人, 颅底形态, 错牙合畸形, CBCT

Abstract: Abstract： Objective To investigate cranial base morphology of patients with Angle Class Ⅱ and Ⅲ malocclusion in the permanent dentition using tomographic cone beam (CBCT). Methods Forty patients aged from 19 to 26 years old were divided into Class Ⅱ and Class Ⅲ group according molar relationship. Linear and angular measurements were obtained in the mid-sagittal plane from the images of CBCT, and analyzed for all subjects. The mean differences between both groups were tested using Student’s t-test for independent samples. Pearson’s product-moment correlations were calculated between the parameters of the sagittal jaw relationship and cranial base. Results The cranial base angle deceased significantly in patients with Class Ⅲ malocclusion compared with Class Ⅱ malocclusion. Positive correlation was detected between SNA and S-N，S-Ba，N-Ba. The value of SNB was found significant negative correlation with NSBa，and positive correlation with S-N，S-Ba，N-Ba. There was also negative correlation between ANB angle NSBa . Conclusions There is association between malocclusion in sagittal jaw relationship and cranial base morphology in adult，and cranial base angle has more effects on maxillofacial morphology.

Key words: adult, cranial base morphology, malocclusion, CBCT

中图分类号:

R783.5

胡芳钱雅婧龚爱秀. 成人安氏Ⅱ类与Ⅲ类错牙合颅底形态差异的CBCT测量研究[J]. , 2017, 37(12): 1087-1089.

参考文献

[1] Gong A, Li J, Wang Z, et al. Cranial base characteristics in anteroposterior malocclusions: A meta-analysis [J]. Angle Orthod, 2016, 86(4):668-680.
[2] Dhopatkar A, Bhatia S, Rock P. An investigation into the relationship between the cranial base angle and malocclusion [J]. Angle Orthod, 2002,72(5):456-463.
[3] Wilhelm BM, Beck FM, Lidral AC, et al. A comparison of cranial base growth in Class I and Class II skeletal patterns [J]. Am J Orthod Dentofacial Orthop, 2001,119(4):401-405.
[4] 陈红, 丁寅, 郭涛, et al. 骨性Ⅱ类错牙合的颅底形态研究[J]. 口腔医学, 2006, 26(4):298-300.
[5] Ludlow JB, Gubler M, Cevidanes L, et al. Precision of cephalometric landmark identification: cone-beam computed tomography vs conventional cephalometric views [J]. Am J Orthod Dentofacial Orthop, 2009, 136(3):312.e1-10; discussion 12-13.
[6] Kobayashi K, Shimoda S, Nakagawa Y, et al. Accuracy in measurement of distance using limited cone-beam computerized tomography [J]. Int J Oral Maxillofac Implants, 2004, 19(2):228-231.
[7] Bedoya A, Landa Nieto Z, Zuluaga LL, et al. Morphometry of the cranial base and the cranial-cervical-mandibular system in young patients with type II, division 1 malocclusion, using tomographic cone beam [J]. Cranio, 2014,32(3):199-207.
[8] Fuyamada M, Shibata M, Nawa H, et al, Katsumata A, et al. Reproducibility of maxillofacial landmark identification on three-dimensional cone-beam computed tomography images of patients with mandibular prognathism: Comparative study of a tentative method and traditional cephalometric analysis [J]. Angle Orthod, 2014, 84(6):966-973.
[9] Mozzo P, Procacci C, Tacconi A, et al. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results [J]. Eur Radiol, 1998, 8(9):1558-1564.
[10] 王嘉艺, 王珊, 王林. CBCT在口腔正畸学头影测量中的应用与发展 [J]. 口腔医学, 2016, 36(11):1047-1050.
[11] Chin A, Perry S, Liao C, et al. The relationship between the cranial base and jaw base in a Chinese population [J]. Head Face Med, 2014, 10:31.
[12] 江久汇, 纪昌蓉. 安氏Ⅱ、Ⅲ类错牙合颅底与颌面形态关系研究 [J]. 北京口腔医学, 2001, 9(4):166-169.
[13] Sayin MO, Turkkahraman H. Cephalometric evaluation of nongrowing females with skeletal and dental Class II, division 1 malocclusion [J]. Angle Orthod, 2005, 75(4):656-660.
[14] Alves PV, Mazuchelli J, Patel PK, et al. Cranial base angulation in Brazilian patients seeking orthodontic treatment [J]. J Craniofac Surg, 2008, 19(2):334-338.
[15] Seren E, Akan H, Toller MO, et al. An evaluation of the condylar position of the temporomandibular joint by computerized tomography in Class III malocclusions: a preliminary study [J]. Am J Orthod Dentofacial Orthop, 1994, 105(5):483-488.
[16] Mengi A, Sharma VP, Tandon P, et al. A cephalometric evaluation of the effect of glenoid fossa location on craniofacial morphology [J]. J Oral Biol Craniofac Res, 2016, 6(3):204-212.
[17] Bacon W, Eiller V, Hildwein M, et al. The cranial base in subjects with dental and skeletal Class II [J]. Eur J Orthod, 1992, 14(3):224-228.