颅面结构特征与牙列磨耗分布的相关性研究

›› 2020, Vol. 40 ›› Issue (6): 540-543.

颅面结构特征与牙列磨耗分布的相关性研究

张煜雯¹,严斌¹,胡建²

1. 南京医科大学附属口腔医院
2. 南京医科大学口腔医学院

收稿日期:2019-11-28 修回日期:2020-01-23 出版日期:2020-06-28 发布日期:2020-06-28
通讯作者: 胡建 E-mail:hujianmjc@sohu.com

Correlation between craniofacial structural features and dentition wear distribution

Yuwen ZHANG¹, jian HU

Received:2019-11-28 Revised:2020-01-23 Online:2020-06-28 Published:2020-06-28
Contact: jian HU E-mail:hujianmjc@sohu.com

摘要/Abstract

摘要： 　目的　测量一般人群的牙齿磨耗量和颅面形态参数，以研究颅面结构特征对牙齿磨耗分布的影响。方法　针对103个收集到的正畸病人初始数据，运用Adobe Photoshop软件测量每颗牙齿的磨耗面积，统计患者的安氏分类，对患者的头影侧位片进行ANB、MP-FH(FMA)、FMIA、FH-Mx Occ Plane等交角的测量，分析头影测量数据与磨耗面积的相关性。结果　上下前牙的磨耗面积具有统计学差异； ANB角与总磨耗面积以及前后牙平均磨耗面积正相关；MP-FH(FMA)角与前后牙磨耗面积的比值负相关；FMIA角与后牙平均磨耗面积负相关；FH-Mx Occ Plane角与前后牙磨耗面积的比值存在着负相关。结论　一般人群中牙齿的磨耗量与头影测量参数存在一定的相关性，过陡的咬合平面可以导致后牙磨耗更为严重。

关键词: 牙齿磨耗, 颅面形态, 头影测量

Abstract: Objective: The purpose of this study was to perform a dental examination of the general population, measuring tooth wear and craniofacial morphological parameters to study the effects of craniofacial structural features on tooth wear distribution. Methods: For the initial data of 103 orthodontic patients collected, the wear area of each tooth was measured on the model, and the cephalometry of the patient was subjected to head ANB, MP-FH (FMA) and FMIA, and analysis of the correlation between cephalometric data and tooth wear. Results: The wear area of the upper and lower anterior teeth was statistically different. The ANB was positively correlated with the total wear area and the average wear area of the anterior and posterior teeth. MP-FH (FMA) was negatively correlated with the ratio of the wear area of the anterior and posterior tooth; FMIA was negatively correlated with the average wear area of the posterior tooth. Conclusion: There is a certain correlation between the wear area of the tooth and the cephalometric measurement in the general population. The too steep occlusal plane can cause the posterior teeth to wear more seriously.

Key words: tooth wear, craniofacial morphology, cephalometry

张煜雯严斌胡建. 颅面结构特征与牙列磨耗分布的相关性研究[J]. 口腔医学, 2020, 40(6): 540-543.

Yuwen ZHANG jian HU. Correlation between craniofacial structural features and dentition wear distribution[J]. Stomatology, 2020, 40(6): 540-543.

参考文献 8

[1]	Shaw L, Smith AJ: Dental erosion—The problem and some practical solutions.[J]Br Dent J 1998; 186(3):115-118
[2]	Krogstad U, Dahl BL.Dentofacial morphology in patients with advanced attrition.[J] Eur J Orthod 1985; 7(1): 57-62.
[3]	Zhongjie Li, Yang Liu, et al.Worn is born: The role of the maxilla-mandibular relation in management of worn dentition [J] Medical Hypotheses, 2017, 104(6):156-159.
[4]	Crothers A, Sandham A.Vertical height differences in subjects with severe dental wear. Eur J Orthod 1993; 15(6):519-525.
[5]	Anders Johansson, Stavros Kiliaridis, et al.Covariation of some factors associated with occlusal tooth wear in a selected high-wear sample.[J] Scand J Dent Res 1993; 101(6): 398-406.
[6]	d＇Incau E，Couture C，Maureille B.Human tooth wear in the past and the present: Tribological mechanisms， scoring systems，dental and skeletal compensations[J].Arch Oral Biol, 2012, 57(3):214-
[7]	Mandeep Kumar, Rashmi Verma, et al.To determine the severity and distribution of occlusal tooth wear among young North Indian adults and to evaluate the correlation of occlusal tooth wear with bite force.[J] The Open Dentistry Journal 2018, 12(1):735-741
[8]	John R Almond, Brian G Leroux, et al.Craniofacial morphology and tooth wear:A longitudinal study of orthodontic patients.[J] Angle Orthodontist 1999; 69(1):7-13

[1]	范力文娄姝朱贵荣王威李丹丹李媛王珊张卫兵王林潘永初. Damon非拔牙矫治中度牙列拥挤的临床研究[J]. , 2019, 39(8): 692-696.
[2]	张纯溪吕涛刘东旭. 正畸头影测量的结构重叠法[J]. , 2018, 38(8): 738-742.
[3]	乔青芳张君王旭霞刘端芹李涛. 双颌正颌手术治疗严重骨性Ⅲ类错牙合面部硬组织变化的研究[J]. , 2018, 38(10): 908-911.
[4]	金超超. Ⅲ类错垂直骨面型与牙弓宽度关系的研究[J]. , 2018, 38(1): 52-54.
[5]	肖雪玲韩向龙白丁. 正畸美学的发展与回顾—认知协调侧貌[J]. , 2018, 38(1): 92-96.
[6]	王嘉艺王珊王林. CBCT三维头影测量正中矢状参考平面的探究[J]. , 2017, 37(7): 621-624.
[7]	张千依王秋玉李雷颜冬朱宪春. 长春地区汉族青少年正常牙合Ricketts头影测量正常值的建立[J]. , 2017, 37(4): 346-349.
[8]	吴明明刘志杰苑芳连张苗苗. 个别正常牙合CBCT与头颅侧位片头影测量的比较分析[J]. , 2016, 36(6): 523-527.
[9]	宋丽娟薛花李琥. 传动直丝弓矫治器治疗AngleII1类错牙合的头影测量分析[J]. , 2016, 36(3): 223-227.
[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]. , 2016, 36(11): 1047-1050.
[11]	蒲晓芬王震东兰庭超许衍. 微种植体支抗辅助矫治III类错牙合对上气道的影响研究[J]. , 2016, 36(11): 1020-1022.
[12]	徐频频林燕江银华李旭敏. 浙江丽水地区畲族成人正常Ricketts头影测量分析[J]. , 2015, 35(2): 112-114.
[13]	吴欣刘国元. 微种植体支抗矫治上颌前突15例的X线头影测量研究[J]. , 2015, 35(10): 842-845.
[14]	韩晶莹朱晓红侯录李鹍. 哈尔滨地区成人正常牙合 Jarabak头影测量分析研究[J]. , 2014, 34(9): 705-707.
[15]	陈韦儒王培军牟明奎刘杰. 快速扩弓和固定矫治联合应用于高角病例的临床观察[J]. , 2014, 34(9): 695-697.