上颌中切牙内收与消耗牙弓间隙量的相关性研究

doi:10.13591/j.cnki.kqyx.2022.05.011

口腔医学 ›› 2022, Vol. 42 ›› Issue (5): 442-445.doi: 10.13591/j.cnki.kqyx.2022.05.011

上颌中切牙内收与消耗牙弓间隙量的相关性研究

顾云彤¹, 王林², 王亮², 王玉华², 赵春洋²

南京医科大学口腔疾病研究江苏省重点实验室,南京医科大学附属口腔医院正畸科,江苏南京(210029)

修回日期:2022-01-06 发布日期:2022-05-24
通讯作者: 赵春洋 Tel:(025)69593063 E-mail:zhaochunyang_orth@I63.com
基金资助:
国家自然科学基金(81830031);江苏省高校优势学科建设工程(2018-87);科教强卫口腔正畸学(ZDXKA2016026)

Linear regression analysis of correlation between the amount of maxillary central incisor retraction and arch space consumption

GU Yuntong, WANG Lin, WANG Liang, WANG Yuhua, ZHAO Chunyang

Jiangsu Key Laboratory of Oral Disease, Nanjing Medical University, Department of Orthodontics, Affiliated Hospital of Stomatology Nanjing Medical University, Nanjing 210029, China

Revised:2022-01-06 Published:2022-05-24

摘要/Abstract

摘要： 目的探究上颌中切牙内收量与其消耗牙弓间隙量的比例关系。方法选择拔除上颌第一前磨牙的前牙深覆盖成年正畸患者203例,对治疗前、后的锥形束CT进行三维重建,测量上颌中切牙内收量(X₁)、尖牙间宽度变化量(X₂)及尖牙远中移动量。数字化扫描仪扫描治疗前的上颌石膏模型,测量上颌前段牙弓拥挤度。将上颌中切牙内收量、尖牙间宽度变化量与消耗的总牙弓间隙量(Y)进行相关分析、线性回归分析。结果上颌中切牙内收量与牙弓间隙的消耗量呈强正相关(r=0.726,P＜0.001),尖牙间宽度变化量与牙弓间隙消耗量呈负相关(r=-0.317,P<0.001),消耗的总牙弓间隙量(Y)与上颌中切牙内收量(X₁)、尖牙间宽度变化量(X₂)的回归方程为Y=1.25X₁-0.494X₂-2.299。结论上颌中切牙每内收1 mm,消耗的牙弓间隙为1.250 mm;尖牙间宽度每缩减1 mm,消耗的牙弓间隙为0.494 mm。

关键词: 上颌中切牙, 牙弓间隙, 相关性, 回归分析

Abstract: Objective To explore the relationship between the amount of maxillary central incisor retraction and the consumption of dental arch space. Methods Two hundred and three adult orthodontic patients with overjet and extraction of the maxillary first premolars were selected. Three-dimensional reconstruction of the cone-beam CT before and after treatment was established. The amount of maxillary central incisor retraction (X₁), intercanine width (X₂) and the amount of distal movement of canines were measured. The digital scanner was used to scan the maxillary plaster casts before treatment, and the crowding of the anterior segment of the maxillary arch was measured. The amount of the maxillary central incisor retraction, the change of intercanine width and the total amount of dental arch space consumption (Y) were analyzed using correlation analysis and linear regression analysis. Results The amount of maxillary central incisor showed strong positive correlation with the consumption of dental arch space (r=0.726,P＜0.001), while the change of maxillary canines width and the consumption of dental arch space showed negative correlation (r=-0.317,P＜0.001). The regression equation of maxillary central incisor retraction(X₁), intercanine width (X₂) and the total arch space consumption (Y) was Y=1.25X₁-0.494X₂-2.299. Conclusion For every 1 mm of maxillary central incisor retraction, the arch space required is 1.250 mm, and for every 1 mm reduction in the width between canines, arch space required is 0.494 mm.

Key words: maxillary central incisor, dental arch space, correlation, regression analysis

中图分类号:

R783.5

顾云彤, 王林, 王亮, 王玉华, 赵春洋. 上颌中切牙内收与消耗牙弓间隙量的相关性研究[J]. 口腔医学, 2022, 42(5): 442-445.

GU Yuntong, WANG Lin, WANG Liang, WANG Yuhua, ZHAO Chunyang. Linear regression analysis of correlation between the amount of maxillary central incisor retraction and arch space consumption[J]. Stomatology, 2022, 42(5): 442-445.

参考文献

[1] Kilpeläinen PV, Phillips C, Tulloch JF. Anterior tooth position and motivation for early treatment[J]. Angle Orthod, 1993, 63(3):171-174.
[2] 赵琳, 冯云霞. 双颌前突正畸治疗后唇部与切牙位置的相关研究[J]. 临床口腔医学杂志, 2020, 36(4):252-255.
[3] 林汤毅, 王林, 吴斌, 等. 复合转矩弓丝在内收前牙时牙周组织应力分布三维有限元分析[J]. 口腔医学, 2009, 29(12):621-623, 663.
[4] Tweed CH. The FMIA in orthodontic diagnosis,treatment planning and prognosis[J]. Am J Orthod,1946, 32(4):175-230.
[5] Fields H, Proffitt WR. Contemporary Orthodontics[M]. Louis:Mosby,2007.155-156.
[6] 周志捷, 陈昱, 林怡君, 等. Ⅱ类1分类错牙合正畸治疗前后牙齿移动与软组织侧貌变化的线性相关分析[J]. 中华口腔医学杂志, 2021, 56(1):63-69.
[7] 赵志河. 口腔正畸学[M]. 7版. 北京: 人民卫生出版社, 2020.
[8] Shaw WC. Factors influencing the desire for orthodontic treatment[J]. Eur J Orthod, 1981, 3(3):151-162.
[9] 王亮, 程磊, 王林, 等. 骨皮质切开术辅助上切牙内收后对牙根及牙槽骨影响的锥形束CT研究[J]. 口腔医学, 2021, 41(6):503-508.
[10] Zilberman O,Huggare JAV, Parikakis KA. Evaluation of the validity of tooth size and arch width measurements using conventional and three-dimensional virtual orthodontic models[J]. Angle Orthod, 2003, 73(3):301-306.
[11] Noroozi H. A formula to determine the amount of retraction of mandibular canines[J]. Angle Orthod, 2000, 70(2):154-156.
[12] Tulloch JF, Lenz BE, Phillips C. Surgical versus orthodontic correction for Class Ⅱ patients:Age and severity in treatment planning and treatment outcome[J]. Semin Orthod, 1999, 5(4):231-240.
[13] Nashed RR, Reynolds IR. A cephalometric investigation of overjet changes in fifty severe Class Ⅱ division 1 malocclusions[J]. Br J Orthod, 1989, 16(1):31-37.
[14] 傅民魁. 口腔正畸学[M]. 3版. 北京: 人民卫生出版社, 2000.
[15] 宋宇, 周彦恒, 林久祥. 上颌尖牙间宽度、前牙弓深度与前牙弓周长之间相互关系的二维分析[J]. 现代口腔医学杂志, 2007, 21(5):476-478.
[16] Germane N, Lindauer SJ, Rubenstein LK, et al. Increase in arch perimeter due to orthodontic expansion[J]. Am J Orthod Dentofacial Orthop, 1991, 100(5):421-427.
[17] 王鹏, 李大军, 刘建彰. 上颌前牙宽度、前牙弓周长与前牙弓深度的相关性研究[J]. 北京大学学报(医学版), 2020, 52(1):124-128.
[18] He DQ, Gu Y, Sun YN. Evaluation of aesthetic anteroposterior position of maxillary incisors in patients with extraction treatment using facial reference lines[J]. J Int Med Res, 2019, 47(7):2951-2960.
[19] Jain M, Vyas M, Singh JR. Effect of crown angulation of maxillary incisor on effective arch perimeter[J]. J Clin Diagn Res, 2017, 11(6):ZC92-ZC96.
[20] O'Higgins EA, Lee RT. How much space is created from expansion or premolar extraction? [J]. J Orthod, 2000, 27(1):11-13.

上颌中切牙内收与消耗牙弓间隙量的相关性研究

Linear regression analysis of correlation between the amount of maxillary central incisor retraction and arch space consumption

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	杜军, 万哲. 植入位点及轴向对不同牙槽窝形态上中切牙即刻种植即刻负重应力影响的三维有限元分析[J]. 口腔医学, 2023, 43(3): 222-227.
[2]	唐诗雨, 艾力麦尔旦·艾尼瓦尔, 马廷林, 苏庆玲, 王珊, 王玲. 基于CBCT的上颌第三磨牙拔除术与上颌窦穿孔的相关性分析[J]. 口腔医学, 2022, 42(4): 327-331.
[3]	李慧杰高莺. 上颌中切牙种植进入鼻腭管的研究进展[J]. , 2021, 41(12): 1148-1152.
[4]	胡博张丹. 对髁突特发性吸收与颞下颌关节盘前移位相关性的探究[J]. , 2020, 40(5): 471-475.
[5]	刘怡然沈红仇颖莹沈家平. 江苏省3~5岁儿童龋病相关因素调查分析[J]. , 2020, 40(4): 342-347.
[6]	赵莹靳赢任宇舒宋利明李健林晓萍. 基质金属蛋白酶9在慢性牙周炎及类风湿关节炎中的水平及相关性分析[J]. , 2019, 39(9): 793-798.
[7]	李萌宇王绍义. 双膦酸盐相关性颌骨坏死的发生机制与风险评估[J]. , 2017, 37(9): 849-853.
[8]	刘艳于国霞俞有健. 儿童龋病发病现状及相关危险因素的Logistic回归分析[J]. , 2017, 37(9): 826-828.
[9]	刘磊秦天牧陈汉帮夏阳刘兴平章非敏. 数字化全景片上测量江苏地区人群上颌中切牙冠根长度的研究[J]. , 2017, 37(7): 612-614.
[10]	李平李萍韩会民肖丽英. 牙周病与糖尿病足临床相关性研究[J]. , 2015, 35(8): 673-676.
[11]	霍伶俐彭静. 正畸治疗后复发危险因素的非条件logistic回归分析[J]. , 2015, 35(8): 654-657.
[12]	王越林晓萍. 类风湿性骨病与牙周炎的病因机制相关性研究进展[J]. , 2015, 35(3): 229-233.
[13]	赵晓敏包旭英龚忠诚林兆全. 新疆大学生颞下颌关节紊乱病相关因素的Logistic回归分析[J]. , 2015, 35(10): 874-877.
[14]	冯丹林晓萍. 牙周炎与慢性肾脏病相关性研究现状[J]. , 2015, 35(1): 61-65.
[15]	王玉林晓萍. 口腔扁平苔藓与牙周炎关系的研究进展[J]. , 2015, 35(1): 71-75.