不同垂直骨面型与骨性Ⅲ类错 基骨宽度之间的关系
韩泽华 （ 西安交通大学口腔医院 ）
周 洪 （ 西安交通大学口腔医院 ）
https://doi.org/10.37155/2661-4766-0406-59Abstract
目的： 分析成人骨性Ⅲ类错 基骨宽度特征与垂直骨面型的相关性。 方法： 采集78名男性和89名女性 的颅颌面CBCT信息，分析上下颌基底骨宽度差异，测量头颅侧位片，进行因子分析，构建结构模型方程。 结果： 骨性Ⅲ类错 基骨宽度与不同垂直骨面型存在一定相关性，分组后测量安氏Ⅲ类上下颌第二磨牙区基骨宽度差分 别是高角组为-3.23±2.89、均角组为-4.59±4.32、低角组为-5.43±2.73；上下颌磨牙后区域颌骨宽度差分别是高角组 为-7.67±4.15、均角组为-8.69±5.01、低角组为-9.89±4.65。因子分析后发现不同垂直骨面型分组中，潜变量垂直A组 中颅下颌三角的因子载荷最大，分别为高角组0.9576、均角组0.9589和低角组0.9539；其次是面高指数的均角组和低角 组因子系数，分别为0.9242、 0.9036；在垂直B组中，下面高因子系数最大，高角组为0.9201、均角组为0.8948、低角 组为0.8897。结构方程模型显示不同垂直骨面型，垂直A组与第二磨牙和磨牙后区宽度不匹配性均呈显著正相关（ B > 0； P < 0.01）；垂直B组与低角组磨牙后区基骨宽度不匹配性呈正相关（ B = 2.742； P < 0.001）； 结论： 骨性Ⅲ类错 畸形基骨宽度不调主要发生在第二磨牙区和磨牙后区；低角性患者的水平向基骨宽度不调明显。
Keywords
骨性Ⅲ类错 、垂直骨面型、基骨、结构模型方程Full Text
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Fit: Caveats and Recommendations for Confirmatory Factor
Analysis and Exploratory Structural Equation Modeling[J].
Measurement in Physical Education and Exercise
Science,2015,19(1).
[8]Chen Fengshan, Terada Kazuto, Wu Liping, Saito
Isao. Dental arch widths and mandibular-maxillary base
width in Class III malocclusions with low, average and high
MP-SN angles.[J]. The Angle orthodontist,2007,77(1).
[9]Koo YJ, Choi SH, Keum BT, Yu HS, Hwang CJ,
Melsen B, et al. Maxillomandibular arch width differences at
estimated centers of resistance: comparison between normal
occlusion and skeletal Class III malocclusion. Korean J
Orthod 2017;47:167-75.
[10]Pradhan Tejashri,Gowda Ajith,Jayade Vijay,
Gopalkrishnan K,Patil Anand. Treatment effect of
combined surgical maxillary expansion and mandibular
setback in skeletal class III[J]. Contemporary Clinical
Dentistry,2021,12(2).
[11]Clemente Roberta,Contardo Luca,Greco Christian,Di
Lenarda Roberto,Perinetti Giuseppe. Class III Treatment with
Skeletal and Dental Anchorage: A Review of Comparative
Effects.[J]. BioMed research international,2018,2018.
[12]王智勇 颅底结构特征与矢状向错 的相关研究
[D].2015
[13]Ornitz D M,Itoh N. Fibroblast growth factors.[J].
Genome biology,2001,2(3).
[14]CHEN W， ZENG H， SUN L， et al． Match of
the bimaxillary basal bone arches and its variations among
individuals[J]． Scanning， 2021， 2021: 9625893
[15]Wagner Dawn M,Chung Chun-Hsi. Transverse
growth of the maxilla and mandible in untreated girls with
low, average, and high MP-SN angles: a longitudinal study.
[J]. American journal of orthodontics and dentofacial
orthopedics : official publication of the American Association
of Orthodontists, its constituent societies, and the American
Board of Orthodontics,2005,128(6).
Copyright © 2023 韩泽华,周 洪
Publishing time:2022-12-31
This work is licensed under a Creative Commons Attribution 4.0 International License
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