临汾地区错（牙合）患者Bolton指数的研究
|
摘要
了解临汾地区安氏Ⅰ、Ⅱ、Ⅲ类错(牙合)、正常(牙合)患者Bolton指数的分布规律,以及安氏分类、前牙比、全牙比及不同拔牙模式对Bolton指数的影响。
方法:
随机选取符合条件的安氏错(牙合)模型120例,安氏Ⅰ、Ⅱ、Ⅲ类各40名,男女各半。按照个别正常(牙合)的标准选取个别正常(牙合)40名,男女各半。由作者用电子游标卡尺对160例模型上下颌第一恒磨牙到对侧第一恒磨牙之间共十二颗牙中每一颗牙的最大近远中径进行测量。按照Bolton公式计算出所有模型的前牙比、全牙比、后牙比,并对的安氏Ⅰ、Ⅱ、Ⅲ类120名患者进行模拟拔除4/4/4/4、5/5/5/5、4/4/5/5、5/5/4/4后Bolton指数进行计算。
结果:
1.正常(牙合)、安氏Ⅰ、Ⅱ、Ⅲ类错(牙合)的前牙比、全牙比、后牙比男性均大于女性,但是性别间无显著性差异,故男女合并为一组。
2.安氏各组人数分布:安氏Ⅰ、Ⅱ、Ⅲ类错(牙合)均为正常组>过小组>过大组,安氏Ⅰ类、Ⅱ类、Ⅲ类错(牙合)前牙比、全牙比患者人数分布无显著性差异。
3.各组间方差分析示:安氏Ⅰ类、Ⅱ类、Ⅲ类前牙比、全牙比、后牙比均无显著性差异。
4.Bolton指数过大组的前牙比在安氏Ⅲ类与I类、II类、正常(牙合)间的比较有显著差异,过小组、正常组的前牙比、全牙比以及过大组的全牙比在安氏在Ⅰ类、Ⅱ类、Ⅲ类、正常(牙合)间无显著性差异。
5.几种常规拔牙模式均引起拔牙后Bolton指数的不协调率增加。
6.拔4/4/4/4、4/4/5/5组较拔5/5/5/5、5/5/4/4组Bolton指数值大,两者之间有显著性差异(P<0.05)。
7.Logistic回归分析示拔除4颗前磨牙后,其Bolton指数不调与否,与拔牙前的前牙比、全牙比、拔牙模式有关(P<0.05),与安氏分类无
Bolton analysis of maloccluson patients in LinfenThis paper aims to study distributions of Bolton anterior and overall ratios among Class Ⅰ、Ⅱ and Ⅲ malocclusion groups.The effection of any tooth extraction combinations、Angle's class、 anterior ratio、 overall ratio on Bolton index was also studied. Methods120 dental casts of orthodontic patients were selected randomly, 40 subjects of Angle class Ⅰ、Ⅱ and Ⅲ were arranged with half man and half woman. 40 subjects with normal occlusion were choosed according to the standard in which 20 were females and 20 were males. Each tooth crown mesiodistal size between the first molar and the opposite molar of 160 dental casts was measured by electrical calliper .Anterior ratio 、 overall ratio and posterior ratio were calculated , according Bolton rate standards. Also Angle class Ⅰ、Ⅱ and Ⅲ's ratios were counted under the condition of hypothetical tooth extrations 4/4/4/4 、 5/5/5/5、 4/4/5/5、 5/5/4/4. Results1.No statistically significant sex difference was found between anterior ratio 、 overall ratio and posterior ratio in the 3 malocclusions groups and normal occlusion but the means of males was larger than that of the female. As a result, females and males were combined to be a group.2.The distribution of number in Angle groups was as follows: the number of patients in the Bolton normal group was the most, it was the least in the Bolton big group.In the anterior ratio, no statistically significant differences were found in class Ⅰ 、 class Ⅱ and class Ⅲ. In the overall ratio the same results were found in class Ⅰ 、 class Ⅱ and class Ⅲ.3. The differences of anterior 、 overall and posterior ratios were statistically insignificant.4. Statistically significant differences were found between class III and other groups in the Bolton big group for the anterior ratio .But no statistically significant difference was found in anterior ratio of Bolton big group.In the anterior and overall ratios in the Bolton small group and normal group, there's no statistically significant difference.5. The percent of tooth-size discrepancy was increased on the condition of some kinds of extraction models.6. Satistically significant differences were found after extracting
方法:
随机选取符合条件的安氏错(牙合)模型120例,安氏Ⅰ、Ⅱ、Ⅲ类各40名,男女各半。按照个别正常(牙合)的标准选取个别正常(牙合)40名,男女各半。由作者用电子游标卡尺对160例模型上下颌第一恒磨牙到对侧第一恒磨牙之间共十二颗牙中每一颗牙的最大近远中径进行测量。按照Bolton公式计算出所有模型的前牙比、全牙比、后牙比,并对的安氏Ⅰ、Ⅱ、Ⅲ类120名患者进行模拟拔除4/4/4/4、5/5/5/5、4/4/5/5、5/5/4/4后Bolton指数进行计算。
结果:
1.正常(牙合)、安氏Ⅰ、Ⅱ、Ⅲ类错(牙合)的前牙比、全牙比、后牙比男性均大于女性,但是性别间无显著性差异,故男女合并为一组。
2.安氏各组人数分布:安氏Ⅰ、Ⅱ、Ⅲ类错(牙合)均为正常组>过小组>过大组,安氏Ⅰ类、Ⅱ类、Ⅲ类错(牙合)前牙比、全牙比患者人数分布无显著性差异。
3.各组间方差分析示:安氏Ⅰ类、Ⅱ类、Ⅲ类前牙比、全牙比、后牙比均无显著性差异。
4.Bolton指数过大组的前牙比在安氏Ⅲ类与I类、II类、正常(牙合)间的比较有显著差异,过小组、正常组的前牙比、全牙比以及过大组的全牙比在安氏在Ⅰ类、Ⅱ类、Ⅲ类、正常(牙合)间无显著性差异。
5.几种常规拔牙模式均引起拔牙后Bolton指数的不协调率增加。
6.拔4/4/4/4、4/4/5/5组较拔5/5/5/5、5/5/4/4组Bolton指数值大,两者之间有显著性差异(P<0.05)。
7.Logistic回归分析示拔除4颗前磨牙后,其Bolton指数不调与否,与拔牙前的前牙比、全牙比、拔牙模式有关(P<0.05),与安氏分类无
Bolton analysis of maloccluson patients in LinfenThis paper aims to study distributions of Bolton anterior and overall ratios among Class Ⅰ、Ⅱ and Ⅲ malocclusion groups.The effection of any tooth extraction combinations、Angle's class、 anterior ratio、 overall ratio on Bolton index was also studied. Methods120 dental casts of orthodontic patients were selected randomly, 40 subjects of Angle class Ⅰ、Ⅱ and Ⅲ were arranged with half man and half woman. 40 subjects with normal occlusion were choosed according to the standard in which 20 were females and 20 were males. Each tooth crown mesiodistal size between the first molar and the opposite molar of 160 dental casts was measured by electrical calliper .Anterior ratio 、 overall ratio and posterior ratio were calculated , according Bolton rate standards. Also Angle class Ⅰ、Ⅱ and Ⅲ's ratios were counted under the condition of hypothetical tooth extrations 4/4/4/4 、 5/5/5/5、 4/4/5/5、 5/5/4/4. Results1.No statistically significant sex difference was found between anterior ratio 、 overall ratio and posterior ratio in the 3 malocclusions groups and normal occlusion but the means of males was larger than that of the female. As a result, females and males were combined to be a group.2.The distribution of number in Angle groups was as follows: the number of patients in the Bolton normal group was the most, it was the least in the Bolton big group.In the anterior ratio, no statistically significant differences were found in class Ⅰ 、 class Ⅱ and class Ⅲ. In the overall ratio the same results were found in class Ⅰ 、 class Ⅱ and class Ⅲ.3. The differences of anterior 、 overall and posterior ratios were statistically insignificant.4. Statistically significant differences were found between class III and other groups in the Bolton big group for the anterior ratio .But no statistically significant difference was found in anterior ratio of Bolton big group.In the anterior and overall ratios in the Bolton small group and normal group, there's no statistically significant difference.5. The percent of tooth-size discrepancy was increased on the condition of some kinds of extraction models.6. Satistically significant differences were found after extracting
引文
1.林久详主编,现代口腔正畸学,第一版。北京;中国医药科技出版社.1951:55—58。
2. Bolton WA. The clinical application of a tooth-size analysis.Am J orthod. 1962; 78:50.
3. Bolton WA.Thesis for Master Degress,university of Washington. Th7180; 1952:1-40.
4. White LW. The clinical use of occlusograms. J Clin Orthod 1982;16: 92-103.
5. Crosby DR, Alexander CG..The occurrence of tooth size discrepancy among different malocclusion groups. Am J Orthod 1989;85:457.
6. Freeman JE, Maskeroni AJ, Lorton L. Frequency of Bolton tooth-size discrepancies among patients. Am L Orthod Dentofacial Orthop 1996;110:24-27.
7. Yamada A, Nagahara K, Yuasa S, Etal. A study of reliability in three dimensional measurement of a dental casts. J Japanese Orthod Soc 1987;46:18-31.
8. Richardson ER, Malhotra SK. Mesiodistal crown dimension of the permanent dentition of American Negroes. Am J Orthod 1975;68:157-164.
9. Moorrees CFA. The Aleut dentition. Cambridge, Mass; Harvard University Press 1957.
10. Buschang PH,Demirjian A, Cadotte L. Permanent tooth size of French-Canadians. J Can Dent Assoc 1988;54:441-444.
11.刘侃,翁思思,何爱民.上海市恒牙前期儿童85例Bolton指数的测量分析,口腔医学,1987;7:170。
12.林久祥,傅民魁.上下颌之间牙列关系的分析,现代口腔医学杂志,1991;5:71。
13.栗震亚等.正常牙台牙及牙弓的研究.华西口腔医学杂志,1983;1:19。
14.徐兵等,徐芸,胡江天.106例正常牙合青少年Bolton指数的测量分析,云 南医药.,1999;6(20):427-428。
15.王建国,傅民魁.正常(牙合)藏族人牙、牙弓测量分析,口腔正畸学,1999;6:70。
16.徐兵等,徐芸,胡江天.106例正常(牙合)青少年Bolton指数的测量分析.云南医药.,1999;6(20):427-428。
17.涂玲,刘良奎等.湖南地区正常(牙合)上下颌之间牙量关系的分析及临床应用.中国现代医学杂志。2003;12(13):71-7。
18.王增全,汤兰萍,朱梅.珠江三角洲地区正常(牙合)青年的牙模测量研究[J].临床口腔医学杂志;1995;11(2):120。
19. Bolton WA.Disharmony in tooth size and its relation to the analysis and treatment of malocclusion.Angle Orthod 1958;28:113-130.
20. Ballard ML. Asymmetry in tooth size: a factor in the etiology,diagnosis and treatment of malocclusion. Angle Orthod 1994;14:67-71.
21. Ling JYK.Amorphometric study of the dentition of 12-year-old Chinese children in Hong Kong; 1992.
22. Tanaka MM Johnston LE. The prediction of the size of unerupted canines and premolars in a contemporary of Orthodontic population.J Am Dent Assoc 1974;88:798-801.
23. Lundstrom AA. Intermaxillary tooth width ratio analysis. Eur J Orthod 1981;3:285-287.
24. Nie Q, Lin J. Comparison of intermaxillary tooth size discrepancies among different malocclusion groups. Am J Orthod Dentofacial Orthop, 1999;116 (5):539-544.
25. Ta AT Ling LYK,Hagg U. Tooth-size discrepancies among different occlusion groups of southern Chinese children.Am J Orthod,2001, 120:556-558.
26.佟昊宇,金巧霞等。上海地区213例错(牙合)患者Bolton指数的测量分析,口腔正畸学,2003;0(4):168-171。
27. Lavelle CL. Maxillary and mandibular tooth size in different racial groups and in different occlusal categories. Am J orthod. 1972;61:29-37.
2. Bolton WA. The clinical application of a tooth-size analysis.Am J orthod. 1962; 78:50.
3. Bolton WA.Thesis for Master Degress,university of Washington. Th7180; 1952:1-40.
4. White LW. The clinical use of occlusograms. J Clin Orthod 1982;16: 92-103.
5. Crosby DR, Alexander CG..The occurrence of tooth size discrepancy among different malocclusion groups. Am J Orthod 1989;85:457.
6. Freeman JE, Maskeroni AJ, Lorton L. Frequency of Bolton tooth-size discrepancies among patients. Am L Orthod Dentofacial Orthop 1996;110:24-27.
7. Yamada A, Nagahara K, Yuasa S, Etal. A study of reliability in three dimensional measurement of a dental casts. J Japanese Orthod Soc 1987;46:18-31.
8. Richardson ER, Malhotra SK. Mesiodistal crown dimension of the permanent dentition of American Negroes. Am J Orthod 1975;68:157-164.
9. Moorrees CFA. The Aleut dentition. Cambridge, Mass; Harvard University Press 1957.
10. Buschang PH,Demirjian A, Cadotte L. Permanent tooth size of French-Canadians. J Can Dent Assoc 1988;54:441-444.
11.刘侃,翁思思,何爱民.上海市恒牙前期儿童85例Bolton指数的测量分析,口腔医学,1987;7:170。
12.林久祥,傅民魁.上下颌之间牙列关系的分析,现代口腔医学杂志,1991;5:71。
13.栗震亚等.正常牙台牙及牙弓的研究.华西口腔医学杂志,1983;1:19。
14.徐兵等,徐芸,胡江天.106例正常牙合青少年Bolton指数的测量分析,云 南医药.,1999;6(20):427-428。
15.王建国,傅民魁.正常(牙合)藏族人牙、牙弓测量分析,口腔正畸学,1999;6:70。
16.徐兵等,徐芸,胡江天.106例正常(牙合)青少年Bolton指数的测量分析.云南医药.,1999;6(20):427-428。
17.涂玲,刘良奎等.湖南地区正常(牙合)上下颌之间牙量关系的分析及临床应用.中国现代医学杂志。2003;12(13):71-7。
18.王增全,汤兰萍,朱梅.珠江三角洲地区正常(牙合)青年的牙模测量研究[J].临床口腔医学杂志;1995;11(2):120。
19. Bolton WA.Disharmony in tooth size and its relation to the analysis and treatment of malocclusion.Angle Orthod 1958;28:113-130.
20. Ballard ML. Asymmetry in tooth size: a factor in the etiology,diagnosis and treatment of malocclusion. Angle Orthod 1994;14:67-71.
21. Ling JYK.Amorphometric study of the dentition of 12-year-old Chinese children in Hong Kong; 1992.
22. Tanaka MM Johnston LE. The prediction of the size of unerupted canines and premolars in a contemporary of Orthodontic population.J Am Dent Assoc 1974;88:798-801.
23. Lundstrom AA. Intermaxillary tooth width ratio analysis. Eur J Orthod 1981;3:285-287.
24. Nie Q, Lin J. Comparison of intermaxillary tooth size discrepancies among different malocclusion groups. Am J Orthod Dentofacial Orthop, 1999;116 (5):539-544.
25. Ta AT Ling LYK,Hagg U. Tooth-size discrepancies among different occlusion groups of southern Chinese children.Am J Orthod,2001, 120:556-558.
26.佟昊宇,金巧霞等。上海地区213例错(牙合)患者Bolton指数的测量分析,口腔正畸学,2003;0(4):168-171。
27. Lavelle CL. Maxillary and mandibular tooth size in different racial groups and in different occlusal categories. Am J orthod. 1972;61:29-37.