[Individual growth study of the effects of chin cap force to the mandible].

H Oda, A Ueda, Y Miyagawa, H Hongou, K Kuroki, M Suzuki, Y Suzuki
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Abstract

This study was undertaken to investigate a certain regulation of the chin cap force to a growing human mandible, especially with regard to the effect on the growth amount and timing by means of allometric relation between stature and craniofacial complex. Materials were consisted of roentgencephalograms which had been taken from fifteen Japanese females with skeletal class III malocclusion and records of time length of chin cap use and stature. The results were as follows: 1. Chin cap had a great influence on mandible during the preadolescent and adolescent periods (P less than 0.01). 2. What was most influenced by orthopedic force was intercondylar width, followed by mandibular length, intergonial width, mandibular body length, and ramus height. 3. Restraint of growth was found in mandibular length, mandibular body length, and ramus height, but on the other hand acceleration of growth in intercondylar width and intergonial width was also found. In conclusion, it would be possible to say that if it is used propertly, chin cap therapy can be effective within certain limits for skeletal class III malocclusions in view of restraint and acceleration of mandibular growth.

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[颏帽力对下颌骨影响的个体生长研究]。
本研究通过身高与颅面复合体的异速生长关系,探讨颏帽力对人类下颌骨生长的调节作用,特别是对下颌骨生长量和生长时间的影响。材料包括15例日本女性骨骼III型错颌患者的头颅x线片以及下颌帽使用时间和身高的记录。实验结果如下:1.实验结果表明:颏帽在青春期前和青春期对下颌骨有显著影响(P < 0.01)。2. 受矫形力影响最大的是髁间宽度,其次是下颌长度、骨间宽度、下颌体长和支高。3.下颌长、体长、支高的生长受到抑制,而髁间宽、骨间宽的生长则加速。综上所述,如果使用得当,鉴于下颌生长的抑制和加速,颏帽治疗在一定范围内对骨骼III类错颌是有效的。
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