Customized maxillary incisor position relative to dentoskeletal and soft tissue patterns in Chinese women: A retrospective study.

IF 1.9 3区 医学 Q1 Dentistry Korean Journal of Orthodontics Pub Date : 2022-03-25 DOI:10.4041/kjod.2022.52.2.150
Xueman Zhou, Yingcheng Zheng, Zhenzhen Zhang, Zihan Zhang, Lina Wu, Jiaqi Liu, Wenke Yang, Jun Wang
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引用次数: 1

Abstract

Objective: To provide reliable prediction models based on dentoskeletal and soft tissue variables for customizing maxillary incisor positions and to optimize digitalized orthodontic treatment planning.

Methods: This study included 244 Chinese women (age, 18-40 years old) with esthetic profiles after orthodontic treatment with fixed appliances (133 in group I: 1° ≤ The angle between the nasion [N]-A point [A] plane and the N-B point [B] plane [ANB] ≤ 4°; 111 in group II: 4° < ANB ≤ 7°). Dental, skeletal, and soft tissue measurements were performed on lateral cephalograms of the participants. Correlation and multiple linear regression analyses were used to determine the influence of dentoskeletal and soft tissue variables on maxillary incisor position.

Results: The ideal anteroposterior position of the maxillary incisor varied between sagittal skeletal patterns. The position of the maxillary incisor correlated with the sagittal discrepancy between the maxilla and the mandible (ANB), protrusion of the midface, nasal tip projection, development of the chin, and inclination of both the maxillary and mandibular incisors. Distance from the maxillary central incisor to nasion-pogonion plane predicted using multiple linear regression analysis was accurate and could be a practical measurement in orthodontic treatment planning.

Conclusions: Instead of using an average value or norm, orthodontists should customize a patient's ideal maxillary incisor position using dentoskeletal and soft tissue evaluations.

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中国女性上颌切牙位置与牙骨和软组织形态的关系:一项回顾性研究。
目的:为上颌切牙位置定制提供基于牙骨和软组织变量的可靠预测模型,优化数字化正畸治疗计划。方法:本研究纳入244例使用固定矫治器矫治后外形美观的中国女性(年龄18-40岁),其中ⅰ组133例:1°≤鼻[N]-A点[A]面与N-B点[B]面夹角[ANB]≤4°;II组111例:4°< ANB≤7°)。牙齿、骨骼和软组织测量是在参与者的侧位脑电图上进行的。采用相关分析和多元线性回归分析确定牙骨和软组织变量对上颌切牙位置的影响。结果:上颌切牙的理想前、后位在矢状骨形态上存在差异。上颌切牙的位置与上颌和下颌骨矢状差(ANB)、中脸突出、鼻尖突出、下巴发育以及上颌和下颌骨切牙的倾斜度有关。多元线性回归分析预测上颌中切牙到鼻-阴面距离准确,可作为正畸治疗计划的实用测量指标。结论:正畸医师不应使用平均值或标准,而应根据牙骨骼和软组织评估来定制患者理想的上颌切牙位置。
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来源期刊
Korean Journal of Orthodontics
Korean Journal of Orthodontics Dentistry-Orthodontics
CiteScore
2.60
自引率
10.50%
发文量
48
审稿时长
3 months
期刊介绍: The Korean Journal of Orthodontics (KJO) is an international, open access, peer reviewed journal published in January, March, May, July, September, and November each year. It was first launched in 1970 and, as the official scientific publication of Korean Association of Orthodontists, KJO aims to publish high quality clinical and scientific original research papers in all areas related to orthodontics and dentofacial orthopedics. Specifically, its interest focuses on evidence-based investigations of contemporary diagnostic procedures and treatment techniques, expanding to significant clinical reports of diverse treatment approaches. The scope of KJO covers all areas of orthodontics and dentofacial orthopedics including successful diagnostic procedures and treatment planning, growth and development of the face and its clinical implications, appliance designs, biomechanics, TMJ disorders and adult treatment. Specifically, its latest interest focuses on skeletal anchorage devices, orthodontic appliance and biomaterials, 3 dimensional imaging techniques utilized for dentofacial diagnosis and treatment planning, and orthognathic surgery to correct skeletal disharmony in association of orthodontic treatment.
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