Evaluation of Canonical Correlations between Masticatory Muscle Orientation and Craniodentofacial Morphology in 10-17 Year_Olds

V. Zand, M. Oshagh, N. I. Nasrabadi, P. Kharazi, Fatemeh Bahramnia
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Abstract

Objectives Different theories have been suggested to define factors involved in skeletal and craniofacial morphology. Many of these theories explain that the bone morphology is the result of the bone tissue capability to adapt in response to biomechanical forces exerted during growth. Also, it seems logical to hypothesize that there is a relationship between biomechanical connections of muscles to bones with the morphology of musculodentoskeletofacial complex. A few studies have evaluated muscle orientation in different skeletal occlusions (class I, II and III). The aim of this study was to evaluate correlations between masticatory muscle orientation and craniodentofacial morphology in different skeletal malocclusions. Materials and Methods A total of 160 lateral cephalograms of patients between 10–17 years in a dental clinic were evaluated for the orientation of masticatory muscles and craniofacial morphology. All cephalograms were traced and confirmed by an orthodontist. Thirty- seven parameters (skeletal, dental, muscular) were measured. For statistical analysis, canonical correlation, variation and linear regression analysis were performed. Results Increase of the masseter muscle angulation was accompanied by a more superior position of the muscle in female subjects with Class II malocclusion. Increase of temporalis muscle angulation was seen in long face males. Increase of the masseter muscle angulation and its higher position were seen in short face males. Conclusion Increase of the masseter muscle angulation was accompanied by a more superior position of the muscle in female patients with class II properties. Increase of temporalis muscle angulation was seen in male patients with long face characteristics. Increase of the masseter muscle angulation and its higher position were seen in male patients with short face properties.
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10 ~ 17岁儿童咀嚼肌取向与颅牙面形态的典型相关性评价
目的不同的理论被提出来定义涉及骨骼和颅面形态学的因素。其中许多理论解释说,骨形态是骨组织适应生长过程中施加的生物力学力的能力的结果。此外,假设肌肉与骨骼的生物力学连接与肌肉-齿-骨-面复合体的形态之间存在关系似乎是合乎逻辑的。一些研究评估了不同骨骼咬合(I类,II类和III类)的肌肉取向。本研究的目的是评估不同骨骼错咬合中咀嚼肌取向与颅牙面形态之间的相关性。材料与方法对160例10 ~ 17岁牙科门诊患者的侧位头片进行咀嚼肌方向和颅面形态的评价。所有的脑电图都由一名正畸医生追踪并确认。测量了37个参数(骨骼、牙齿、肌肉)。统计分析采用典型相关分析、变异分析和线性回归分析。结果ⅱ类错颌女性咬肌成角增加,咬肌位置偏优。长脸男性颞肌成角增加。短脸男性咬肌成角增加,位置增高。结论女性II类征性患者咬肌成角增高,且咬肌位置偏优。长脸男性患者颞肌成角增加。短脸男性患者咬肌成角增加,位置增高。
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