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Knowledge, attitude and perceived barriers in the practical approach of obstructive sleep apnea management 阻塞性睡眠呼吸暂停实际管理方法中的知识、态度和感知障碍
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.011
Manjusha Manohar Patil, Anand Ambekar, Suresh Kangane, P. Marure, Yatishkumar Joshi
Obstructive sleep apnea (OSA) is a clinical disorder affecting almost 1 billion people globally. Untreated OSA can cause severe medical problems. Present cross-sectional study was conducted amongst 106 dentists. Convenient sampling method was used and predesigned domain-based questionnaire was employed to gather the data.Data was entered and analyzed with Epi Info software (CDC, Atlanta). Measures of central tendency was used to present the data.Most of the respondents were female 69 (65.1%) and 37(34.9%) were male. Out of total participants 81% were general dental practioners whereas orthodontics and consultants accounted for 19%. OSA though highly prevalent amongst the general population but remains highly undiagnosed. Most common perceived barrier was lack of training and cost in the management of OSA.
阻塞性睡眠呼吸暂停(OSA)是一种影响全球近 10 亿人的临床疾病。如不及时治疗,OSA 可导致严重的医疗问题。本横断面研究在 106 名牙医中进行。数据使用 Epi Info 软件(亚特兰大疾控中心)进行输入和分析。大部分受访者为女性,占 69 人(65.1%),男性占 37 人(34.9%)。在所有参与者中,81%为普通牙科医生,而正畸医生和顾问占 19%。尽管 OSA 在普通人群中的发病率很高,但仍有很多人未得到诊断。最常见的障碍是缺乏培训和管理 OSA 的成本。
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引用次数: 0
Significance of saddle angle in myofunctional therapy: A case series 鞍角在肌功能治疗中的意义病例系列
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.015
Ghazala Farheen, Sankalp Bansal, Gurinderbir Singh, Sangeeta Sunda, Suvansh Gupta
Myofunctional appliances are highly effective in growing patients and are often used to correct jaw discrepancies and promote optimal growth. The twin block appliance is widely considered as the most efficacious myofunctional appliance for treating skeletal class II malocclusion in growing patients. The success of treatment with any myofunctional appliance depends on a variety of factors, including the patient's age, growth status, growth pattern, the specific malocclusion being treated, patient compliance, the type of appliance, and other case selection criteria, such as clinical examination and certain cephalometric parameters that are not typically considered in routine practice. Among cephalometric parameters, the saddle angle is of utmost importance and should always be considered before commencing myofunctional therapy. Patients with a large saddle angle may have a class II skeletal relationship, characterized by a posteriorly positioned mandible. These cases can be more challenging to treat with functional appliances alone and may require additional orthodontic or surgical interventions. This paper presents a detailed description of three cases illustrating the importance of the saddle angle in the success of myofunctional therapy.
肌功能矫治器对生长期患者非常有效,通常用于矫正颌骨不齐和促进最佳生长。双阻滞矫治器被广泛认为是治疗生长期患者骨骼二类错颌畸形最有效的肌功能矫治器。任何肌功能矫治器的治疗成功与否都取决于多种因素,包括患者的年龄、生长状况、生长模式、所治疗的特定错颌畸形、患者的依从性、矫治器的类型以及其他病例选择标准,如临床检查和常规治疗中通常不考虑的某些头颅测量参数。在头颅测量参数中,鞍角最为重要,应在开始肌功能治疗前加以考虑。鞍角较大的患者可能有二类骨骼关系,其特点是下颌骨后置。这些病例单靠功能矫治器治疗更具挑战性,可能需要额外的正畸或手术干预。本文详细描述了三个病例,说明了鞍角对肌功能治疗成功的重要性。
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引用次数: 0
The effect of piezocision in canine distalization: A prospective split-mouth study 在犬远端矫治中压电切口的效果:前瞻性分口研究
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.008
A. Kamboj, Ishan Pradhan, Raghuvinder S Vats, V. Thakur, S. Datana, Mohit Sharma, Amit Jain
: This study evaluated the duration for distalization of canine and the amount of root resorption with and without piezocision. : The study sample consisted of 15 adult patients in a prospective split-mouth study design, requiring therapeutic extraction of bilateral maxillary first premolar and bilateral canine distalization. The subjects were evaluated for the time taken for the maxillary canine to achieve a positive contact with the maxillary second premolars bilaterally. Intervention in form of piezocision was carried out on one side of the maxillary arch using piezotome vis-a viz the control side. The study further uses pre & post CBCT records to evaluate the amount of blunting of the maxillary canine root apexes bilaterally when distalization was completed. : Duration of canine retraction in the piezocision group was 4.66 ± 0.52 months which is comparatively faster than that of the control group which took almost 5.72 ± 0.65 months. : The study concluded that the use of piezocision in cases of individual maxillary canine retraction results in a shorter duration of maxillary canine distalization and overall treatment time, with no significant difference in root resorption with or without piezocision.
:该研究评估了使用和不使用压锁切法的犬齿远端化持续时间和牙根吸收量。 研究样本:研究样本由 15 名成年患者组成,采用前瞻性分口研究设计,需要治疗性拔除双侧上颌第一前磨牙和双侧犬齿远端化。对受试者上颌犬齿与双侧上颌第二前磨牙实现正接触所需的时间进行评估。在上颌牙弓的一侧使用压切器对对照侧进行压切干预。该研究进一步使用 CBCT 前后记录来评估完成远端化后上颌犬齿根尖的变钝程度。 压切组的犬齿回缩时间为 4.66 ± 0.52 个月,相对于对照组的 5.72 ± 0.65 个月要快。该研究得出结论:在个别上颌犬牙缩回的病例中使用压迫切迹法可缩短上颌犬牙远端矫治时间和总体治疗时间,使用或不使用压迫切迹法在牙根吸收方面没有显著差异。
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引用次数: 0
Sexual dimorphism in hypopharyngeal airway space and effective length of mandible with twin block appliance therapy: A prospective study 双阻滞矫治器治疗下咽气道空间和下颌骨有效长度的性别双态性:前瞻性研究
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.009
Surendra Kumar Sewda, BS Walia, Saugat Ray, Amrit Thapa, S. S. Chopra
To evaluate changes in hypopharyngeal airway space and effective length of mandible in skeletal Class II patients following Twin Block Appliance (TBA) therapy. Further, the study also aims to compare the post functional changes being observed between males and females. This is a prospective study on 15 Pre-adolescents (08 males and 07 females; mean age: 10.75 ± 0.91years) who underwent functional jaw orthopaedics with TBA. Lateral cephalogram at Pre treatment stage (T1) and post functional phase of TBA (T2) were obtained. The cephalometric parameters were measured and paired t test was done for comparison of pre and post functional changes. The mean period of functional phase of TBA therapy was 18 ± 02 months. The cephalometric changes post functional jaw orthopaedics were statistically insignificant when compared males Vs females (P > 0.05). However, mean increase of in the effective length of mandible and hypopharyngeal space (T2-T1) was 4.0± 1.16 mm and 1.47±0.57 mm respectively, which were statistically highly significant (P<0.5). 1. TBA therapy in skeletal Class II patients significantly increases the effective mandibular length and hypo-pharyngeal space post functional phase; 2. No significant differences were observed between males and females with respect to post functional cephalometric changes in mandibular length and hypopharyngeal space.
评估骨骼Ⅱ级患者在接受双阻滞矫治器(TBA)治疗后咽下气道空间和下颌骨有效长度的变化。此外,该研究还旨在比较男性和女性之间观察到的后期功能变化。这是一项前瞻性研究,研究对象为 15 名青少年前期患者(08 名男性和 07 名女性;平均年龄:10.75 ± 0.91 岁),他们接受了 TBA 功能性颌骨矫形术。采集了治疗前阶段(T1)和 TBA 功能后阶段(T2)的侧头影。测量头颅测量参数并进行配对 t 检验,以比较治疗前后的功能变化。TBA 治疗功能期的平均时间为 18 ± 02 个月。男性与女性相比,颌骨矫形术后的头形变化在统计学上并不显著(P > 0.05)。然而,下颌骨有效长度和咽下间隙(T2-T1)的平均增加值分别为 4.0±1.16 mm 和 1.47±0.57 mm,具有高度统计学意义(P<0.5)。1.1. 骨骼Ⅱ类患者接受 TBA 治疗后,有效下颌长度和下咽间隙在功能期后明显增加;2. 男性和女性在功能期后下颌长度和下咽间隙的头影变化方面无明显差异。
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引用次数: 0
A comparison of the efficacy of a probiotic toothpaste, a fluoridated toothpaste in management of Streptococci mutans in plaque around orthodontic brackets- An in vivo study 益生菌牙膏和含氟牙膏在管理正畸托槽周围牙菌斑中的变异链球菌方面的功效比较--一项体内研究
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.001
Piyush Bolya, Animesh Mutha, Archana Nagora, Rituraj Sharma, Sushil Choudhary
The objective of study was to evaluate and compare the efficacy of Probiotic toothpaste, fluoridated toothpaste and non-fluoridated toothpaste (control) on the levels in the plaque surrounding orthodontic brackets. The randomly selected patients are divided into 3 groups (20 each) on the basis of type of toothpaste given to them. The patients in groups were asked to brush twice daily with given toothpastes and to discontinue using their normal toothpaste. Plaque specimens were collected from the labial surfaces immediately surrounding the orthodontic brackets of the maxillary lateral incisors by four passes, each along the tooth at the bracket inter-face at the gingival, mesial, distal, and occlusal aspects. The isolated plaque is sent to Microbiology laboratory soon after collecting in a sterile container. The presence of was evaluated in colony forming unit through culture formation and statistical analysis was performed, and comparisons were made. After one month application of a probiotic containing toothpaste (group 3), a fluoridated containing toothpaste (group 2) and a non-fluoridated toothpaste(group 1) the level of significantly reduced in group 2 (non-fluoridated toothpaste) and group3 (Probiotic toothpaste) & minimal reduction is shown in gruop 1. Conclusion: The use of probiotic toothpaste causes a significant decrease in the levels in the plaque around orthodontic brackets in orthodontic patients.
研究的目的是评估和比较益生菌牙膏、含氟牙膏和无氟牙膏(对照组)对正畸托槽周围牙菌斑水平的疗效。根据牙膏的类型,将随机抽取的患者分为 3 组(每组 20 人)。要求各组患者每天用给定的牙膏刷牙两次,并停止使用普通牙膏。从紧靠上颌侧切牙正畸托槽周围的唇面采集牙菌斑标本,每次采集四道牙菌斑标本,分别沿牙齿的牙龈、颊面、远端和咬合面的托槽间隙采集。分离出的牙菌斑在无菌容器中收集后很快被送往微生物实验室。通过培养,以菌落形成单位评估菌斑中是否存在益生菌,并进行统计分析和比较。在使用含益生菌牙膏(第 3 组)、含氟牙膏(第 2 组)和无氟牙膏(第 1 组)一个月后,第 2 组(无氟牙膏)和第 3 组(益生菌牙膏)的菌落形成单位明显减少,而第 1 组的菌落形成单位减少极少。结论使用益生菌牙膏可明显降低正畸患者正畸托槽周围的牙菌斑水平。
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引用次数: 0
Knowledge, attitude and perceived barriers in the practical approach of obstructive sleep apnea management 阻塞性睡眠呼吸暂停实际管理方法中的知识、态度和感知障碍
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.011
Manjusha Manohar Patil, Anand Ambekar, Suresh Kangane, P. Marure, Yatishkumar Joshi
Obstructive sleep apnea (OSA) is a clinical disorder affecting almost 1 billion people globally. Untreated OSA can cause severe medical problems. Present cross-sectional study was conducted amongst 106 dentists. Convenient sampling method was used and predesigned domain-based questionnaire was employed to gather the data.Data was entered and analyzed with Epi Info software (CDC, Atlanta). Measures of central tendency was used to present the data.Most of the respondents were female 69 (65.1%) and 37(34.9%) were male. Out of total participants 81% were general dental practioners whereas orthodontics and consultants accounted for 19%. OSA though highly prevalent amongst the general population but remains highly undiagnosed. Most common perceived barrier was lack of training and cost in the management of OSA.
阻塞性睡眠呼吸暂停(OSA)是一种影响全球近 10 亿人的临床疾病。如不及时治疗,OSA 可导致严重的医疗问题。本横断面研究在 106 名牙医中进行。数据使用 Epi Info 软件(亚特兰大疾控中心)进行输入和分析。大部分受访者为女性,占 69 人(65.1%),男性占 37 人(34.9%)。在所有参与者中,81%为普通牙科医生,而正畸医生和顾问占 19%。尽管 OSA 在普通人群中的发病率很高,但仍有很多人未得到诊断。最常见的障碍是缺乏培训和管理 OSA 的成本。
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引用次数: 0
To identify anatomic relationship between central incisor roots and alveolar bone thickness in individuals with variable sagittal malocclusions 确定不同矢状畸形患者的中切牙牙根与牙槽骨厚度之间的解剖关系
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.002
Anupama, Merry Goyal, Sanjay Mittal, I. Aggarwal, Pallavi Vishavkarma
The predisposition of central-incisors and its association with alveolar bone in surrounding area required assessment before any decision for treatment which involves anteroposterior (AP) movement of incisor inside the jaws. To identify anatomic relationship between central incisor roots and alveolar bone thickness in individuals with variable sagittal malocclusions and to also correlate if any sexual dimorphism among samples. The present study was conducted on 100 pre-treatment lateral cephalograms of young adult patients aged 15 to 30 years. They were divided into 2 groups on the basis of Angle’s system of classification as Class I and Class II with 50 subjects each group. patients were selected from the pool of patients who reported to All the lateral cephalograms were hand traced by same operator and tracings included mandibular symphysis, 1 molar central incisors, the OP, incisal edges, root apices, incisor long axes, upper incisor CEJ and upper incisor root midpoint. Various parameters were then measured for both the groups. All data were analysed using the Statistical Package for the Social Sciences software (SPSS version 24.0 Inc, Chicago, IL, USA. Independent sample t-test was used to determine possible statistically significant differences between the Class I and Class II for various parameters. U1-lab was statistically significant increased value in Class I sample, Where as L1-ling was statistically significant increased value in Class II sample. A very small but significant difference was found for the  mandibular alveolar bone thickness in males and females in both Class I and Class II samples. A significant variance between alveolar (AV) process of class II and Class I occlusion. There was also a significant variation in males and females of the sample group.
中切牙的易感性及其与周围区域牙槽骨的关系需要在做出任何涉及切牙在颌骨内的前后移动(AP)的治疗决定之前进行评估。本研究旨在确定矢状颌畸形患者的中切牙牙根与牙槽骨厚度之间的解剖关系,并对样本中是否存在性别异形进行相关分析。本研究对 100 名年龄在 15 至 30 岁之间的年轻成人患者进行了治疗前的侧位头影测量。所有侧位头颅照片均由同一操作者手工描记,描记内容包括下颌干骺端、1颗臼齿中切牙、OP、切缘、根尖、切牙长轴、上切牙CEJ和上切牙根部中点。然后测量两组的各种参数。所有数据均使用社会科学统计软件包(SPSS 24.0 版,美国伊利诺伊州芝加哥市)进行分析。采用独立样本 t 检验来确定 I 级和 II 级在各种参数上可能存在的显著统计学差异。在统计上,I 类样本的 U1-lab 值显著增加,而在统计上,II 类样本的 L1-ling 值显著增加。在 I 类和 II 类样本中,男性和女性的下颌骨牙槽骨厚度差异很小,但很明显。II 类和 I 类咬合样本的牙槽骨(AV)过程之间存在明显差异。样本组中男性和女性的差异也很明显。
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引用次数: 0
Pre- and post- treatment changes in lip position: A retrospective cephalometric study on bimaxillary protrusion cases 治疗前后唇位的变化:双颌前突病例的回顾性头颅测量研究
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.007
Masum Mohapatra, Ragni Tandon, Kamlesh Singh, P. Chandra, Shreya V. Mishra
Pre and Post treatment changes in lip position To determine the changes in lip position in pre and post treatment lateral Cephalogram in bimaxillary protrusion cases. Retrospective Cephalometric study on bimaxillary protrusion cases. The study comprised of 45 subjects (6 Male and 39 Females) aged between 18 to 26 years having Bimaxillary protrusion malocclusion and treated with all four first premolar extraction. The pre-treatment and post treatment lateral cephalograms were traced and landmarks were identified Statistical analysis used: Statistical Package for the Social Sciences (SPSS Version 23; Chicago Inc., IL, USA), Kolmogorov –Smirnov and Shapiro Wilk tests, One-way analysis of variance (ANOVA), Tukey's post hoc analysis. A positive correlation was found in changes in pre- and post-treatment changes in upper lip curvature, H-Line Angle, Upper sulcus depth, Upper lip strain, changes in the upper lip and the soft tissue from the nose tip, length of upper and lower lip, Nasolabial angle, Upper lip protrusion, Lower lip protrusion. However changes in Facial angle, Steiner’s S line, Upper and lower lip thickness were not statistically significant. Treatment of Bimaxillary protrusion cases with extraction of all four first premolars resulted in a significant improvement in facial profile, esthetics and enhanced the soft tissue harmony.
双颌前突病例治疗前后的唇位变化 确定双颌前突病例治疗前后侧位头影的唇位变化。对双颌前突病例进行回顾性头颅测量研究。这项研究包括 45 名年龄在 18 至 26 岁之间的双颌前突错颌畸形患者(6 名男性和 39 名女性),他们都接受过四颗第一前磨牙拔除治疗。对治疗前和治疗后的侧位头影进行了描记,并确定了地标 使用的统计分析方法:社会科学统计软件包(SPSS 23 版;芝加哥公司,美国伊利诺伊州)、Kolmogorov -Smirnov 和 Shapiro Wilk 检验、单因素方差分析(ANOVA)、Tukey 事后分析。结果发现,治疗前后上唇弧度、H 线角度、上唇沟深度、上唇应变、上唇和鼻尖软组织的变化、上下唇长度、鼻唇角、上唇前突、下唇前突的变化呈正相关。然而,面部角度、Steiner's S 线、上下唇厚度的变化没有统计学意义。通过拔除所有四颗第一前磨牙治疗双颌前突病例,面部轮廓和美学得到了明显改善,软组织也更加和谐。
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引用次数: 0
Unilateral mesialisation using Temporary anchorage device and segmental T loop – A case report 使用临时锚定装置和节段 T 型环进行单侧系带固定 - 病例报告
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.012
Teena Purohit, Gaurav Sharma, Vatsal Singhvi, Rashmi Puri, Garima Gaur, MS Christina
A temporary anchorage device is a device that is temporarily fixed to bone for the purpose of enhancing orthodontic anchorage either by supporting the teeth of the reactive unit or by obviating the need for the reactive unit altogether, and which is subsequently removed after use. Use of mini implants is one of the innovative approach for complex tooth movements such as mesialisation. Space closure from distal to mesial is one of the most difficult orthodontic tasks. Tooth-borne anchorage limits the scale of tooth movement. Extraoral or intraoral appliances are used especially for unilateral space closure. As an alternative to conventional mesialization appliances, osseointegrated implants may be used for maximum anchorage in orthodontic treatment. The use of direct anchorage in the form of installed mini-implant that is connected to the teeth requiring horizontal movement causes low levels of strains on anchor unit comparing to the results that were registered during indirect anchorage with one or two anchor teeth. This report presents the case of removal of mesiodens and blocked out and fractured premolar and the space closure by unilateral mesialisation with the help of mini implants and loops.
临时锚定装置是一种临时固定在牙槽骨上的装置,其目的是通过支撑反应装置的牙齿或完全不需要反应装置来加强正畸锚定,并在使用后拆除。使用微型种植体是进行复杂牙齿移动(如中牙化)的创新方法之一。从远端到中端的空间封闭是最困难的正畸任务之一。牙源性固定限制了牙齿移动的范围。口外或口腔内矫治器尤其适用于单侧间隙关闭。作为传统间隙矫治器的替代方法,骨结合种植体可以在正畸治疗中发挥最大的固定作用。与使用一个或两个锚牙进行间接锚固的结果相比,使用与需要水平移动的牙齿相连的微型种植体进行直接锚固会对锚固单元造成较低程度的应变。本报告介绍了一例拔除介齿和阻生断裂前磨牙的病例,以及在微型种植体和环的帮助下通过单侧介齿间隙封闭的病例。
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引用次数: 0
To estimate the maturation of permanent teeth in different facial patterns in Rajasthan population: A comparative retrospective study 估计拉贾斯坦邦不同脸型人群的恒牙成熟度:回顾性比较研究
Pub Date : 2024-02-15 DOI: 10.18231/j.jco.2024.003
Piyush Bolya, Archana Nagora, Nitin Dungarwal, Rutvik Trivedi, Animesh Mutha
The purpose of this study was to estimate and compare the maturation stages of permanent teeth in different facial patterns in Rajasthan population. Pre-treatment lateral cephalograms and orthopantomogram of 90 subjects (30 horizontal, 30 vertical and 30 average growth patterns with subgroup of male and female in horizontal, vertical and average growth pattern), with 8 – 16 years of age, were selected from the patients records who had reported to the Department of Orthodontics & Dentofacial Orthopaedics, Darshan Dental College and Hospital, Udaipur. Lateral Cephalograms were traced manually and orthopantomogram were used to get the overall dental maturity score by adding the value of left eight mandibular teeth. Student’s t test was used to compare the maturation of chronological age and dental age in horizontal, vertical and average growth patterns and Pearson’s correlation test was used to found correlation between the group. The results suggest a difference in dental age and chronological age in subject with vertical growth patterns. Vertical female growers showed early dental age maturation compared to chronological age. There was insignificant difference present in dental age and chronological age in horizontal growth patterns and average growth patterns. Insignificant intergroup difference was found in dental age between horizontal vs vertical, horizontal vs average and vertical vs average growth patterns. Subjects with vertical female growth patterns shows early dental age maturation than chronological age. Sn-Go-Gn, lower anterior facial height and Jara back’s ratio are highly significant in determining growth patterns. There also exists strong correlation between dental age and chronological age in horizontal, vertical and average growth patterns in male and female subgroup.
这项研究的目的是估计和比较拉贾斯坦邦不同面型人群的恒牙成熟阶段。研究人员从向乌代布尔达山牙科学院和医院正畸和牙面矫形科报到的患者记录中选取了 90 名年龄在 8 - 16 岁之间的受试者(30 名水平生长型、30 名垂直生长型和 30 名平均生长型,其中水平生长型、垂直生长型和平均生长型分为男性和女性子组),对他们进行了治疗前的侧向头影和正位像测量。通过手动描记侧头影和正位像图,将下颌左侧八颗牙齿的数值相加,得出牙齿成熟度的总分。采用学生 t 检验比较水平、垂直和平均生长模式下的计时年龄和牙龄成熟度,并采用皮尔逊相关检验发现组间的相关性。结果表明,纵向生长模式的受试者在牙龄和实足年龄方面存在差异。垂直生长女性的牙龄比实际年龄早熟。在横向生长模式和平均生长模式中,牙齿年龄和计时年龄的差异不明显。在横向与纵向、横向与平均、纵向与平均生长模式之间,牙龄的组间差异不明显。纵向女性生长模式的受试者的牙齿年龄比实际年龄成熟得早。Sn-Go-Gn、面部前下方高度和 Jara back's ratio 在决定生长模式方面具有非常重要的意义。在横向、纵向和平均生长模式中,男性和女性亚组的牙齿年龄与计时年龄之间也存在很强的相关性。
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引用次数: 0
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Journal of Contemporary Orthodontics
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