[上颌间矢状关系的头颅测量研究及最终临床诊断]。

J P Music, N C Vivanco, A G Lemor
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引用次数: 0

摘要

由于很难找到一种可靠的头位测量方法来确定真正的上颌间矢状关系,因此研究了Freeman (AXB)和Beatty (AXD)头位测量方法的实用性,并进一步研究了哪一种方法最能显示所述矢状关系。为此,我们选取年龄在18 ~ 26岁、未进行正畸治疗、牙列完整、未考虑第三磨牙的33名男女患者,对AXB和AXD头测法与临床头测诊断进行比较分析。第I类、第II类和第III类的频率分布由AXD和AXB方法给出的值得到。临床诊断由2名经验丰富的观察人员进行,因此他们的观察结果绝对吻合。以头颅影像学临床诊断为比较依据,以一致性百分比衡量AXD和AXB方法的有效性。因此,最有效的方法是头测法,与头测法临床诊断相一致的百分比最高。发现ⅰ类、ⅱ类和ⅲ类的频率分布与临床诊断的频率分布相似。AXB与头颅影像学诊断的符合率为90.91%,是诊断最有效的方法。AXD法与头颅影像学诊断的符合率为75.76%,与AXB的符合率略低;然而,证明有效性。
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[Cephalometric study of the intermaxillary sagittal relationship and final clinical diagnosis].

Due to the difficulties in finding a reliable cephalometric method to determine the true intermaxillary sagital relationship, the usefulness of the Freeman (AXB) and the Beatty (AXD) cephalometric methods are studied and, furthermore, which of them best demonstrate said sagital relationship. To perform this a comparative analysis of cephalometric methods AXB and AXD with the clinical cephalometric diagnosis were carried out using a sample of 33 individuals of both genders, between the ages 18 and 26 years, without orthodontic treatment, complete dentition and not taking into consideration third molars. The frequency distributions of class I, II and III were obtained through values given by methods AXD and AXB. The cephalometric clinical diagnosis was performed by 2 experienced observers thus obtaining absolute coincidence in their observations. The validity of methods AXD and AXB were measured in concordant percentages taking the cephalometric clinical diagnosis as the basis for comparison. Therefore, the most valid one is the cephalometric method with the highest percentage in concordance with the cephalometric clinical diagnosis. It was found that the frequency distribution of classes I, II and III are similar coincident with the one given by the cephalometric clinical diagnosis. The most valid method was the AXB bearing with the cephalometric clinical diagnosis a 90.91% concordance. The AXD method gave with the cephalometric clinical diagnosis a 75.76% concordance, which in relation with AXB, is a slightly lower percentage; however, demonstrating validity.

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