前后咬合平面与骨骼 I 级、II 级和 III 级错合畸形的关系

Rosha Shrestha
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摘要

简介咬合平面在口颌系统中非常重要,前咬合平面和后咬合平面之间的联系在正畸治疗中起着重要作用。方法使用 270 名不同等级错颌畸形成年患者的侧位头颅X光片。测量并比较所有研究组的几种角度测量值,以评估 AOP 和 POP 与骨骼和垂直形态之间是否存在关系。结果显示骨骼形态显示,在所有错颌畸形等级中,前咬合平面角度相对于SN平面和FH平面都有显著差异(P值=0.001**),II级的倾斜平面较陡,III级的倾斜平面较平。相对于 FH 平面和 SN 平面的 POP 角度在骨骼Ⅲ类患者中最小,在骨骼Ⅰ类患者中最大。结论研究发现,咬合平面对颌骨基底有影响,不同咬合平面的角度变化会影响面部的矢状和垂直形态。相对于SN和FH的AOP在II类中较陡,而在III类中较平,而相对于FH的POP在II类和III类中显示出相同的值。关键词前咬合平面 后咬合平面 错颌畸形 骨骼形态 垂直形态 头颅侧位片
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Association of Anterior and Posterior occlusal planes with skeletal class I, class II and class III malocclusion
Introduction: The occlusal plane is a very vital in stomatognathic system and the association between anterior occlusal planes and posterior occlusal plane plays an important role during orthodontic treatments. Methods: Lateral cephalometric radiographs of 270 adult patients of the different classes of malocclusion were used. Several angular measurements were measured and compared among all study groups to evaluate the existence of relationship between AOP and POP with skeletal and vertical patterns. Results: The skeletal patterns showed a significant difference in anterior occlusal plane angle relative to both SN plane and FH plane among all classes of malocclusion (p-value =0.001**) having a steeper inclined plane in Class II and flat inclined plane in Class III. POP in relation to FH plane and SN plane showed lowest angle in skeletal Class III and highest in Skeletal Class I patients. Conclusion: The occlusal planes were found to have an impact on the jaw base where the variation in its angulation of different occlusal planes had affected both sagittal and vertical facial patterns. AOP relative to SN and FH were steeper in Class II and flat in Class III, while the POP relative to FH showed the same value in Classes II and III. Keywords: Anterior occlusal plane, Posterior occlusal plane, Malocclusion, Skeletal patterns, Vertical pattern, Lateral cephalometric radiograph.
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