8-16 岁儿童颈椎定量成熟与下颌骨尺寸之间的相关性:横断面分析研究

S. Sonwane, S. Kamble
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摘要

背景:在生长发育过程中,下颌骨在功能矫形治疗中起着至关重要的作用。为了最大限度地提高功能矫治器治疗的效果和效率,必须知道何时开始治疗。为了最大限度地提高功能矫治器治疗的疗效和效率,必须知道何时开始治疗。要准确确定何时开始功能矫治器治疗,目前使用的成熟度指标都是主观性的,可重复性和有效性较差。而颈椎成熟度定量指标具有良好的可重复性。目的确定 8-18 岁发育期儿童颈椎成熟度定量指标与下颌骨尺寸变化之间的相关性。材料和方法:在这项前瞻性横断面分析研究中,采用了 164 个年龄范围为 8-18 岁的样本。根据颈椎成熟度定量指标将样本分为四组。青春期分期采用李昌等人在头颅侧位X光片上的方法进行分析,下颌骨尺寸测量为髁突-gnathion线的下颌骨总长度、从髁突-钝角交点线算起的下颌骨横突高度以及从钝角-钝角交点线算起的下颌骨体长度。统计分析:使用社会科学统计软件包(SPSS)对获得的数据进行分析;应用描述性统计、学生 t 检验和二变量分析。结果平均下颌骨总长度在高加速度时期达到最大值。组间分析表明,各组之间存在明显差异,成熟阶段与下颌骨尺寸变化之间存在密切联系。结论:在功能矫形治疗规划中,下颌骨可作为骨骼成熟度的指标。
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The Correlation between Quantitative Cervical Vertebral Maturation and Mandibular Dimensions in Children Aged 8-16 Years: A Cross-Sectional Analytical Study
Background: During growth modification, the mandible plays a crucial role in functional orthopaedic treatment. To maximize the efficacy and efficiency of functional appliance therapy, one must know when to initiate treatment. To maximize the efficacy and efficiency of functional appliance therapy, one must know when to initiate treatment. To accurately determine when to initiate functional appliance therapy, the contemporary maturity indicators utilised are subjective with poor reproducibility and validity. Quantitative cervical vertebral maturity indicators are quantitative with good reproducibility. Objective: To determine the correlation between quantitative cervical vertebral maturation and mandibular dimensional changes in 8–18-year-old growing children. Material and Method: In this prospective cross-sectional analytical study, 164 samples were employed with an age range of 8–18 years. Samples were divided into four groups as per the quantitative cervical vertebral maturity indicator. Pubertal staging was analysed utilising the Li Chang, et al. method on a lateral cephalometric radiograph, and mandibular dimensions were measured as the total mandibular length of a condylon-gnathion line, the height of the mandibular ramus from the condylon-gonion intersection line, and the length of the mandibular body from the gonion intersection-gnathion line. Statistical Analysis: The data obtained was analyzed using Statistical Package for the Social Sciences (SPSS) software; descriptive statistics, student t test and bivariant analysis were applied. Results: The mean total mandibular length was seen at its maximum in periods of high acceleration velocity. Intergroup analysis shows significant differences between the groups, and there is a strong correlation between maturational stage and mandibular dimensional change. Conclusions: During functional orthopaedic treatment planning, the mandible can be utilised as a skeletal maturity indicator.
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