加德满都三级牙科保健中心正畸患者使用头颅 X 射线照相术比较不同骨骼生长模式下的骨盆角

Anshu Piya, B. Shrestha, Anju Khapung, Prakash Bhattarai, Anita Ojha
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摘要

以前曾对不同类型的矢状错合畸形进行过研究,但很少有研究关注我国人群中的垂直错合畸形。由于牙槽角会导致扭力表达、牙根吸收、隙缝和开裂的变化,如果事先了解高角度和低角度病例的牙槽角,操作者就可以在未来的正畸治疗中避免上述有害影响,并配合更好的托槽定位。对 2023 年 10 月至 2024 年 3 月期间在尼泊尔医学院正畸科就诊的所有 13-30 岁年龄组患者的侧位头影进行了拍摄,这些患者面部和谐对称,除第三磨牙外牙齿齐全,牙齿拥挤最小。根据 SNMP(颅骨-鼻翼-下颌平面)值和 Jarabak 比率,将样本分为高角度和低角度。以度为单位绘制并测量骨盆角。数据被转入 SPSS-17 进行进一步分析。共有 60 名研究人员参与了研究,其中男性和女性人数相等。(水平生长模式和垂直生长模式的研究参与者人数相等(各 30 人,年龄在 13 至 30 岁之间,平均年龄为 19.18±3.89 岁)。横向和纵向生长模式的参与者的平均牙槽角差异无统计学意义(P = 0.09)。横向和纵向生长模式参与者的平均骨盆角在统计学上没有发现明显的性别差异(男性 p = 0.08,女性 - p 值 0.55)。
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Comparison of Collum Angle in Different Skeletal Growth Pattern using Cephalometric Radiographs among Orthodontic Patients in Tertiary Dental Care Center of Kathmandu
Collum angle has been previously studied in different types of sagittal malocclusion but very few studies have focused on vertical malocclusion in our population. Since collum angle is responsible for variation in torque expression, root resorption, fenestration and dehiscence, with prior knowledge of collum angle in high angle and low angle cases, operator can prevent above deleterious effects and accompanied better bracket positioning in future orthodontic treatment. Lateral cephalograms of all the patients of age group 13-30 years attending Department of Orthodontics in Nepal Medical College from October 2023 to March 2024, having clinically harmonious and symmetrical face, full complement of dentition except third molar, minimum crowding were taken. Based on the value of SNMP (Sella-Nasion and Mandipular plane), and Jarabak ratio, the samples were divided into high angle and low angle. Collum angle was drawn and measured in terms of degrees. The data were transferred to SPSS-17 for further analysis. A total of 60 study participants were included in the study with an equal number of male and females. (30 each with age ranging from 13 to 30 years with mean age 19.18±3.89 years) There was an equal distribution of study participants in horizontal and vertical growth patterns (30 each). There was no statistically significant difference in mean collum angle between study participants in horizontal and vertical growth patterns (p = 0.09). No statistically significant difference in mean collum angle between study participants in horizontal and vertical growth patterns in relation to gender was found (Male p = 0.08 and female - p-value 0.55).
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