不同骨骼畸形个体生长指标及其关系

Pasionare Budima, L. Kanurkova, Jeta Kubati
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摘要

目的:探讨下颌第二磨牙实足年龄与颈椎成熟指数、Demirjian指数的相关性,并分析该相关性是否受上颌间矢状错牙合的影响。材料与方法:研究对象150名,年龄6-19岁。根据Baccetti方法在侧位头颅x线片上确定骨骼成熟阶段。采用全景x线检查下第二磨牙Demirjian指数。由Vatech公司拍摄数字侧位头片和全景x线片,使用专用软件(Easydent version 4.1)分析并保存为DICOM格式。统计学分析采用IBM SPSS version 26 for Windows,芝加哥,伊利诺斯州,评估下第二磨牙颈椎成熟度指数与Demirjian指数的相关性及组间比较。结果:实足年龄、颈椎成熟指数、下第二磨牙Demirjian指数呈正相关,p < 0.000, Pearson相关系数r = 0.847 ~ 0.883。II类受试者的青春期前期持续时间显著延长。而II类受试者的实际青春期生长高峰较短,为3、5个月。III类受试者从颈椎成熟指数2-4期开始的总体生长改变时间明显更长。结论:下第二磨牙颈椎成熟指数与Demirjian指数有较强的相关性。相关性不受上颌间矢状关系的影响,但II类患者的青春期高峰期较短,III类患者的青春期高峰期较长。
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GROWTH INDICATORS AND THEIR RELATION IN INDIVIDUALS WITH DIFFERENT SKELETAL MALOCCLUSIONS
Objectives: The purpose of our study is to assess the correlation between chronological age, cervical vertebral maturation index and Demirjian index of the lower second molars and analyze if the correlation affected by intermaxillary sagittal malocclusion. Material and methods: 150 subjects were evaluated, with age range from 6-19 years. Skeletal maturation stages according to Baccetti method were determined in lateral cephalometric radiographs. Demirjian index for lower second molars were evaluated in panoramic x-ray. Digital lateral cephalograms and panoramic radiographs were performed by Vatech and they were analyzed and saved in DICOM format using dedicated software (Easydent version 4.1). Statistical analysis with IBM SPSS version 26 for Windows, Chicago, Illinois to assess the correlation between cervical vertebral maturation index and Demirjian index for lower second molars and intergroup comparison. Results: There is a strong positive correlation between chronological age, cervical vertebral maturation index and Demirjian index for lower second molars, with p < 0.000, Pearson correlation coefficient was from r = .847 to r = .883. The duration of prepubertal stage for class II subject was significantly longer. Whereas the actual peak of pubertal growth in class II subject was short, 3, 5 months. The overall period of growth modification raging from stage 2-4 of cervical vertebral maturation index was significantly longer in class III subjects. Conclusions: There is a strong correlation bewteen cervical vertebral maturation index and Demirjian index for lower second molars. The correlation is not affected by intermaxillary sagittal relationship, however in class II patients we have a shorter pubertal peak period and in class III there is a longer period of pubertal peak.
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