安氏 类牙列拥挤错牙弓及牙槽弓宽度测量分析.docVIP

安氏 类牙列拥挤错牙弓及牙槽弓宽度测量分析 安氏ⅰ类牙列拥挤错牙弓及牙槽弓宽度测量分析 本文来源：论文 / 【摘要】 目的 研究安氏 ⅰ类牙列拥挤错病人牙弓及牙槽弓宽度的特点。方法 选取40例安氏ⅰ类牙列拥挤错病例（观察组）及40例个别正常病例（对照组），收集各病例的原始模型。测量两组尖牙牙弓宽度、磨牙牙弓宽度及磨牙牙槽弓宽度，并计算上、下颌对应的牙弓、牙槽弓宽度差。结果 两组中除对照组上下尖牙牙弓宽度外，各指标均为男性大于女性（t=2.061～6.198，plt;0.05、0.01）；男性观察组上颌尖牙牙弓宽度大于对照组，男女观察组上、下磨牙牙弓宽度及磨牙牙槽弓宽度均小于对照组（t=2.402～6.423，plt;0.05、0.01）。结论 安氏ⅰ类牙列拥挤错畸形上、下磨牙牙弓宽度及磨牙牙槽弓宽度均小于正常。牙列拥挤病人牙弓长度短、宽度狭窄与其错的发生机制有关。 【关键词】 错, 安氏ⅰ类；模型测量；牙弓；牙槽窝 　　［abstract］objectiveto study the characteristic of dental arch and alveolar width of patients with class ⅰ crowding malocclusion. methodsthis study was conducted by using measurements on dental casts of 40 class ⅰ crowding malocclusion （observation group） and 40 mild class ⅰ malocclusion （control group） subjects. the inter-canine, inter-molar and alveolar widths were measured and the differences between maxillary and mandible width calculated.results dental arch and alveolar width of both groups were significantly larger in male group than in female, except of inter-canine width （t=2.061-6.198,plt;0.05;0.01）. maxillary intercanine width in male group was significantly larger in observation group than in the control. maxillary and mandibular intermolar and alveolar width were significantly smaller in observation group than in the control （t=2.402-6.423;plt;0.05,0.01）. conclusion the width of intermolar arch and alveolar in subjects with class ⅰ crowding malocclusion are smaller when compared with normal occlusion, which is related to the mechanism of class ⅰ crowding malocclusion. ［key words］malocclusion, angle class ⅰ; model measurement; dental arch; tooth socket 牙弓形状和大小在正畸诊断和治疗中具有重要意义，与牙弓间隙分析和矫治后牙弓的稳定性密切相关［1］。近年来，对于错畸形病人牙弓的模型分析和基骨的测量，国内外已有大量的文献报道，但多数研究集中在安氏ⅰ类错及其分类错与正常的比较。较少注意比较安氏ⅰ类牙列拥挤错与正常牙弓及牙槽弓宽度，且多数没有不同性别间的比较。本研究对安氏ⅰ类牙列拥挤错和个别正常原始模型牙弓、牙槽弓宽度进行测量比较，旨在了解安氏ⅰ类牙列拥挤错畸形的牙表现特点，以期为临床诊断和治疗提供指导。 　　1 资料与方法 　　1.1 一般资料 选取我院口腔正畸科近5年来就诊的错畸形病人80例，年龄15～27 岁。其中安氏ⅰ类牙列拥挤错病人40例（观察组），男女各20例，平均年龄20.16岁；个别正常40 例（对照组），男女各20例，平均年龄20.27 岁。安氏ⅰ类牙列拥挤错纳入标准：双侧尖牙及第一