安氏III类错牙合下颌形态研究.docVIP

安氏III类错牙合下颌形态研究 　　[摘要]目的:采用几何形态测量法来探讨骨性III类错牙合下颌形态的特征。方法:随机选取恒牙初期骨性III类与Ⅰ类错牙合患者头颅侧位片各30张,描记下颌的16个标志点,数字化后采用Procrustes重叠法、薄板曲线法、欧式距离矩阵法和常规头影测量法,以骨性Ⅰ类错牙合患者作为对照组,对骨性III类错牙合与Ⅰ类错牙合进行两组间t检验从而对其下颌形态进行比较。结果:III类错牙合与Ⅰ类错牙合相比,下颌形态有差异(P0.05),III类错牙合组髁状突长度、升支高度、下颌体长度增加,颞颌关节、颏部都靠前,下切牙舌倾。结论:III类错牙合的下颌形态有其自身特点,并影响III类错牙合的形成。 　　[关键词]III类错牙合;下颌形态;几何形态测量法 　　[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2010)04-0565-04 　　 　　Mandible morphometric study of class III malocclusion 　　LIU Yang,HOU Lu,MU Ming-kui,HU Narisu,LU Xiao-li 　　(Department of Orthodontics,The Second Hospital of Harbin Medical University,Harbin 150001,Heilongjiang,China) 　　 　　Abstract:ObjectiveGeometric Morphometric Analysis was introduced in the field of orthodontics to explore morphological character of mandible in class III malocclusion.MethodsThe lateral cephalograms of 60 skeletal classⅠand class III malocclusion were selected randomly. The cephalograms were described and sixteen homologous landmarks on mandible were identified and digitized. Procrustes superimposition, thin-plate spline, euclidean distance matrix and conventional cephalometrics analysis were used to analyse. T-test was used in treatment group(class III) and control group(class Ⅰ) to find differences in mandible morphology.ResultsCompared with class Ⅰ, the mandible morphology of class III had difference(P0.05).The lengths of processus condyloideus and mandible,the height of rami ascendens were increased in class III. The position of temporomandibular joint and mental region changed forward. The lower incisor leaned to lingua. ConclusionThe mandible morphologies in class III malocclusions had special characteristics. The mandible affected the development of class III malocclusion. 　　Key words:Class III malocclusion;mandible morphology;geometric morphometric 　　 　　安氏III类错牙合是我国儿童常见的一种错牙合畸形,被认为是一种随着年龄增长畸形逐渐加重的疾病。下颌骨作为颅面部的重要组成部分,几乎构成了面下1/3的大部分,对III类错牙合的形成具有一定的影响,而以往对安氏III类错牙合下颌骨的研究多采用的是传统的头影测量,并以事先确定的参考平面为标准,反映的是相对参考平面的位置关系,而忽视了物体自身形状的表达。近年来几何形态测量