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论文摘要

临界病例拔牙与非拔牙治疗后侧貌突度变化的研究

Changes of Profile Prominence in Borderline Cases wi山Extraction and Non-extraction Orthodontic Treatmen

作者:许天民,刘妍,张海萍,林久祥

Author:XU Tian- min,LIU Yan, ZHANC Hai-ping,LIN Jiu-xiang

收稿日期:2004-10-25          年卷(期)页码:2004,22(05):384-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:临界病例,拔牙治疗,非拔牙治疗,侧貌突度,

Key words:borderline cases,extraction treatment,non-extraction treatment,prominence of profile,

基金项目:卫生部临床学科重点项目基金资助(20011218)

中文摘要

目的比较正畸拔牙与不拔牙治疗对临界病例侧貌突度的影响。方法由5位正畸专家判断出的33个临界病例,根据其实际接受的治疗方式分为3组:①不拔牙治疗组12例患者;②拔4个第一双尖牙治疗组13例患者;③拔4个第二双尖牙治疗组8例患者。用结构重叠法,以眼耳平面(阳平面)为水平参照平面,对33例患者治疗前后头颅侧位片上反映侧貌突度的解剖标志点进行测量和比较。结果拔牙组和不拔牙组患者治疗后,仅上下切牙的突度有显著性差异(P 0.05)。结论对于临界病例,拔牙治疗与不拔牙治疗对侧貌突度的影响主要表现为对上下切牙突度的改变,其对上下基骨及侧貌软组织突度的影响并不明显。

英文摘要

Objective To compare the treatment effect on the prominence of profile in borderline cases between extraction and non-extraction treatment. Methods The sample consisting of 33 borderline cases based on the judgment of 5 orthodontic special ists was divided into three groups according to the treatment way selected the doctor in charge of the case. Three groups comprised 12 non-extraction cases, 13 four first premolars extraction cases and 8 four second premolars extraction cases. Stricture superimposition was used to measure landmarks displacements which reflect the change of profile prominence before and after orth odontic treatment using pretreatment mplane as a frame of reference. Results Only the prominence of upper and lower incisors showed statistically significance between the extraction and non-extraction treatments. There~no statistically significant differ- ence between the extraction of four first premolars and second premolars. Conclusion The main effect of extraction vs. non-ex- traction on profile of borderline cases is the prominence of upper and lower incisors, while their influences on upper and lower base bone and soft-tissue profile are not obvious.

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