首页|骨性Ⅰ类不同垂直骨面型成人腭中缝融合程度的CBCT研究

骨性Ⅰ类不同垂直骨面型成人腭中缝融合程度的CBCT研究

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目的:探究骨性Ⅰ类成人腭中缝的融合程度在不同性别、部位及垂直骨面型的差异性.方法:纳入骨性Ⅰ类错(牙合)畸形患者173例,根据GoGn-SN角与性别分6组:GoGn-SN>37.7°为高角组(男22,女24);27.2° ≤GoGn-SN≤37.7°为均角组(男30,女33);GoGn-SN<27.2°为低角组(男33,女31).Mimics 21.0软件测量并计算腭中缝前区、中区和后区的融合程度,记录前区鼻腭管与测量部位重叠的情况.结果:腭中缝融合程度在不同性别的比较中,低角前区男女间差异有统计学意义(P<0.001);在不同部位的比较中,除低角女性的前区与中区和后区差异无统计学意义外,其余不同部位腭中缝融合程度均有统计学差异(P<0.05),且由后区至前区逐渐减小.在不同垂直骨面型的比较中,除男性中区均角与低角和高角,女性前区低角与高角和均角差异有统计学意义(P<0.05),余无统计学差异.前区鼻腭管影响测量的比率在男性高角和低角、男性低角和女性低角的比较中有统计学意义(P<0.05),余无统计学意义.结论:成年患者的腭中缝并非完全融合,建议腭部微种植体支抗避免放置于腭中缝处.
CBCT study of the maturation of the midpalatal suture fusion ratio in different vertical skeletal patterns of class Ⅰ malocclusion adults
Objective:To compare the variability of midpalatal suture maturation ratio of skeletal class Ⅰ malocclusion adults between genders,among positions and vertical skeletal patterns.Methods:173 skeletal class Ⅰ malocclusion adult patients were included and divided into 6 groups according to GoGn-SN Angle and gender:dolichofacial group(male 22,female 24)with GoGn-SN>37.7°,me-sofacial Group(male 30,female 33)with 27.2°≤GoGn-SN≤37.7° and brachyfacial group(male 33,female 31)with GoGn-SN<27.2°.The midpalatal suture maturation ratio in the corresponding area of anterior,medial and posterior region were measured and calculated by Mimics 21.0 software,the overlap of the anterior nasopalatine canal with the measurement site was recorded.Results:In the comparison of different genders,there was a statistically significant difference between males and females in the brachyfacial an-terior region(P<0.001).In the comparison of different positions,except the females among the anterior,middle and posterior regions in brachyfacial group(P>0.05),there were statistical differences in the fusion degree of the other parts of the palate suture(P<0.05),and it gradually decreased from the posterior region to the anterior region.In the comparison of different vertical skeletal pat-terns,there was no statistical difference except the difference between the mesofacial and brachyfacial and dolichofacial groups in the middle area of males(P>0.05),and the difference was significant among brachyfacial,dolichofacial and mesofacia groups in the ante-rior area of females(P<0.05).Rates of anterior nasopalatine duct influence measurements were statistically significant in the compari-son between dolichofacial and brachyfacial males,and between brachyfacial males and brachyfacial females(P<0.05),the remainder was not statistically significant(P>0.05).Conclusion:In adult patients,the palatal suture is not completely fused,and palatal mi-croimplant anchorage should be avoided in the midpalatal suture.

The maturation of the midpalatal sutureVertical skeletal featuresClass Ⅰ Skeletal malocclusionCBCTMicroimplant anchorage

李彦、苏比努尔·依力哈木、帕合登、夏尔古丽·木合塔尔、古力巴哈·买买提力

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830063 乌鲁木齐,新疆医科大学第二附属医院口腔科

腭中缝融合程度 垂直骨面型 骨性Ⅰ类错(牙合) CBCT 微种植体支抗

国家自然科学基金

81860194

2024

实用口腔医学杂志
第四军医大学口腔医学院

实用口腔医学杂志

CSTPCD北大核心
影响因子:0.942
ISSN:1001-3733
年,卷(期):2024.40(2)
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