乌克兰青年男女正颌咬合患者根据面部类型采用COGS法测量上、下颌的头形参数

Ye. A. Nesterenko, М. Shinkaruk-Dykovytska, V. H. Chaika, O. Dudik, I. Gunas
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引用次数: 0

摘要

正畸治疗成功的关键是采用精细、现代、准确和科学合理的干预计划方法。此外,至关重要的是,该方法考虑到尽可能多的变量,可能会影响最终结果。考虑到这些标准,最适合计划正畸治疗的是侧位远放射摄影的头部测量分析,然而,这需要初步的临床试验以使其适应当地人群。该研究的目的是根据不同的面部类型,根据COGS方法确定乌克兰青年男女正颌咬合患者的上下颌头侧测量参数的特征。根据COGS方法,对46名年轻男性(17 ~ 21岁)和72名年轻女性(16 ~ 20岁)进行了头测术,他们属于三代乌克兰高加索居民,并有正颌咬伤。使用OnyxCeph³™软件,3DPro版本,Image Instruments GmbH, Germany进行上、下颌骨的头位测量分析。根据Garson形态学指数值确定青年男女的面部类型。在“Statistica 6.0”许可包中使用非参数评价方法对所得结果进行统计处理。不同脸型的年轻女性上下颚线形和角度参数存在以下显著差异或趋势:脸型非常宽的年轻女性的ANS-Me距离、N-A-Pog、MP-HP角度(与其他脸型相比)和Ar-Go-Gn值较低(与中、窄脸型相比),而N-B和N-Pog距离较大(与其他脸型相比);中等脸型的年轻女性-距离N-A(与其他脸型相比)、N-B和N-Pog(与宽脸型和窄脸型相比)、Go-Pog(与非常宽的脸型相比)、a - b(与宽脸型相比)的值较小,距离B-Pog和角度MP-HP和Ar-Go-Gn的值较大(与宽脸型相比);窄脸类型的代表具有更高的距离N-ANS(与其他脸类型相比),B-Pog(与非常宽和宽的脸类型相比),PNS-N(与宽脸类型相比)。不同脸型的年轻男性上下颚的线性和角度指标有以下显著差异:脸型非常宽的代表具有更高的N-B, N-Pog, ANS-PNS距离值(与平均脸型相比),Ar-Go(与宽和中等脸型相比),A-B(与中和窄脸型相比)和N-A(与窄脸型相比),以及较小的MP-HP角值(与其他脸型相比);窄脸型的代表具有较大的PNS-N值(与其他脸型相比)和N-ANS值(与非常宽和宽的脸型相比),以及较小的N-A-Pog角值(与平均脸型相比);中等脸型代表的ANS-PNS距离值较小(与宽脸型相比)。不同脸型的年轻男性也比不同脸型的年轻女性拥有更大的上下颚线性尺寸;在年轻女性中,主要是窄脸和中脸——上下颚的角度指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cephalometric parameters of the upper and lower jaws according to the COGS method in Ukrainian young men and young women with orthognathic occlusion depending on the type of face
The key to successful orthodontic treatment is the use of a delicate, modern, accurate and scientifically sound method of intervention planning. In addition, it is critical that this method takes into account as many variables as possible that may affect the final result. Given these criteria, the most appropriate for planning orthodontic treatment is cephalometric analysis of lateral teleradiograms, which, however, requires preliminary clinical trials to adapt it to the local population. The aim of the study was to establish the features of cephalometric parameters of the upper and lower jaws, determined according to the COGS method, in Ukrainian young men and young women with orthognathic occlusion depending on the type of face. According to the COGS method, cephalometry was performed for 46 young men (aged 17 to 21) and 72 young women (aged 16 to 20) who belonged in three generations to Caucasian residents of Ukraine and had an orthognathic bite. OnyxCeph³™ software, 3DPro version, Image Instruments GmbH, Germany was used for cephalometric analysis of the upper and lower jaws. Determination of the type of face of young men and young women was carried out according to the values of the morphological index of Garson. Statistical processing of the obtained results was performed in the license package "Statistica 6.0" using non-parametric evaluation methods. The following significant or tendencies of differences between linear and angular parameters of the upper and lower jaws were found between young women with different face types: in young women with a very wide face type – lower values of ANS-Me distance and N-A-Pog, MP-HP angles (compared to other types face) and Ar-Go-Gn (compared to medium and narrow face types), as well as larger values of the distances N-B and N-Pog (compared to other face types); in young women with medium face type – smaller the values of the distances N-A (compared to other face types), N-B and N-Pog (compared to wide and narrow face types), Go-Pog (compared to very wide face type), A-B (compared to a wide face type), as well as larger values of the distance B-Pog and angles MP-HP and Ar-Go-Gn (compared to a wide face type); representatives with a narrow face type have higher values of the distances N-ANS (compared to other face types), B-Pog (compared to very wide and wide face types), PNS-N (compared to a wide face type). The following significant or tendencies of differences between linear and angular indicators of the upper and lower jaws were found between young men with different face types: representatives with very wide face type have higher values of N-B, N-Pog, ANS-PNS distances (compared to average face type), Ar-Go (compared to wide and medium face types), A-B (compared to medium and narrow face types) and N-A (compared to narrow face types), as well as smaller MP-HP angle values (compared to other face types); representatives with a narrow face type have larger values of PNS-N (compared to other face types) and N-ANS (compared to very wide and wide face types), as well as smaller values of N-A-Pog angle (compared to average face type); representatives with medium face type have only smaller values of the ANS-PNS distance (compared to wide face type). Young men with different face types also have larger upper linear dimensions of the upper and lower jaws than in young women with different face types; and in young women mainly with narrow and medium face types – angular indicators of the upper and lower jaws.
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