垂直骨比例对未经治疗的青少年超咬变的影响:纵向评估
The Angle orthodontist
|September 1, 2023
概括
从9岁到18岁,过度咬伤保持稳定,整体略有下降. 过度分离的个体经历了轻微的过度咬伤减少,特别是在青春期,这表明大多数情况下干预的必要性很小.
科学领域:
- ортодонтика和面生长的成长
- 牙发育和骨形态学
背景情况:
- 青春期的过度咬伤变化受到垂直骨模式的影响.
- 了解这些变化对于正义牙科治疗计划至关重要.
研究的目的:
- 为了评估从9岁到18岁的未经治疗的队列中的过度咬伤变化.
- 为了比较基于垂直骨比例的超咬伤深度变化.
主要方法:
- 使用了AAOF面生长遗产收藏的侧面脑图.
- 分析了9-11岁,13-15岁和17-19岁三个时间点的脑力测量数据.
- 采用通用估计方程 (GEE) 回归来分析因年龄,性别和MP-SN (下平面到前额头底角) 调整的超咬变化.
主要成果:
- 从9岁到18岁,过度咬伤在很大程度上保持不变,整体减少0.15毫米.
- 在9-11岁和13-15岁之间观察到过度咬伤的短暂增加,在青春期晚些时候逆转.
- 增加的MP-SN (超分离面部类型) 与统计学上显著的,尽管较小,但更大程度的减少过度咬伤有关.
结论:
- 在9岁到18岁之间,过度咬伤显示出最小的变化,青春期的过渡性增加是正常化的.
- 过度分离的个体在此期间表现出轻微的过度咬伤减少.
- 对于大多数在青春期和青春期轻微增加垂直面部比例的人来说,常规观察垂直生长可能就足够了.
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