中国实用口腔科杂志

中国实用口腔科杂志

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Spee曲线深度与颅颌面形态之间关系研究

崔敏娟，胡晟奭，常    新   

  1. 大连医科大学 附属第二医院口腔科，辽宁  大连，116027
  • 出版日期:2015-09-15 发布日期:2015-10-13

  • Online:2015-09-15 Published:2015-10-13

摘要：

目的    研究Spee曲线深度与颅颌面形态之间的关系 。方法    对2013—2014年在大连医科大学附属第二医院口腔科就诊的88例14～32岁错牙合畸形患者的头颅侧位片及记存模型进行测量分析。将选取的13项头影测量指标与Spee曲线深度进行相关以及回归分析。结果    Spee曲线深度与性别因素无关。不同安氏分类间Spee曲线深度差异具有统计学意义，安氏Ⅱ类明显高于安氏Ⅲ类。SNA、ANB、AO-BO、后前面高比、ODI、上下唇长比与Spee曲线深度呈正相关关系，APDI、IMPA、颏唇角与Spee曲线深度呈负相关关系。结论    颅颌面形态与Spee曲线深度之间存在相关性，在正畸诊疗过程中应加以考虑。

关键词: Spee曲线, 颅颌面形态, 头影测量, 安氏分类

Abstract:

Objective    To explore the relationship between curve of Spee and craniofacial morphology.  Methods    Lateral cephalograms and dental models of 88 patients between the age of 14 and 32 were evaluated. Correlation analysis and a multiple linear regression analysis were performed to determine the relationship between the curve of Spee and 13 selected cephalometric variables. Results    The curve of Spee was not affected by sex. The depth of the curve of Spee significantly differed among different Angle classifications in which class Ⅱ was obviously higher than class Ⅲ. SNA， ANB， AO-BO， post. facial height/ant. facial height， ODI and upper lip length/lower lip length had statistically significant positive correlation with the depth of the curve of Spee. APDI ， IMPA and mentolabial angle had negative correlation with the depth of the curve of Spee. Conclusion    The depth of the curve of Spee is correlated with craniofacial morphology， which should be taken into consideration during orthodontic diagnosis and treatment.

Key words: curve of Spee, craniofacial morphology, cephalometric radiography, Angle classifications