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1、He型、骨型、软组织面型的相关表型研究北京大学(医学版)JOURNALOFPEKINGUNIVERSITY(HEALTHSCIENCES)Vo1.35No.1Feb.2003?61?殆型,骨型,软组织面型的相关表型研究郑旭,林久祥,谢以岳(1.北京大学第三医院口腔科,北京100083;2.北京大学口腔医院正畸科)?论着?[关键词】胎型;骨型;软组织面型;错胎/病因学[摘要】目的:深入了解胎型,骨型,软组织面型在各类错袷中的相互关系,探讨错胎形成机制.方法:随机抽取12～15岁安氏各类错殆患者440名及正常胎者60名,采用概率
2、计算法得出各类错胎骨型与软组织面型的分布,并计算各类错胎之间以及它们与正常胎间13个颅面骨骼基本组分变异范围的交叉范围.结景:胎型与骨型,胎型与软组织面型之间不一致的现象以Ⅱ类错胎最为明显,其次是Ⅲ类错袷,I类错袷差别最小;各类错胎以及它们与正常胎间颅面骨骼基本组分的变异范围存在相当大的交叉,彼此之间没有明确的分界点.结论:为做出合理的矫治设计,达到更好的矫治效果,有必要对耠型,骨型,软组织面型鉴别诊断;大部分错殆不存在明显的骨面型异常,骨面型异常主要是代偿机制失调所致,垂直向的代偿能力比矢状向强.[中图分类号】R782.1
3、[文献标识码】A[文章编号]1671—167X(2003)01—006l一04AstudyofconsistencyofocclusaltypewithskeletalpatternandintegumentalprofileZHENGXu,LINJiuxianga,XIEYiyue(1.DepartmentofStomatology,PekingUniversityThirdHospital,Beijing100083,China;2.DepartmentofOrthodon—tics,PekingUniversitySt
4、omatologicalHospita1)KEYWORDSOcclusaltype;Skeletalpattern;Integumentalprofile;Malocclusion/etiolSUMMARYObjective:Tounderstandtheconsistencyofocclusaltypewithskeletalpatternandin—tegumentalprofileineachmalocclusiongroupextensively,andtomakeaninquiryintothemechanismo
5、fmalocclusion.Methods:440patientsofthreeAngle'Smalocclusionsand60normalsubj'ectsagedfrom12—15yearswerechosenrandomly.Thedistributionsofprobabilityofskeletalpatternandsoft—tissuefacialtypewerecalculatedineachmalocclusiongroupcontrastedtonormalgroup,thepercent—agesof
6、commonrangesbetweeneachpairofgroupsamongAngle'SthreemalocclusionsandnormalgroupwerecalculatedtOO.Results:Theinconsistencyofocclusaltypewithskeletalpatternandin—tegumentalprofilewasmostcommoninclassⅡmalocclusion,leastcommoninclass,andclass11wasinbetween;Therewerenoc
7、learboundariesbetweenanypairsofgroups,andcommonrangeswerequitewide.Conclusion:Togivereasonablediagnosisandtreatmentplan,andtogetbestresultsfromtreatment,it'Snecessarytodifferentiateocclusaltype,skeletalpatternandsoft—tissuefacialpattern.Majorityofmalocclusionpatien
8、tshavenoobviousanomalyonskeletalpattern,whichresultsfromill—matchofskeletalcomponents,andtheabilityofcompensatingisstrongerverticalthansagitta1.(
