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正畸治疗中唇部软组织厚度对安氏Ⅱ类Ⅰ分类女性患者唇部回收的影响

Effect of soft tissue thickness of upper lip on lip retraction in orthodontical-treated Class Ⅱ, Division 1 females

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【作者】 邹兰熠陈允嘉刘恒朗那毕何金龙范小平

【Author】 ZOU Lanyi;CHEN Yunjia;LIU Henglang;NA Bi;HE Jinlong;FAN Xiaoping;Department of Orthodontics Stomatological Hospital of Chongqing Medical University; Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences; Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education;

【机构】 重庆医科大学附属口腔医院正畸科口腔疾病与生物医学重庆市重点实验室重庆市高校市级口腔生物医学工程重点实验室

【摘要】 目的:通过头颅侧位片对重庆地区汉族人群唇部厚度进行测量分析,建立重庆地区唇部厚度分类标准,同时探索唇部软组织厚度对唇部回收的影响及不同唇厚度的切牙上唇回收比。方法:招募240名18~35岁重庆地区汉族成年人,其中男女各120名。每个样本拍摄头颅侧位片,测量唇部软组织厚度,并根据测量结果建立唇厚度分类标准,同时对男女唇厚度进行t检验。选取2009年1月至2012年12月就诊于重庆医科大学附属口腔医院的安氏II类I分类成年女性患者68例,术前术后均拍摄头颅侧位片,测量唇部软组织厚度并根据第一部分测量结果分为薄唇型、均衡型和厚唇型,求出各组切牙上唇回收比例。用Pearson相关分析法对唇厚度与切牙上唇回收比进行分析。结果:成年男性患者唇部厚度大于成年女性患者(P<0.01);安氏II类I分类成年女性患者切牙上唇回收比例在薄唇型为1.6:1,均衡型为2.2:1,厚唇型为2.9:1。结论:上唇软组织厚度存在性别差异;上唇软组织厚度对安氏II类I分类女性患者上唇回收有影响,上唇随切牙回收量与上唇软组织厚度呈负相关。

【Abstract】 Objective: To establish the Chinese Han national criteria for the thickness of upper lip in Chongqing and to investigate the eff ect of lip thickness on lip retraction in orthodontic treatment. Methods: A total of 240 adult patients(male=120, female=120) of Chinese Han nationality aged 18–35 years in Chongqing were treated with cephalograms and measured the thickness of upper lip. We established the Chinese Han national criteria for the thickness of upper lip in Chongqing according to the results. Sixty-eight female patients with Angle II 1 from Department of Orthodontics Stomatological Hospital of Chongqing Medical University were treated with maxillary premolars extraction, and pre- and post-treated with lateral cephalograms, then divided into 3 groups according to our criteria: a thin lips group, a normal lips group and a thick lips group. The ratio of the incisors retraction and the upper lip retraction were measured and calculated. The correlation between incisors retraction and the upper lip retraction was analyzed by the Pearson correlation method. Results: There was statistical significance in the thickness of upper lip between males and females(P<0.01). The ratio of maxillary inscior retraction to the upper lip soft tissue retraction was 1.6:1, 2.2:1 and 2.9:1 in the thin lips group, the normal lips group and the thick lips group, respectively. Conclusion: Gender differences exist in the thickness of upper lip. Upper lip retraction with the incisors was negatively correlated with the soft tissue thickness of the upper lip in females with Angle II 1.

【关键词】 唇厚度切牙回收头影测量
【Key words】 lip thicknessincisor retractioncephalometrics
【基金】 重庆市科学技术委员会资助项目(CSTC2013jcyj A10010);渝北区科学技术委员会资助项目[2014(社)11号];2013年重庆高校创新团队建设计划资助项目;重庆市高校市级口腔生物医学工程重点实验室资助项目~~
  • 【文献出处】 中南大学学报(医学版) ,Journal of Central South University(Medical Science) , 编辑部邮箱 ,2016年04期
  • 【分类号】R783.5
  • 【被引频次】17
  • 【下载频次】234
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