口腔医学研究 ›› 2016, Vol. 32 ›› Issue (1): 71-74.DOI: 10.11839/kqyxzh.2016.01.018

• ·临床研究论著· • 上一篇    下一篇

下颌第三磨牙发育阶段与磨牙后间隙的关系研究

范雅儒,赵浩然,刘海霞*,骆慧   

  1. 新疆医科大学第二附属医院口腔科 新疆 乌鲁木齐 830063
  • 收稿日期:2015-05-18 出版日期:2016-01-28 发布日期:2016-03-21
  • 通讯作者: 刘海霞,E-mail:kqlhx@sina.com
  • 作者简介:范雅儒(1989~),女,硕士在读,主要从事口腔正畸与修复的临床研究工作。

Association between the Developmenal Stages of Mandibular Third Molars and Retromolar Space.

FAN Ya-ru, ZHAO Hao-ran, LIU Hai-xia, LUO Hui.   

  1. Department of Stomatology, The Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, China
  • Received:2015-05-18 Online:2016-01-28 Published:2016-03-21

摘要: 目的:研究下颌第三磨牙发育形成情况与下磨牙后间隙的相关性,预测牙弓后端间隙的生长潜力,为临床错牙合畸形的矫治计划的设计提供诊断依据。方法:选取在乌鲁木齐市口腔医院就诊的8~18岁符合纳入标准的初诊患者所拍摄的CBCT 129例(女性67人,男性62人)。对不同性别参照Nolla法的牙龄判断标准对下颌第三磨牙发育情况进行分期,并于CBCT影像上测量下颌第一磨牙后间隙,计算下颌第三磨牙牙龄与磨牙后间隙之间的直线回归方程,分析两者相关性。结果:不同性别组之间第一磨牙后距离存在差异,女性:(16.89±3.25) mm;男性:(15.74±2.97) mm,女性大于男性,差异有统计学意义(P<0.05)。二组间年龄、牙龄差异无明显统计学意义。下颌第三磨牙牙龄与第一磨牙后距离之间存在直线相关关系(r=0.860,P<0.001)。结论:可通过评估下颌第三磨牙牙龄来预测下颌牙弓后段生长间隙潜力,为矫治计划制定提供参考依据。

关键词: 下颌第三磨牙, 牙龄, 磨牙后间隙, 性别, 可用间隙

Abstract: Objective: To assess the association between the developmental stages of mandibular third molars and the space distal to the permanent molars (retromolar space), and to predict the growth potential of retromolar space and provide diagnostic basis for clinical treatment. Methods: The materials included pretreatment lateral cephalographs of 129 orthodontic patients (62 males, 67 females; 8-18 years old) from Urumqi Stomatological Hospital. The molar formation stage was evaluated by the method of Nolla. The retromolar space was measured from the most concave point of the anterior border of the ramus to the distal surface of the first molar by CBCT. Statistical analyses included t-tests, the Pearson product moment and the linear regression equations. Results: Between gender groups the retromolar space was different, and the age and formation stages of the mandibular third molars had no statistical difference. The correlation between retromolar space and developmental stage was high (r=0.860,P<0.001). Conclusion: We can predict the mandibular retromolar space by estimating the dental age of mandibular third molars, and provide reference for clinical diagnosis and treatment planning

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