牙合平面与上气道形态功能及舌骨位置的相关性研究及其在错牙合畸形治疗中<br />的应用<br />-《中国美容医学》

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Title:: Correlation between Occlusal Plane and Upper Airway Morphology and Hyoid
Position and its Application in Orthodontic Treatment of Patients with Malocclusion

文章编号:: 1008-6455（2020）12-0054-05

作者:: 石安田¹; 张瀚文²

Author(s):: SHI An-tian1; ZHANG Han-wen2

关键词:: [关键词]牙合平面; 上气道形态功能; 舌骨位置; 错牙合畸形; 正畸治疗

Keywords:: Key words:occlusal plane; upper airway morphology; hyoid position; malocclusion; orthodontic treatment

分类号:: R783.5

文献标志码:: A

摘要:: [摘要]目的：探讨牙合平面与上气道形态功能以及与舌骨位置的相关性及其在错牙合畸形患者正畸治疗中的应用。方法：选择
2017年12月-2019年6月重庆三峡医药高等专科学校附属医院和银川市口腔医院收治的I类错牙合畸形患者181例，根据牙合平
面角度（OP-SN）将患者分为A组（10°≤OP-SN＜15°，n =47）、B组（15°≤OP-SN＜20°，n =99）、C组（20°≤OP-SN
＜25°，n =35）。采用单因素方差分析不同牙合平面对上气道形态与舌骨位置的差异比较，分析其相关性。并给予三组患者
正畸治疗，比较三组患者上气道形态及舌骨位置。结果：三组患者上气道形态指标OP-SN、SNA、ANB、SNB差异有统计学意
义（P ＜0.05）；两两比较，C组患者OP-SN、ANB高于A、B组，且SNA、SNB低于A、B组（P ＜0.05）；三组患者舌骨位置指标
JH、H-C3差异有统计学意义（P ＜0.05）；两两比较，C组患者JH、H-C3低于A、B组（P ＜0.05）；OP-SN与SNA、SNB、JH、
H-C3呈负相关，与ANB呈正相关（P ＜0.05）；与SPPS、MPS、IPS、S-PNS、Ba-PNS、H-FH、H-PNS、H-MP、H-RGn无显著性
差异（P ＞0.05）；治疗后，A组OP-SN、SPPS、H-C3低于治疗前，且SNA、SNB、H-MP高于治疗前（P ＜0.05）；B组OP-SN、
SPPS、H-C3、H-PNS低于治疗前，SNA、SNB、Ba-PNS、JH高于治疗前（P ＜0.05）；C组OP-SN、ANB、SPPS、H-C3低于治疗
前，SNA、SNB、IPS、S-PNS、Ba-PNS、JH、H-MP高于治疗前（P ＜0.05）；MPS、H-FH、H-PNS、H-RGn无显著性差异（P ＞
0.05）。结论：不同矢状骨面型的牙合平面存在差异，而牙合平面与上气道形态功能、舌骨位置显著相关，可通过X线机头影测
量错牙合畸形反映患者病情，在指导治疗中发挥重要意义。

Abstract:: Abstract:Objective To investigate the correlation between occlusal plane and upper airway morphology and hyoid position and
its application in orthodontic treatment of patients with malocclusion. Methods A total of 181 patients with type I malocclusion
in our hospital from December 2017 to June 2019 were enrolled, and were divided into three groups according to occlusal
plane angle (OP-SN), group A (10°≤OP-SN<15°, n =47), group B (15°≤OP-SN<20°, n =99), and group C (20°≤OP-SN<25°,
n =35). One-way anova was used to compare the effects of different occlusal planes on upper airway morphology and hyoid
position. All patients received orthodontic treatment, and upper airway morphology and hyoid position of three groups were
compared. Results The upper airway morphological indicators OP-SN, SNA, ANB, and SNB of three groups had significant
difference (P ＜0.05).Pairwise comparison showed that OP-SN and ANB in group C were higher than those in group A and
B, and SNA and SNB were lower than those in group A and B (P ＜0.05). The hyoid position indicators JH and H-C3 of three
groups had significant difference (P ＜0.05).Pairwise comparison showed that JH and H-C3 in group C were lower than those
in group A and B (P ＜0.05).OP-SN was negatively correlated with SNA, SNB, JH, and H-C3, and was positively correlated
with ANB (P ＜0.05), while had no correlation with SPPS, MPS, IPS, S-PNS, Ba-PNS, H-FH, H-PNS, H-MP and H-RGn (P ＞
0.05). After treatment, the OP-SN, SPPS and H-C3 were decreased, meanwhile, SNA, SNB, and H-MP were increased in group
A (P ＜0.05). After treatment, OP-SN, SPPS, H-C3 and H-PNS were decreased, meanwhile, SNA, SNB, Ba-PNS, and JH were
increased (P ＜0.05). After treatment, OP-SN, ANB, SPPS, and H-C3 were decreased, meanwhile, SNA, SNB, IPS, S-PNS, Ba-
PNS, JH, and H-MP were increased (P ＜0.05). No significant change was found in MPS, H-FH, H-PNS, and H-RGn before and
after treatment (P ＜0.05). Conclusion The occlusal planes of different sagittal bone types are different, and are significantly
correlated with upper airway morphology and hyoid position, so the occlusal plane presented by X-ray cephalography has high
clinical value during the during orthodontic treatment.

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

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