实用医学杂志2024，Vol.40Issue(13)：1833-1839,7.DOI:10.3969/j.issn.1006-5725.2024.13.012
拔牙矫治对恒牙早期下颌第二磨牙近远中向倾斜度的影响
Effects of orthodontic extraction on mesiodistal angulation of lower second molars in patients with early permanent dentition correction
摘要
Abstract
Objective This study aimed to explore the relationship between the spontaneous changes of mesiodistal angulation of lower second molars(L2M)and individual clinical characteristics in patients with early permanent dentition correction.Methods A total of 44 patients with a total of 88 mandibular second molars were included in this study after screening.Based on the frequency distribution histogram of the initial angle of inclina-tion(L2M initial angle)of the L2M crown before treatment,it was divided into three groups:Group A:small angle group,L2M initial angle is 0°～17.5°;Group B:medium angle group,L2M initial angle is 17.5°～42.5°;Group C:large angle group,L2M initial angle is 42.5°～60°.According to whether L2M has erupted and exposed most of the crown,it was divided into erupted group and unerupted group.According to the mandibular plane angle,it can be divided into high angle,low angle,and average angle.CBCT reconstructed panoramic images were used to measure the mesiodistal inclination of L2M and analyze the relationship between each group and the change in mesiodistal inclination angles of L2M.Results After treatment,L2M mesiodistal angulation in the small angle,large angle,non-eruption,and high angle groups became more significant.The angle in the middle angle group was significantly smaller.The L2M mesiodistal angulation in the eruption and average angle group did not change significantly.The angles of ANB,Y-axis,and mandibular plane have no correlation with the initial angle of L2M.Conclusion The L2M in patients with large and high angles is more likely to topple during a correc-tion.During the correction,the L2M tends to approach the normal axial inclination.关键词
恒牙早期/下颌第二磨牙/近远中向倾斜度Key words
early permanent dentition/lower second molars/mesiodistal angulation分类
医药卫生引用本文复制引用
刘俊峰,王新琼,张文忠,李嫕婧,张雄,赵转浓,盘月梅..拔牙矫治对恒牙早期下颌第二磨牙近远中向倾斜度的影响[J].实用医学杂志,2024,40(13):1833-1839,7.基金项目
广东省援疆农村科技(特派员)项目(编号:KTP20190282) （特派员）
