中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (3): 250-254.doi: 10.19438/j.cjoms.2020.03.012

• 论著 • 上一篇    下一篇

安氏Ⅰ类错牙合畸形牙合平面与上气道形态功能及舌骨位置的相关性

王玮, 黄家昕, 朱兴耀   

  1. 福建医科大学附属三明第一医院 口腔科,福建 三明 365000
  • 收稿日期:2019-10-15 修回日期:2019-12-20 发布日期:2020-06-18
  • 通讯作者: 王玮,E-mail：tansiqi0907@163.com
  • 作者简介:王玮（1971-）,男,本科,副主任医师

Relationship between occlusal plane with upper airway morphological function and hyoid bone location as well as its application in orthodontic treatment of patients with malocclusion

WANG Wei, HUANG Jia-xin, ZHU Xing-yao   

  1. Department of Dentistry, Sanming First Hospital Affiliated to Fujian Medical University. Sanming 365000, Fujian Province, China
  • Received:2019-10-15 Revised:2019-12-20 Published:2020-06-18

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摘要： 目的 探讨安氏Ⅰ类错牙合畸形牙合平面与上气道形态功能与舌骨位置的相关性及其临床意义。方法 随机选取2014年1月—2019年1月治疗的安氏Ⅰ类错牙合畸形牙合患者120例,观察正畸治疗前与治疗3个月时上气道形态功能指标（SNA、SNB、ANB、SPPS、MPS、IPS、S-PNS、Ba-PNS）变化情况;根据牙合平面角度（OP-SN）将患者分为A（35例,10°≤OP-SN<15°）、B（45例,15°≤OP-SN<20°）、C（40例,20°≤OP-SN<25°）3组,观察治疗3个月时3组患者睡眠指标变化[平均血氧饱和度（MSaO2）、最低血氧饱和度（LSaO2）、氧减指数、平均脉率]以及牙合平面（OP-SN）、上气道形态功能与舌骨位置（H-PS、H-VPS）变化情况,采用SPSS 20.0软件中的Pearson相关性分析评价牙合平面与上气道形态功能以及与舌骨位置的相关性。结果 正畸治疗后SNA、MPS、IPS、S-PNS、Ba-PNS较治疗前显著升高（P<0.05）,而SNB、ANB、SPPS较治疗前显著下降（P<0.05）;3组不同牙合平面中OP-SN、ANB角随牙合平面角度升高而升高,而SNA、SNB角随牙合平面角度升高而降低,组间差异具有统计学意义（P<0.05）;OP-SN与SNA、SNB呈负相关（P<0.05）,与ANB呈正相关（P<0.05）;SNA、SNB、ANB、SPPS、MPS、TPS上气道形态测量指标与H-PS、H-VPS指标呈正相关（P<0.05）。结论 安氏I类错牙合畸形牙合人群平面与上气道形态功能及舌骨位置密切相关。

关键词: 错牙合畸形, 正畸治疗, 牙合平面, 上气道

Abstract: PURPOSE: To study the correlation between occlusal plane, upper airway morphological function and hyoid bone location along with its application in orthodontic treatment of patients with malocclusion. METHODS: A total of 120 patients with Angle Class I malocclusion who underwent orthodontic treatment in our hospital from January 2014 to January 2019 were randomly enrolled. All subjects were observed before and 3 months after orthodontic treatment. Changes in upper airway morphological function indicators (SNA, SNB, ANB, SPPS, MPS, IPS, S-PNS, Ba-PNS) were recorded. Based on the occlusal plane angle (OP-SN) values, they were divided into group A (35 cases, 10°≤OP-SN<15°), group B (45 cases, 15°≤OP-SN<20°), and group C (40 cases, 20°≤OP-SN<25°). The changes in sleep monitoring indexes (mean oxygen saturation MSaO2; minimum oxygen saturation LSaO2; desaturation index, average pulse rate) and different occlusal plane angle (OP-SN), as well as upper airway morphological functional indexes (SNA, SNB, ANB, SPPS, MPS, IPS, S-PNS, Ba-PNS) and hyoid bone location(H-PS, H-VPS) 3 months after treatment were measured. Pearson correlation analysis was used to analyze the relationship between occlusion plane and upper airway morphological function and hyoid bone location with SPSS 20.0 software package. RESULTS: The upper airway morphological functions of SNA, MPS, IPS, S-PNS and Ba-PNS were improved after treatment, the upper airway morphological functions of SNB, ANB and SPPS were decreased compared with those before treatment (P<0.05). The angles of OP-SN and ANB in three different occlusal plans were increased with the increase of the angle of the occlusal plane, while the SNA and SNB angles were decreased with the increase of angle of the occlusal plane (P<0.05). OP-SN was negatively correlated with SNA and SNB (P<0.05), and positively correlated with ANB (P<0.05). The upper airway morphological function indicators of SNA, SNB, ANB, SPPS, MPS, TPS were positively correlated with H-PS and H-VPS (P<0.05). CONCLUSIONS: The occlusal plane in patients with Angle Class I malocclusion is closely related to upper airway morphological function and the position of hyoid bone.

Key words: Malocclusion, Orthodontic treatment, Occlusal plane, Upper airway, Hyoid bone, Correlation

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