구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제28권1호
  • /
  • Pages.47-56
  • /
  • 2012
  • /
  • 2384-4353(pISSN)
  • /
  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
권호 표지

구호흡 양상을 보이는 아동 및 청소년의 하순 두께 변화에 관한 연구

Thickness Changes of the Lower Lip in Mouth Breathing Children and Adolescent

  • 정영호 (한림대학교성심병원 치과 교정과) ;
  • 이상민 (단국대학교 치과대학병원 교정과) ;
  • 양병호 (서울 Y교정치과) ;
  • 박인영 (한림대학교성심병원 치과 교정과) ;
  • 이일홍 (한림대학교성심병원 치과 교정과)
  • Jeong, Young-Ho (Department of orthodontics, Sacred heart hospital, Hallym university) ;
  • Lee, Sang-Min (Department of orthodontics, School of Dentistry, Dankook University) ;
  • Yang, Byun-Ho (Seoul Y Orthodontic clinic) ;
  • Park, In-Young (Department of orthodontics, Sacred heart hospital, Hallym university) ;
  • Lee, Il-Hong (Department of orthodontics, Sacred heart hospital, Hallym university)
  • 투고 : 2012.01.15
  • 심사 : 2012.03.25
  • 발행 : 2012.03.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

입술은 사람의 인상을 결정하는 중요한 부분중의 하나이다. 본 연구는 두부계측방사선사진을 이용하여 구호흡자와 비호흡자의 입술두께를 비교하여 구호흡과 하순 두께 변화와의 연관성을 알아보았다. 8세~18세인 아동 및 청소년 436명을 대상으로 두부방사선계측사진을 조사하였다. 전체 조사대상자를 구호흡 그룹과 비호흡 그룹으로만 나누어서 평균과 표준편차를 구한 결과 구호흡 그룹의 하순/상순 비율은 $1.13{\pm}0.14$, 비호흡 그룹의 하순/상순 비율은 $1.02{\pm}0.14$로 나타났다. Skeletal class에 따라 구분한 그룹의 각각의 평균과 표준편차를 살펴보면 skeletal class I은 $1.05{\pm}0.09$, skeletal class II는 $1.20{\pm}0.12$, skeletal class III는 $0.97{\pm}0.11$로 나타났다. 호흡양상에 따라 비교하였을 때 비호흡을 하는 그룹보다 구호흡을 하는 그룹에서 하순/상순 비율이 더 큰 값을 나타내어 하순의 두께가 더 두꺼운 양상을 보였다. Skeletal class에 따라서 비교하였을 때는 skeletal class II 그룹에서 하순/상순 비율이 가장 큰 값을 나타내어 하순의 두께가 가장 두꺼운 양상을 보였다.

As attractive lips are important component of appealing faces, the study was conducted to investigate the association of mouth-breathing and thickness of lower lips in mouth-breathers and nasal-breathers. The subjects were 436 adolescent patients aged 8~18 years who took cephalometrics. The results were as follows. The ratio of lower lip thickness to that of upper lip thickness in mouth breathing and nasal breathing groups were $1.13{\pm}0.14$, $1.02{\pm}0.14$, respectively. According to subjects' skeletal pattern, the ratio in Class I sample was $1.05{\pm}0.09$. Class II subjects showed $1.20{\pm}0.12$, and Class III showed $0.97{\pm}0.11$. Mouth - breathers had higher lower/upper lip ratio than nasal breathers meaning their lower lips were thicker. Skeletal Class II patients group showed the most thickest lower lips among Class I, II, III subgroups.

키워드

참고문헌

  1. Sanas KV, Solow B. Early adult changes in the skeletal and soft tissue profile. Eur J Orthod 1979;2:1-12.
  2. Burstone CJ. 0Lip posture and its significance in treatment planning. Am J Orthod 1967;53:262-84. https://doi.org/10.1016/0002-9416(67)90022-X
  3. Subtenly JD. The soft tissue profile, growth and treatment changes. Angle Orthod 1992;31:105-11.
  4. Bishara SE, Hession TJ, Peterson LC. Longitudinal soft tissue profile changes: A study of three analysis. Am J Orthod 1985;88:209-23. https://doi.org/10.1016/S0002-9416(85)90216-7
  5. Burstone CJ, James RB, Legan H et al. Cephalometrics for orthognathic surgery.J oral Surg 1978;36:269-77.
  6. Moore JW. Variation of the sella-nasion plane and its effect on SNA and SNB. J Oral Surg 1976;34:24-6.
  7. Asahina I, Sakakibara T, Miyashin M et al. Congenital midline sinus of the upper lip: case report and review of literature. Cleft Palate Craniofac J 1997;34:83-5. https://doi.org/10.1597/1545-1569(1997)034<0083:CMSOTU>2.3.CO;2
  8. Barlow SM, Bradford PT. Comparison of perioral reflex modulation in the upper and lower lip. J Speech Hear Res 1996;39:55-75. https://doi.org/10.1044/jshr.3901.55
  9. Ferrario VF, Sforza C, Schmitz JH et al.Normal growth and development of the lips: a 3-dimensional study from 6 years to adulthood using a geometric model. J Anat 2000;196: 415-23. https://doi.org/10.1046/j.1469-7580.2000.19630415.x
  10. Frederick S. The perioral muscular phenomenon: Part I. Aust Orthod J 1991;12:3-9
  11. Mamandras AH. Linear changes of the maxillary and mandibular lips. Am J Orthod 1988;5: 405-10.
  12. Nanda RS, Hanspeter M, Sunil K, Jolande G. Growth changes of the soft tissue profile. Angle Orthod 1990;60:177-90.
  13. Pelton WJ, Elsasser WA. Studies of dentofacial morphology IV. Profile change among 6,829 white individuals according to age and sex. Angle Orthod 1955;25:109-207.
  14. Subtenly JD. A longitudinal study of soft tissue facial structures and their profile characteristics, defined in the relation to underlying skeletal structure. Am J Orthod 1959;45:481-507. https://doi.org/10.1016/0002-9416(59)90014-4
  15. Bowker WD, Meredith HV. A metric analysis of facial profile. Angle Orthod 1959;29:149-60.
  16. Mauchamp O, Sassouni V. Growth and prediction of the skeletal and soft tissue profile. Am J Orthod 1973;64:83-94. https://doi.org/10.1016/0002-9416(73)90282-0
  17. Kang HG. A roentgenocephalometric study of the bony structure and its profile. Korean J Orthod 1976;6:17-24.
  18. Bresolin D, Shapiro PA, Shapiro GG et al. Mouth breathing in allergic children; its relationship to dentofacial morphology. Am J Orthod 1983;83:334-40. https://doi.org/10.1016/0002-9416(83)90229-4
  19. Ricketts RM. Forum on the tonsil and adenoid problem in orthodontics. Questions and answer. Am J Orthod Dentofacail Orthop 1968;54:508-14. https://doi.org/10.1016/0002-9416(68)90219-4
  20. Schendel SA, Eisenfeld J, Bell WH et al. The longface syndrome : vertical maxillary exess. Am J Orthod Dentofac Orthop 1976;70:398-408. https://doi.org/10.1016/0002-9416(76)90112-3
  21. Woodside DG, Linder-Aronson S. The channelization of upper and lower anterior face heights compared to population standard in males between 6 and 20 years. Europ J Orthod 1979;1:25-40. https://doi.org/10.1093/ejo/1.1.25
  22. Harvold EP, Vargervik K, Chierici G. Primate experiments on oral sensation and dental malocclusion. Am J Orthod Dentofac Orthop 1973;63:494-508. https://doi.org/10.1016/0002-9416(73)90162-0
  23. Miller AJ, Vargervik K, Chierici G. Experimentally induced neuromuscular changes during and after nasal airway obstruction. Am J Orthod 1984;85:385-92. https://doi.org/10.1016/0002-9416(84)90159-3
  24. Kim SH, Sung JH. Electromyographic changes of orofacial muscles during experimentally induced mouth- breathing in rabbit. Journal of Oral Biology 1987;11:51-9.
  25. Miller AJ, Vargervik K. Neuromuscular adaptation in experimentally induced oral respiration in the rhesus monkey(Macaca mulata). Arch Oral Biol 1980;25:579-89. https://doi.org/10.1016/0003-9969(80)90071-0
  26. Harvold EP, Tomer BS, Vargervik K, Chierici G. Primate experiments on oral respiration. Am J Orthod 1981;119:359-72.
  27. Downs WB. Analysis of dentofacial profile. Angle orthod. 1956;26:191-212.
  28. Riedel RA. An analysis of dentofacial relationships. Am J Orthod 1957;43:103-19. https://doi.org/10.1016/0002-9416(57)90220-8
  29. Wylie WL. The mandibular incisor-its role in facial esthetics. Angle Orthod 1955;25: 32-41.