Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
권호 표지
DOI QR코드

DOI QR Code

A LATERAL CEPHALOMETRIC STUDY OF 10-YEAR-OLD CHILDREN WITH NORMAL OCCLUSION

10세 정상교합 아동의 측모두부방사선 계측학적 연구

  • Ju, Chan-Hee (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Kim, Seon-Mi (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Yang, Kyu-Ho (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University) ;
  • Choi, Nam-Ki (Department of Pediatric Dentistry, School of Dentistry, Chonnam National University)
  • 주찬희 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 김선미 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 양규호 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 최남기 (전남대학교 치의학전문대학원 소아치과학교실)
  • Received : 2012.05.14
  • Accepted : 2012.08.14
  • Published : 2012.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was performed to establish the lateral cephalometric standards of Korean children for diagnosis of antero-posterior and vertical discrepancies of maxillofacial region. The lateral cephalometric radiographs were taken from 100 Korean children with normal occlusion, and then 15 measurements were statistically analysed. The results of this study were as follows : 1. Maxillary length of males was significantly greater than that of females (p < 0.05). There was strong correlation between maxillary and mandibular length (r = 0.625(M), 0.574(F)). 2. Lower facial height of males was significantly greater than that of females (p < 0.05). Furthermore, there was strong correlation between total facial height and upper facial height (r = 0.405(M), 0.417(F)) and very strong correlation between total facial height and lower facial height (r = 0.763(M), 0.787(F)). 3. All measurements for dento-alveolar relation showed no statistically significant sex difference. Maxillary length showed strong correlation with mandibular plane - lower incisor (r = 0.474(M), 0.426(F)) and mandibular plane - lower molar (r = 0.488(M), 0.499(F)).

본 연구는 10세 정상교합 아동의 측모두부계측 분석을 통하여 현재 한국인 아동의 평균을 제시하며, 이를 통해 악안면의 전후방 및 수직적 부조화의 진단에 도움이 되고자 계획되었다. 연구대상은 전남대학교 치과병원 소아치과에 교정치료를 위해 내원한 아동 중 정상 안모를 갖는 아동 100명(남, 여 각 50명)이며, 진단 및 치료를 위해 촬영된 측모두부규격 방사선사진을 이용하여, 교정 진단에 유용한 15가지의 항목에 대한 계측 및 분석을 시행한 후, 다음과 같은 결과를 얻었다. 1. 상, 하악골 길이와 관련하여 남자의 maxillary length는 여자보다 유의하게 길었다(p < 0.05). Maxillary length는 mandibular length와 높은 상관관계를 나타냈다(r = 0.625(남), 0.574(여)). 2. 수직적 악골 길이와 관련하여 남자의 lower facial height은 여자보다 유의하게 길었다(p < 0.05). Total facial height 는 upper facial height(r = 0.405(남), 0.417(여))와 높은 상관관계, lower facial height(r = 0.763(남), 0.787(여))와는 매우 높은 상관관계를 나타냈다. 3. 상, 하악 치아 및 치조 길이와 관련하여 모든 계측치 간의 남녀 차이가 1 mm 이내로 성별 차이가 거의 없었다. PNS - ANS(r = 0.571(남), 0.650(여)), mandibular plane - lower incisor(r = 0.474(남), 0.426(여)), mandibular plane - lower molar(r = 0.488(남), 0.499(여)), PTM-V(r = 0.457(남))는 maxillary length와 높은 상관관계를 나타냈다.

Keywords

References

  1. Broadbent BH : A new X-ray technique and its application to orthodontia. Angle Orthod, 1:45-60, 1931.
  2. Broadbent BH Sr, Broadbent BH Jr, Golden WH : Bolton standard of dentofacial development and growth. St. Louis, CV Mosby, 1975.
  3. Downs WB : Variations in facial relationships : Their significance in treatment and prognosis. Am J Orthod, 34:821-840, 1948.
  4. Downs WB : The role of cephalometrics in orthodontics in orthodontic case analysis and diagnosis. Am J Orthod, 38:162-182, 1952. https://doi.org/10.1016/0002-9416(52)90106-1
  5. Downs WB : Analysis of the dentofacial profile. Angle Orthod, 26:191-212, 1956.
  6. Graber TM : Orthodontics: Principles and practice, 3rd ed. Philadelphia, WB Saunders Co, 1972.
  7. Steiner CC : Cephalometrics for you and me. Am J Orthod, 39:729-755, 1953. https://doi.org/10.1016/0002-9416(53)90082-7
  8. Steiner CC : Cephalometrics in clinical practice. Angle Orthod, 29:8-29, 1954.
  9. Steiner CC : The use of cephalometrics as an aid to planning and assessing orthodontic treatment. Am J Orthod, 46:721-735, 1960. https://doi.org/10.1016/0002-9416(60)90145-7
  10. Tweed CH : The Frankfort-mandibular incisor angle in orthodontic diagnosis, treatment planning and prognosis. Angle Orthod, 24:121-169, 1954.
  11. Tweed CH : Was the development of the diagnostic facial triangle as an accurate analysis based on fact or fancy? Am J Orthod, 41:735-764, 1955. https://doi.org/10.1016/0002-9416(55)90171-8
  12. Tweed CH : The diagnostic facial triangle on the control of treatment objectives. Am J Orthod, 55: 651-667, 1969. https://doi.org/10.1016/0002-9416(69)90041-4
  13. Ricketts RM : Foundation for cephalometric communication. Am J Orthod, 27:14-37, 1957.
  14. Ricketts RM : Cephalometric analysis and synthesis. Angle Orthod, 31:141-156, 1961.
  15. Ricketts RM : A four-step method to distinguish orthodontic changes from natural growth. J Clin Ortho, 9:208-228, 1975.
  16. Ricketts RM : Bioprogressive therapy. Rocky Mountain, Orthod JPO Inc, 1979.
  17. Ricketts RM : Perspectives on the clinical application of cephalometrics. Angle Orthod, 51:115-149, 1981.
  18. Sassouni V : The face in five dimensions. Growth center Publications, Philadelphia, 1960.
  19. Jarabak JR : Technique and treatment with the light-wire appliance. CV Mosby Co, 144-149, 1964.
  20. McNamara JA Jr : Component of Class II malocclusion in children 8-10years of age. Angle Orthod, 51:177-202, 1981.
  21. McNamara JA : A method of cephalometric evaluation. Am J Orthod, 86:120-140, 1984.
  22. McNamara JA Jr, E Ellis : Cephalometric analysis of untreated adult with ideal facial and occlusal relationships. Int J Adult Orthod Oral Surg, 3:221-231, 1988.
  23. Harvold EP, Vargervik K, Chierici G : Primate experiments on oral sensation and dental malocclusions. Am J Orthod, 63:494-508, 1973. https://doi.org/10.1016/0002-9416(73)90162-0
  24. Harvold EP : The activator in interceptive orthodontics. St. Louis, CV Mosby, 1974.
  25. Wylie WL : The assesment of anteroposterior dysplasia. Angle Orthod, 17:97-108, 1947.
  26. Wylie WL, EL Johnson : Rapid evaluation of facial dysplasia in the vertical plane. Angle Orthod, 22:165-181, 1952.
  27. Riolo ML : An Atlas of Craniofacial Growth. Ann Arbor, Mich: University of Michigan, Center for Human Growth and Development, 1974.
  28. Broadbent BH Sr, Broadbent BH Jr, Gonden WH : Bolton standards of Dentofacial Developmental Growth. St. Louis, CV Mosby, 1975.
  29. Popovich F, Thompson GW : Craniofacial templates for orthodontic case analysis. Am J Orthod, 71:406-420, 1977. https://doi.org/10.1016/0002-9416(77)90244-5
  30. Proffit WR, White RP Jr : Surgical-orthodontic treatment. St. Louis, CV Mosby, 117-140, 1991.
  31. Proffit WR : Contemporary Orthodontics. DaehanNarae Publishing Inc, 165-133, 2008.
  32. Wendell N Cotton, William S Takano, Wilfred MW Wong : The Downs analysis applied to three other ethnic groups. Am J Orthspo, 21:213-220, 1951.
  33. Park TS : A Longitudinal Cephalometric Study Of Craniofacial Growth Of Korean Children. Korean J Orthod, 14:217-231, 1984.
  34. Park IC : A cephalometric study of Korean adult. Loyola Univ of Chicago, 1982.
  35. Hamn SM, Sohn BH : Roentgenocephalometric study of craniofacial growth by Ricketts analysis on teen-ager with normal occlusion in Korean. Korean J Orthod, 15:313-325, 1985.
  36. BAEK IS, RYU YK : Roentgenocephalometric study of craniofacial skeleton on the age of puberty with normal occlusion. Korean J Orthod, 12:177-189, 1982.
  37. Lee MS, Choi YC : Relationships between cranial base and facial structures in children with class I and III malocclusions aged from 7 to 12 years : a cephalometric study. J Korean Acad Pediatr Dent, 28:95-105, 2001.
  38. Choi NG, Jeong BC, Yang KH : A cephalometric study by Downs analysis in the children with normal occlusion. J Korean Acad Pediatr Dent, 29:295-303, 2002.
  39. Yang KH, Choi NG, Jung JG : The lateral cephalometric study of the growing children with class III malocclusion by Kim's analysis. J Korean Acad Pediatr Dent, 30:298-307, 2003.
  40. Lee CH, Kim JU, Kim CC, et al. : The cephalometric study of soft tissue profile of children with normal occlusion between the ages of 9 and 11 years. J Korean Acad Pediatr Dent, 32:461-471, 2005.
  41. Yang KH : A cephalometric study of the Korean growing children with normal occlusion by McNamara analysis method. J Korean Acad Pediatr Dent, 20:640-647, 1993.
  42. Gary Engel BA, Barry M Spolter : Cephalometric and visual norms for a Japanese population. Am J Orthod 1:48-60, 1981.
  43. Argyropoulos E, Sassouni V : Comparison of the dentofacial patterns for native Greek and American-Caucasian adolescents. Am J Orthod Dentofac Orthp, 95:238-249, 1989. https://doi.org/10.1016/0889-5406(89)90054-1
  44. Swierenga D, Oesteri LJ, Messersmith ML : Cephalometric values for adult Mexican-Americans. Am J Orthod Dentofac Orthop, 106:146-155, 1994. https://doi.org/10.1016/S0889-5406(94)70032-X
  45. Sung JH, Kwon OW, Kyung HM, et al. : Longitudinal Data of Craniofacial Growth from Lateral Cephalometrics in Korean with Normal Occlusion. Jung Won Co Inc, 2001.
  46. Shon DS, Kim JT, Lee SH, et al. : Cephalometric analysis of Korean children of mixed dentition. J Korean Acad Pediatr Dent, 20:601-614, 1993.