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青少年姿势位微笑与头影测量指标的相关分析
http://www.100md.com 2012年4月1日 国际口腔医学杂志 2012年第2期
1材料和方法,2结果,3讨论,4参考文献,侧貌
     [摘要]目的对比普通人与正畸医生对姿势位微笑的审美观异同,研究面部软硬组织与姿势位微笑的关系。方法用Canon EOS 50D数码照相机拍摄60名(男30名,女30名)个别正常的青少年面部正面照片数张,由正畸医生和普通人用视觉模拟尺度(VAS)评判美的微笑,并测量头颅侧位片的相关数据,最后经SPSS 13.0统计软件进行统计学分析。结果1)正畸医生与普通人的微笑主观评分差异有统计学意义;2)正畸医生对姿势位微笑的主观评分高低与SNA角和SNB角呈负相关,与U1-L1角呈正相关;普通人对姿势位微笑的主观评分高低与MP角、PP-MP角和颏唇沟角呈正相关。结论1)正畸医生与普通人对姿势位微笑的审美观有差异,在正畸临床诊治患者的过程中,医患双方需加强沟通;2)正畸医生在诊治患者的过程中应关注患者面部侧貌的凸度及其面下1/3的协调美观。

    [关键词]微笑;头影测量;侧貌

    [中图分类号]R 783.5[文献标志码]A[doi]10.3969/j.issn.1673-5749.2012.02.006

    Correlation analysis between cephalometric indexes and the posed smile of the teenagersZheng Yuanhua, Wang Jun, He Jianmin, Li Zhenya.(Stomatological Treatment Center, The People’s Hospital in Gansu Province, Lanzhou 730000, China)

    [Abstract]ObjectiveThe purpose of this study was to show whether there are some differences between the orthodontists’esthetic judgements on posed smile and those of the laypersons’, thus broaden the understanding of how facial soft and hard tissues related to the esthetics of the teenagers’smiles. MethodsImages of the posed smile were captured from Canon EOS 50D digital video clips of 60 teenagers(30 girls, 30 boys)who have normal occlusions. The images of the smile were judged by panels of orthodontists and laypersons, using the visual analog scale(VAS). Quantitative measurements of the soft and hard tissues were made by using cephalometric radiographs. Statistical analysis(SPSS 13.0)was carried out on data which were gained from cephalometric radiographs. Results 1)Judgements have significant differences between orthodontists and those of the laypersons. 2)The esthetic judgements of orthodontists negatively correlated with SNA, SNB and positively correlated with U1-L1. The esthetic posed smile judgements of laypersons positively correlated with MP angle, PP-MP angle and lip and chin groove angle. Conclusion1)The study showed that there were significant differences between the orthodontists’esthetic judgements on posed smile and those of the laypersons’. More communication between them was needed when planning orthodontic treatment. 2)It was suggested that the orthodontists should pay special attention to adjust the protrusion of the facial profile and the aesthetics of the lower 1/3 of the face when treating-maloccluded patients with corrective orthodontics. ......

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