Objective:This study aimed to explore the effects of different types of palatal lateral excisions on the growth and development of the maxilla and dental arch, and to investigate the underlying mechanisms. Methods: A ...Objective:This study aimed to explore the effects of different types of palatal lateral excisions on the growth and development of the maxilla and dental arch, and to investigate the underlying mechanisms. Methods: A total of 112 3-week-old Sprague-Dawley (SD) male rats were randomly divided into a control and 3 experimental groups: the mucoperiosteal denudation group, the mucosal flap excision group, and the periosteum excision group. In the experimental groups, bilateral mucoperiosteal, mucosal flap and periosteum were excised respectively in the lateral one half of the palate. Four rats in each group were randomly chosen for sacrifice every two weeks. The maxilla was dissected following the excision. The widths of the maxilla and dental arch were measured and the histological phenomena were investigated at different phases. At the same time, 12 animals in each group were sequentially injected with calcein every two weeks. Three animals in each group, whose fluorescent labeling was used, were sacrificed for investigating bone formation at Week 8 following injection. Results: (1) Each experimental group presented the constriction of the maxilla and dental arch. The upper first molars in the experimental groups inclined medially. The mucoperio-steal denudation group showed the largest degree of effect followed by the periosteum excision group. The indices of the mucosal flap excision group, which retained the structures of the periosteum layer, had the most approximate values to the control group; (2) Different histological changes among the experimental groups were detected. The fibers penetrated into the palatal bone as Sharpey's fibers in the mucoperiosteal denudation group. The pattern of bone deposition was the bundle type. Sharpey's fibers were not found in the mucosal flap and periosteum excision groups and the depositions of palatal bone were the lamellar type as those in the control group; (3) The rates of bone deposition in the experimental groups decreased compared with the control group. The rates in different phases were the most approximate values to those of the control group in the mucosal flap excision group, which has the same structure of periosteum as the control group. Conclusion: There were different effects on the growth and development of the maxilla and dental arch in different types of palatal lateral excisions. Periosteum is important for bone for-mation and deposition pattern. The prevention of Sharpey's fibers forming and attaching to the palatine can effectively avert the following malformation.展开更多
This study was undertaken to examine which factors contributed to the correction of crowding in two patients who underwent nonextraction orthodontic treatment. A study model analysis was conducted to determine the eff...This study was undertaken to examine which factors contributed to the correction of crowding in two patients who underwent nonextraction orthodontic treatment. A study model analysis was conducted to determine the effects of the orthodontic treatment for crowding with high canines on crown angulation and dental arch width in two patients. The results showed that the crown angulation was significantly increased, indicating distal tipping in the maxillary dental arch. This tendency was most commonly observed in the premolars among the lateral teeth. With respect to the dental arch width, the largest change was evident in the first molar and first premolar regions in cases 1 and 2, respectively. On the basis of these results, up-righting of mesially tipped lateral teeth and expansion of narrow dental arches could prove to be the keys to the success of space regaining or correction of high canines and mild crowding.展开更多
Dental instrumentation has long provided insight into the mechanism of musculo-skeletal function of the gnathic system. While large population studies associate dental arch displacement （DAD）, especially laterally, ...Dental instrumentation has long provided insight into the mechanism of musculo-skeletal function of the gnathic system. While large population studies associate dental arch displacement （DAD）, especially laterally, with symptoms, mandibular condyle displacement （CD） resulting from DAD has not been targeted as possibly etiologic in the production of common muscle contraction headache （CMCH） and temporo-mandibular dysfunction （TMD）. The objective was to evaluate the three-dimensional nature of DAD and CD between the seated condylar position （SCP） and the intercuspal position （ICP） and to compare results derived from large deprogrammed asymptomatic and symptomatic populations. A total of 1 192 sets of dental casts collected from asymptomatic and symptomatic populations were articulated in the SCP. The initial occlusal contact, DAD, and condylar displacement were evaluated for frequency, direction, and magnitude of displacement between the SCP and ICP. The data revealed significant displacement between the SCP and ICP of the condyles （displaced most frequently inferior （down） and posterior （distal）） and substantially increased frequency and magnitude of displacement of the dental arches （with posterior premature occlusal contacts, increased overjet, decreased overbite, midline differences, and occlusal classification changes） in symptomatic subjects. These discrepancies were statistically significant and clinically significant. The data support the concept of increased DAD and CD with dysfunction. Transverse condylar displacement, commonly presenting with dental cross bite, may be associated with CMCH and TMD. Displacement of the mandibular condyle may be an etiologic factor in CMCH and dysfunction of the temporo-mandibular joint.展开更多
The purpose of this paper is to present the rationale for registration of the Seated Condylar Position (SCP)/Centric Relation (CR) position of the condyles.
The purpose of this paper is to present the technique for registration of the Seated Condylar Position (SCP)/Centric Relation (CR) position of the condyles: a two-piece wax bite registration with deprogramming and no ...The purpose of this paper is to present the technique for registration of the Seated Condylar Position (SCP)/Centric Relation (CR) position of the condyles: a two-piece wax bite registration with deprogramming and no mandibular manipulation.展开更多
目的探究口腔正畸对错[牙合]畸形伴牙列缺损患者咬合功能的影响。方法选择三明市第一医院于2019年1月至2022年1月期间收治的80例错[牙合]畸形伴牙列缺损患者作为对象进行研究,采用随机数字法将患者分成对照组(n=40),观察组(n=40),对照...目的探究口腔正畸对错[牙合]畸形伴牙列缺损患者咬合功能的影响。方法选择三明市第一医院于2019年1月至2022年1月期间收治的80例错[牙合]畸形伴牙列缺损患者作为对象进行研究,采用随机数字法将患者分成对照组(n=40),观察组(n=40),对照组进行口腔修复治疗,观察组接受口腔正畸联合修复治疗,对比咬合功能、口腔健康生活质量评价指数(Oral health quality of life evaluation index,GOHAI)以及治疗效果。结果治疗前,两组咬合功能、对比无统计学差异(P>0.05),治疗后,两组咬合力不对称指数下降,咬合力、咬合接触面积提升,具有显著性差异(P<0.05);治疗前,两组GOHAI评分对比无统计学差异(P>0.05),治疗后,观察组GOHAI评分低于于对照组,具有统计学意义(P<0.05);观察组治疗效果高于对照组(P<0.05)。结论对于错[牙合]畸形伴牙列缺损患者实施口腔正畸治疗,改善患者咬合功能,对口腔健康生活质量及治疗效果的提升有积极作用。展开更多
文摘Objective:This study aimed to explore the effects of different types of palatal lateral excisions on the growth and development of the maxilla and dental arch, and to investigate the underlying mechanisms. Methods: A total of 112 3-week-old Sprague-Dawley (SD) male rats were randomly divided into a control and 3 experimental groups: the mucoperiosteal denudation group, the mucosal flap excision group, and the periosteum excision group. In the experimental groups, bilateral mucoperiosteal, mucosal flap and periosteum were excised respectively in the lateral one half of the palate. Four rats in each group were randomly chosen for sacrifice every two weeks. The maxilla was dissected following the excision. The widths of the maxilla and dental arch were measured and the histological phenomena were investigated at different phases. At the same time, 12 animals in each group were sequentially injected with calcein every two weeks. Three animals in each group, whose fluorescent labeling was used, were sacrificed for investigating bone formation at Week 8 following injection. Results: (1) Each experimental group presented the constriction of the maxilla and dental arch. The upper first molars in the experimental groups inclined medially. The mucoperio-steal denudation group showed the largest degree of effect followed by the periosteum excision group. The indices of the mucosal flap excision group, which retained the structures of the periosteum layer, had the most approximate values to the control group; (2) Different histological changes among the experimental groups were detected. The fibers penetrated into the palatal bone as Sharpey's fibers in the mucoperiosteal denudation group. The pattern of bone deposition was the bundle type. Sharpey's fibers were not found in the mucosal flap and periosteum excision groups and the depositions of palatal bone were the lamellar type as those in the control group; (3) The rates of bone deposition in the experimental groups decreased compared with the control group. The rates in different phases were the most approximate values to those of the control group in the mucosal flap excision group, which has the same structure of periosteum as the control group. Conclusion: There were different effects on the growth and development of the maxilla and dental arch in different types of palatal lateral excisions. Periosteum is important for bone for-mation and deposition pattern. The prevention of Sharpey's fibers forming and attaching to the palatine can effectively avert the following malformation.
文摘This study was undertaken to examine which factors contributed to the correction of crowding in two patients who underwent nonextraction orthodontic treatment. A study model analysis was conducted to determine the effects of the orthodontic treatment for crowding with high canines on crown angulation and dental arch width in two patients. The results showed that the crown angulation was significantly increased, indicating distal tipping in the maxillary dental arch. This tendency was most commonly observed in the premolars among the lateral teeth. With respect to the dental arch width, the largest change was evident in the first molar and first premolar regions in cases 1 and 2, respectively. On the basis of these results, up-righting of mesially tipped lateral teeth and expansion of narrow dental arches could prove to be the keys to the success of space regaining or correction of high canines and mild crowding.
文摘Dental instrumentation has long provided insight into the mechanism of musculo-skeletal function of the gnathic system. While large population studies associate dental arch displacement （DAD）, especially laterally, with symptoms, mandibular condyle displacement （CD） resulting from DAD has not been targeted as possibly etiologic in the production of common muscle contraction headache （CMCH） and temporo-mandibular dysfunction （TMD）. The objective was to evaluate the three-dimensional nature of DAD and CD between the seated condylar position （SCP） and the intercuspal position （ICP） and to compare results derived from large deprogrammed asymptomatic and symptomatic populations. A total of 1 192 sets of dental casts collected from asymptomatic and symptomatic populations were articulated in the SCP. The initial occlusal contact, DAD, and condylar displacement were evaluated for frequency, direction, and magnitude of displacement between the SCP and ICP. The data revealed significant displacement between the SCP and ICP of the condyles （displaced most frequently inferior （down） and posterior （distal）） and substantially increased frequency and magnitude of displacement of the dental arches （with posterior premature occlusal contacts, increased overjet, decreased overbite, midline differences, and occlusal classification changes） in symptomatic subjects. These discrepancies were statistically significant and clinically significant. The data support the concept of increased DAD and CD with dysfunction. Transverse condylar displacement, commonly presenting with dental cross bite, may be associated with CMCH and TMD. Displacement of the mandibular condyle may be an etiologic factor in CMCH and dysfunction of the temporo-mandibular joint.
文摘The purpose of this paper is to present the rationale for registration of the Seated Condylar Position (SCP)/Centric Relation (CR) position of the condyles.
文摘The purpose of this paper is to present the technique for registration of the Seated Condylar Position (SCP)/Centric Relation (CR) position of the condyles: a two-piece wax bite registration with deprogramming and no mandibular manipulation.
文摘目的探究口腔正畸对错[牙合]畸形伴牙列缺损患者咬合功能的影响。方法选择三明市第一医院于2019年1月至2022年1月期间收治的80例错[牙合]畸形伴牙列缺损患者作为对象进行研究,采用随机数字法将患者分成对照组(n=40),观察组(n=40),对照组进行口腔修复治疗,观察组接受口腔正畸联合修复治疗,对比咬合功能、口腔健康生活质量评价指数(Oral health quality of life evaluation index,GOHAI)以及治疗效果。结果治疗前,两组咬合功能、对比无统计学差异(P>0.05),治疗后,两组咬合力不对称指数下降,咬合力、咬合接触面积提升,具有显著性差异(P<0.05);治疗前,两组GOHAI评分对比无统计学差异(P>0.05),治疗后,观察组GOHAI评分低于于对照组,具有统计学意义(P<0.05);观察组治疗效果高于对照组(P<0.05)。结论对于错[牙合]畸形伴牙列缺损患者实施口腔正畸治疗,改善患者咬合功能,对口腔健康生活质量及治疗效果的提升有积极作用。
