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烏魯木齊市漢族青少年頸椎骨齡與第二磨牙鈣化程度的相關(guān)性研究

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  本文選題:頸椎骨齡 + 生理年齡。 參考:《新疆醫(yī)科大學(xué)》2016年碩士論文


【摘要】:目的:研究烏魯木齊市漢族青少年頸椎骨齡與下頜第二磨牙鈣化程度之間的相關(guān)性,探討這兩項指標(biāo)在口腔正畸臨床中的應(yīng)用價值,為正畸臨床診斷并預(yù)測生長發(fā)育階段提供理論依據(jù)。方法:對烏魯木齊市300名9~15歲漢族青少年(128名男性,172名女性)進行曲面斷層片和頭顱側(cè)位片的觀察測量,應(yīng)用Hassel和Farman的改良頸椎分析法評估患者頸椎骨齡和Demirjian法對左下第二磨牙進行發(fā)育和鈣化階段評估,運用統(tǒng)計學(xué)分析方法探討兩者之間的相關(guān)性。結(jié)果:(1)通過統(tǒng)計分析得出頸椎骨齡與下頜第二磨牙鈣化程度之間的相關(guān)性呈高度相關(guān)(r=0.718,P0.01),男性頸椎骨齡與下頜第二磨牙鈣化程度呈高度相關(guān)(r=0.780,P0.01),密切程度高于女性(r=0.661,P0.01),結(jié)果具有統(tǒng)計學(xué)意義。(2)在整體樣本中,用牙齒鈣化D階段診斷生長發(fā)育起始期陽性似然比為18.49,用牙齒鈣化H階段診斷生長發(fā)育成熟期陽性似然比為8.48,在女性組中,用牙齒鈣化D階段診斷生長發(fā)育起始期陽性似然比為41,牙齒鈣化H階段診斷生長發(fā)育成熟期陽性似然比為7.07,在男性組中,用牙齒鈣化D階段診斷生長發(fā)育起始期陽性似然比為10.64,用牙齒鈣化H階段診斷生長發(fā)育成熟期陽性似然比為10.92,牙齒鈣化F階段診斷生長發(fā)育過渡期陽性似然比為6.35。結(jié)論:烏魯木齊市漢族青少年頸椎骨齡與下頜第二磨牙鈣化程度均顯著相關(guān),對于第二磨牙鈣化程度作為判斷青少年生長發(fā)育階段時:女性、男性牙齒鈣化D階段均可以作為生長發(fā)育的起始階段診斷工具,男性牙齒鈣化H階段可以作為生長發(fā)育的成熟階段的診斷工具;女性牙齒鈣化H階段和男性牙齒鈣化F階段可以分別作為生長發(fā)育的成熟階段和過渡階段的輔助診斷工具,需綜合年齡、骨骼成熟度和牙齒鈣化程度三種方法共同評估患者所處的生長發(fā)育階段。
[Abstract]:Objective: to study the correlation between bone age of cervical vertebrae and calcification degree of mandibular second molar in Urumqi Han nationality adolescents, and to explore the clinical value of these two indexes in orthodontic treatment.To provide theoretical basis for clinical diagnosis of orthodontics and prediction of growth and development stage.Methods: surface tomography and lateral cephalograms were performed on 300 9- 15 year old Han nationality adolescents (128 males and 172 females) in Urumqi.Hassel and Farman were used to evaluate the bone age of cervical vertebrae and Demirjian method to evaluate the development and calcification stages of the left lower molars. The correlation between the two methods was studied by statistical analysis.Results by statistical analysis, it was found that there was a high correlation between cervical spine bone age and the degree of calcification of mandibular second molar, and there was a high correlation between bone age of male cervical vertebra and degree of calcification of mandibular second molar, which was higher than that of female.The results were statistically significant in the overall sample.The positive likelihood ratio was 18.49 for D stage of tooth calcification and 8.48 for H stage of tooth calcification.The positive likelihood ratio of dental calcification in D stage was 41 in the initial stage of growth and development, and 7.07 in the H stage of dental calcification.The positive likelihood ratio of tooth calcification in D stage was 10.64, that in H stage of tooth calcification was 10.92 in mature stage, and 6.35 in F stage of tooth calcification.Conclusion: the bone age of cervical vertebrae of Han nationality adolescents in Urumqi is significantly correlated with the degree of calcification of mandibular second molars.The D stage of male tooth calcification can be used as a diagnostic tool for the initial stage of growth and development, and the H stage of male tooth calcification can be used as a diagnostic tool for the mature stage of growth and development.The female dental calcification H stage and the male tooth calcification F stage can be used as auxiliary diagnostic tools for the mature and transitional stages of growth and development, respectively.Bone maturity and dental calcification are three methods to assess the growth and development stages of patients.
【學(xué)位授予單位】:新疆醫(yī)科大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2016
【分類號】:R783.5

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