|本期目录/Table of Contents|

[1]王金芝,肖丹娜.不同矢状骨面型儿童及青少年腭中缝分期的CBCT研究[J].天津医科大学学报,2025,31(02):150-155.
　WANG Jinzhi,XIAO Danna.A CBCT study of staging the midpalatal suture in children and adolescents with different sagittal facet types[J].Journal of Tianjin Medical University,2025,31(02):150-155.
点击复制

不同矢状骨面型儿童及青少年腭中缝分期的CBCT研究(PDF)
分享到：

《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
31卷
期数:
2025年02期
页码:
150-155
栏目:
临床医学
出版日期:
2025-03-20

文章信息/Info

Title:
A CBCT study of staging the midpalatal suture in children and adolescents with different sagittal facet types
文章编号:
1006-8147(2025)02-0150-06
作者:
王金芝1; 肖丹娜2
（1.天津医科大学研究生院，天津 300070；2.天津市口腔医院正畸科，天津 300041）
Author(s):
WANG Jinzhi1; XIAO Danna2
（1.Graduate School of Tianjin Medical University，Tianjin 300070，China；2.Department of Orthodontics，Tianjin Stomatological Hospital，Tianjin 300041，China）
关键词:
腭中缝; 矢状骨面型; 锥形束计算机体层成像
Keywords:
midpalatal suture; sagittal facet;  cone beam computed tomography
分类号:
R783.5
DOI:
-
文献标志码:
A
摘要:
目的：利用CBCT研究不同矢状骨面型儿童及青少年腭中缝分期（MPS）在不同性别和年龄段的差异性。方法：选取2020—2023年天津市口腔医院正畸科就诊的600例6～20岁患者的CBCT影像资料，根据ANB角将其分为Ⅰ、Ⅱ、Ⅲ类矢状骨面型，每组200例；按年龄分为6～10岁、11～13岁、14～16岁、17～20岁4组，每组50例；按照文献方法将MPS分为A、B、C、D、E、F 6期；使用卡方检验分析性别和年龄因素对MPS分布的影响。结果：MPS在不同性别间分布差异显著（χ2=12.872，P<0.05）。C期的受试者人数最多，男性C期103例（34.33%）、女性C期93例（31.%）。A～C期受试者人数男性多于女性。E～F期受试者人数女性多于男性。不同矢状骨面型MPS在同性别中分布无差异（均P>0.05）。6～10岁和17～20岁女性不同矢状骨面型MPS的分布差异有统计学意义（χ2=15.237、13.63，均P<0.05）。6～10岁MPS的分布主要处于A～C期，17～20岁MPS主要处于E～F期。结论：不同矢状骨面型儿童及青少年MPS在不同性别的分布无显著差异。不同矢状骨面型女性在6～10岁和17～20岁年龄段的分布存在显著差异。
Abstract:
Objective：To investigate the variability of midpalatal suture stage（MPS） in children and adolescents with different sagittal facet types in different gender and age groups using CBCT. Methods：The CBCT imaging data of 600 patients aged 6-20 years in the Department of Orthodontic of Tianjin Stomatological Hospital from 2020 to 2023 were selected and classified into class Ⅰ，class Ⅱ，and class Ⅲ sagittal facet type according to ANB angle，200 cases in each group. Based on age，patients were classified into four groups of 6-10 years old，11-13 years old，14-16 years old，and 17-20 years old，50 cases in each group. MPS was classified into A，B，C，D，E，and F，6 stages according to Gaolu′s midpalatal suture staging method. The effects of gender and age factors on the distribution of MPS were analyzed using the chi-square test. Results：The difference in the distribution of MPS between genders was significant（χ2=12.872，P<0.05）. Stage C had the largest number of subjects，with 103（34.33%） males and 93（31.%） females in stage C. The number of male subjects in stages A to C was higher than that of females. The number of subjects in stages E to F was more females than males. There was no difference in the distribution of different sagittal facet types of MPS among the same gender （all P>0. 05）. The difference in the distribution of different sagittal facet types of MPS between females aged 6-10 years and 17-20 years was statistically significant（χ2=15.237，13.63，both P<0.05）. The distribution of MPS in ages 6-10 years was mainly in the A to C stage，and the distribution of MPS in ages 17-20 years was mainly in the E to F stage. Conclusion：The distribution of MPS in children and adolescents with different sagittal facet types do not differ significantly between genders. There is significant difference in the distribution of females with different sagittal facet types in the age groups of 6-10 years and 17-20 years.

参考文献/References:

[1] PATIL G V，LAKHE P，NIRANJANE P. Maxillary expansion and its effects on circummaxillary structures：a review[J]. Cureus，2023，15（1）：e33755.
[2] 徐舒豪，黄诗言，饶南荃，等. 上颌横向发育不足的临床治疗进展[J]. 临床口腔医学杂志，2016，32（4）：251-253.
[3] LEE S R，LEE J W，CHUNG D H，et al. Short-term impact of microimplant-assisted rapid palatal expansion on the nasal soft tissues in adults：a three-dimensional stereophotogrammetry study[J]. Korean J Orthod，2020，50（2）：75-85.
[4] SUKOVIC P，Sukovic P. Cone beam computed tomography in craniofacial imaging[J]. Orthod Craniofac Res，2003，6（Suppl 1）：31-182.
[5] BIN DAKHIL N，BIN SALAMAH F. The diagnosis methods and management modalities of maxillary transverse discrepancy[J]. Cu-reus，2021，13（12）：e20482.
[6] MASPERO C，GALBIATI G，DEL ROSSO E，et al. RME：effects on the nasal septum.A CBCT evaluation[J]. Eur J Paediatr Dent，2019， 20（2）：123-126.
[7] STRATIS A，ZHANG G，JACOBS R，et al. The growing concern of radiation dose in paediatric dental and maxillofacial CBCT：an easy guide for daily practice[J]. Eur Radiol，2019，29（12）：7009-7018.
[8] ANGELIERI F，CEVIDANES LHS，FRANCHI L，et al. Midpalatal suture maturation：classification method for individual assessment before rapid maxillary expansion[J]. Am J Orthod Dentofacial Orthop，2013，144（5）：759-769.
[9] ISFELD D，FLORES-MIR C，LEON-SALAZAR V，et al. Evaluation of a novel palatal suture maturation classification as assessed by cone-beam computed tomography imaging of a pre-and postexpansion treatment cohort[J]. Angle Orthod，2019，89（2）：252-261.
[10] 高璐，谷岩. 中国人群腭中缝生长发育形态特点分期与其相应生理年龄分布的初步研究[J]. 中华口腔正畸学杂志，2020，27（2）：61-66.
[11] NGAN P，MOON W. Evolution of class Ⅲ treatment in orthodontics[J]. Am J Orthod Dentofacial Orthop，2015，148（1）：22-36.
[12] JANG H I，KIM S C，CHAE J M，et al. Relationship between maturation indices and morphology of the midpalatal suture obtained using cone-beam computed tomography images[J]. Korean J Orthod，2016， 46（6）：345-355.
[13] JIMENEZ-VALDIVIA L M，MALPARTIDA-CARRILLO V，DIAS-DA SILIVWIRA H L，et al. Midpalatal suture maturation stage assessment in adolescents and young adults using cone-beam computed tomography[J]. Prog Orthod，2019，20（1）：38.
[14] OK G，SEN YILMAZ B，AKSOY D O，et al. Maturity evaluation of orthodontically important anatomic structures with computed tomography[J]. Eur J Orthod，2021，43（1）：8-14.
[15] TONELLO D L，LADEWIG V DE M，GUEDES F P，et al. Midpalatal suture maturation in 11-to 15-year-olds：a cone-beam computed tomographic study[J]. Am J Orthod Dentofacial Orthop，2017， 152（1）：42-48.
[16] LADEWIG V DE M，CAPELOZZA-FILHO L，ALMEIDA-PEDRIN R R，et al. Tomographic evaluation of the maturation stage of the midpalatal suture in postadolescents[J]. Am J Orthod Dentofac Orthop，2018，153（6）：818-824
[17] OLIVEIRA C B，AYUB P，ANGELIERI F，et al. Evaluation of factors related to the success of miniscrew-assisted rapid palatal expansion[J]. Angle Orthod，2021，91（2）：187-194.
[18] REIS L G，RIBEIRO R A，VITRAL RWF，et al. Classification of the midpalatal suture maturation in individuals older than 15 years：a cone beam computed tomographic study[J]. Surg Radiol Anat，2020， 42（9）：1043-1049.
[19] PERSSON M，THILANDER B. Palatal suture closure in man from 15 to 35 years of age[J]. Am J Orthod，1977，72（1）：42-52.
[20] SHIN H，HWANG C J，LEE K J，et al. Predictors of midpalatal suture expansion by miniscrew-assisted rapid palatal expansion in young adults：a preliminary study[J]. Korean J Orthod，2019，49（6）：360-371.

相似文献/References:

备注/Memo

备注/Memo:
作者简介:王金芝（1990-），女，主治医师，硕士在读，研究方向：口腔正畸学；通信作者：肖丹娜，E-mail：drxiaodanna@gmail.com。
更新日期/Last Update: 2025-03-20