10세 정상교합 아동의 측모두부방사선 계측학적 연구 = A LATERAL CEPHALOMETRIC STUDY OF 10-YEAR-OLD CHILDREN WITH NORMAL OCCLUSION

국문 초록 (Abstract)

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.

다국어 초록 (Multilingual 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)).

참고문헌 (Reference)

• 1 최남기, "정상교합아동의 Downs 분석법에 의한 두부방사선 계측학적 연구" 대한소아치과학회 29 (29): 14-, 2002
• 2 Tweed CH, "Was the development of the diagnostic facial triangle as an accurate analysis based on fact or fancy" 41 : 735-764, 1955
• 3 Downs WB, "Variations in facial relationships : Their significance in treatment and prognosis" 34 : 821-840, 1948
• 4 Steiner CC, "The use of cephalometrics as an aid to planning and assessing orthodontic treatment" 46 : 721-735, 1960
• 5 Downs WB, "The role of cephalometrics in orthodontics in orthodontic case analysis and diagnosis" 38 : 162-182, 1952
• 6 Sassouni V, "The face in five dimensions" Growth center Publications 1960
• 7 Tweed CH, "The diagnostic facial triangle on the control of treatment objectives" 55 : 651-667, 1969
• 8 Wylie WL, "The assesment of anteroposterior dysplasia" 17 : 97-108, 1947
• 9 Harvold EP, "The activator in interceptive orthodontics" CV Mosby 1974
• 10 Tweed CH, "The Frankfort-mandibular incisor angle in orthodontic diagnosis, treatment planning and prognosis" 24 : 121-169, 1954
• 11 Wendell N Cotton, "The Downs analysis applied to three other ethnic groups" 21 : 213-220, 1951
• 12 Jarabak JR, "Technique and treatment with the light-wire appliance" CV Mosby Co 144-149, 1964
• 13 Proffit WR, "Surgical-orthodontic treatment" CV Mosby 117-140, 1991
• 14 BAEK IS, "Roentgenocephalometric study of craniofacial skeleton on the age of puberty with normal occlusion" 12 : 177-189, 1982
• 15 Hamn SM, "Roentgenocephalometric study of craniofacial growth by Ricketts analysis on teen-ager with normal occlusion in Korean" 15 : 313-325, 1985
• 16 Wylie WL, "Rapid evaluation of facial dysplasia in the vertical plane" 22 : 165-181, 1952
• 17 Harvold EP, "Primate experiments on oral sensation and dental malocclusions" 63 : 494-508, 1973
• 18 Ricketts RM, "Perspectives on the clinical application of cephalometrics" 51 : 115-149, 1981
• 19 Graber TM, "Orthodontics: Principles and practice, 3rd ed" WB Saunders Co 1972
• 20 Sung JH, "Longitudinal Data of Craniofacial Growth from Lateral Cephalometrics in Korean with Normal Occlusion" Jung Won Co Inc 2001
• 21 양규호, "Kim's analysis에 의한 Ⅲ급 부정교합아동의 측모두부방사선 계측학적 연구" 대한소아치과학회 30 (30): 9-, 2003
• 22 이미숙, "I 급과 III 급 부전교합을 보이는 어린이의 두개저의 성장변화에 관한 연구" 대한소아치과학회 28 (28): 95-105, 2001
• 23 Broadbent BH Sr, "Golden WH : Bolton standard of dentofacial development and growth" CV Mosby 1975
• 24 Ricketts RM, "Foundation for cephalometric communication" 27 : 14-37, 1957
• 25 Popovich F, "Craniofacial templates for orthodontic case analysis" 71 : 406-420, 1977
• 26 Proffit WR, "Contemporary Orthodontics" DaehanNarae Publishing Inc 165-133, 2008
• 27 McNamara JA Jr, "Component of Class II malocclusion in children 8-10years of age" 51 : 177-202, 1981
• 28 Argyropoulos E, "Comparison of the dentofacial patterns for native Greek and American-Caucasian adolescents" 95 : 238-249, 1989
• 29 Steiner CC, "Cephalometrics in clinical practice" 29 : 8-29, 1954
• 30 Steiner CC, "Cephalometrics for you and me" 39 : 729-755, 1953
• 31 Swierenga D, "Cephalometric values for adult Mexican-Americans" 106 : 146-155, 1994
• 32 Gary Engel BA, "Cephalometric and visual norms for a Japanese population" 1 : 48-60, 1981
• 33 McNamara JA Jr, "Cephalometric analysis of untreated adult with ideal facial and occlusal relationships" 3 : 221-231, 1988
• 34 Shon DS, "Cephalometric analysis of Korean children of mixed dentition" 20 : 601-614, 1993
• 35 Ricketts RM, "Cephalometric analysis and synthesis" 31 : 141-156, 1961
• 36 Broadbent BH Sr, "Bolton standards of Dentofacial Developmental Growth" CV Mosby 1975
• 37 Ricketts RM, "Bioprogressive therapy" Orthod JPO Inc 1979
• 38 Downs WB, "Analysis of the dentofacial profile" 26 : 191-212, 1956
• 39 Riolo ML, "An Atlas of Craniofacial Growth. Ann Arbor" University of Michigan, Center for Human Growth and Development 1974
• 40 Broadbent BH, "A new X-ray technique and itsapplication to orthodontia" 1 : 45-60, 1931
• 41 McNamara JA, "A method of cephalometric evaluation" 86 : 120-140, 1984
• 42 Ricketts RM, "A four-step method to distinguish orthodontic changes from natural growth" 9 : 208-228, 1975
• 43 Yang KH, "A cephalometric study of the Korean growing children with normal occlusion by McNamara analysis method" 20 : 640-647, 1993
• 44 Park IC, "A cephalometric study of Korean adult" Loyola Univ of Chicago 1982
• 45 Park TS, "A Longitudinal Cephalometric Study Of Craniofacial Growth Of Korean Children" 14 : 217-231, 1984
• 46 이창희, "9-11세 정상교합 어린이의 연조직 측모에 관한 두부방사선계측학적 연구" 대한소아치과학회 32 (32): 461-471, 2005