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하악골 성장 지표로서 경추골 성숙도의 유용성

Usefulness of cervical vertebrae maturation stage as a mandibular maturation indicator

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초록

하악골 성장을 평가하는 데 경추골 성숙도가 수완부골 성숙도만큼 유용한가 규명하고자 본 연구를 시행하였다. 정상교합을 가진 만 8세.만 16세 여성 292명을 연구대상으로 하여 진단석고모형, 측모두부규격방사선사진, 그리고 수완부방사선사진을 이용하여 경추 및 수완부의 골성숙도를 비교하여 다음과 같은 결과를 얻었다. 1. 연령 증가에 따라 경추 및 수완부의 골성숙도가 일정하게 증가하였다. 2. 경추골 성숙도가 증가할수록 Ar-Go, Go-Me, N-Go, S-Gn, N-Me이 일정하게 증가하였다. 3. 수완부골 성숙도가 증가할수록 Ar-Go, Go-Me, N-Go, S-Gn이 일정하게 증가 하였다. 4. 경추골 성숙도 3단계와 4단계 사이에서 Ar-Go, Go-Me, N-Go, S-Gn이 크게 증가하였고, 수완부골 성숙도 6단계와 7단계 사이에서 Go-Me, S-Gn이 크게 증가 하였다. 5. Ar-Go, Go-Me, N-Go, S-Gn, N-Me은 경추 및 수완부 골성숙도와 각각 유의 한 상관성을 보였다. 이상의 결과는 하악골 성장을 평가하는 데에 경추골 성숙도가 수완부골 성숙도처럼 유용하게 사용될 수 있음을 시사한다.

Abstract

This study was to investigate if cervical vertebrae maturation stages are as useful as hand-wrist maturation stages in evaluating the mandibular growth. The subject consisted of 292 girls aged from 8 to 16 years with normal occlusion. They were classified according to diagnosis by using studycast, lateral cephalogram, and handwrist X-ray film. The results were as follow: 1. Cervical vertebrae and hand-wrist maturation stages increased with age. 2. All mandibular measurements (Ar-Go, Go-Me, N-Go, S-Gn, N-Me) increased linearly with cervical vertebrae maturation stages. 3. Ar-Go, Go-Me, N-Go, S-Gn increased linearly with hand-wrist maturation stages. 4. Ar-Go, Go-Me, N-Go, S-Gn increased relatively rapidly between cervical vertebrae maturation stages 3 and 4. Go-Me and S-Gn increased relatively rapidly between hand-wrist maturation stages 6 and 7. 5. Ar-Go, Go-Me, N-Go, S-Gn, N-Me had high correlations with cervical vertebrae maturation stages as well as hand-wrist maturation stages. These results suggest that cervical vertebrae maturation stages are reliable on evaluating the mandibular growth.

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