한국인과 일본인 부정교합자의 하악 치열궁 형태 비교
Comparison of arch forms between Korean and Japanese in Class I, II, and III malocclusion
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초록
본 연구의 목적은 한국인과 일본인의 Angle씨 Ⅰ급, Ⅱ급, Ⅲ급 부정교합군에서 하악치열궁의 크기와 형태적 특성을 상호 비교 분석하는데 있었다. 한국인의 부정교합자 368명(Ⅰ급 114명, Ⅱ급 119명, Ⅲ급 135명)과 일본인의 부정교합자 160명(Ⅰ급 60명, Ⅱ급 50명, Ⅲ급 50명)을 대상으로 하였다. 치료 전 하악 치열 모형을 복사한 사진에서 13개의 인접한 접촉면에서 가장 협측에 위치한 점들을 좌표치화한 후 하악 치아의 두께 자료에 근거하여 임상 브라켓 점들을 설정하였고 4개의 선 계측 과 이들을 이용하여 2개의 비율을 측정하였다. 각 부정교합군에서 측정 항목들에 관하여 t-test를 하였고 치열궁 형태를 square, ovoid, tapered 의 3가지로 분류한 후 분포 특성에 관하여 카이제곱 검정하였다. 그 결과 Ⅰ급과 Ⅱ급 부정교합군에서 일본 여성의 하악 치열궁 폭경이 일본남성, 한국 남성 및 한국 여성에 비해 작았으며, Ⅲ급 부정교합군의 하악 치열궁 크기는 인종이나 성별에 따른 차이가 없었다. 그리고 모든 부정교합군에서 한국인과 일본인의 대부분이 square와 ovoid한 치열궁 형태를 가졌으며 Ⅱ급 부정교합군에서는 일본인은 ovoid 형태가 52.%으로 가장 많고 한국인은 square 형태가 40%로 가장 많게 나타났다. (대치교정지 2007;37(5):364-75)
Abstract
Objective: The purpose of this study was to compare arch dimensions and frequency distribution of arch forms between Korean and Japanese Class I, II, and III malocclusion groups. Methods: The sample consisted of 368 Korean cases (114 Class I, 119 Class II, and 135 Class III malocclusion) and 160 Japanese cases (60 Class I, 50 Class II, and 50 Class III malocclusion). The most facial portion of 13 proximal contact areas was digitized from photocopied images of the mandibular dental arches. Clinical bracket slot points were calculated for each tooth based on mandibular tooth thickness data. Four linear and two proportional measurements were taken. Measurements are statistically analyzed in each malocclusion group. The dental arches were classified into square, ovoid, and tapered forms to determine and compare the frequency distributions between the two ethnic groups. Results: The findings of this study showed that Japanese females in Class I and II groups had a statistically significant narrower mandibular dental arch width compared with the Japanese males, Korean males and Korean females. But in the Class III group, there was no significant difference in the mandibular dental arch size according to the two ethnic groups and genders. Conclusions: The majority of Koreans and Japanese in all the malocclusion groups exhibited square and ovoid arch forms. The most frequent arch forms found in Koreans was square but ovoid for Japanese. (Korean J Orthod 2007;37(5):364-75)
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