齒顎矯正治療對微笑變化的影響

Changes in the Smile after Orthodontic Treatment

藍鴻文(Hung-Wen Lan) ； 鄭信忠(Hsin-Chung Cheng) ； 李勝揚(Sheng-Yang Lee) ； 王蔚南(Wei-Nan Wang) ； 蔡吉陽(Chi-Yang Tsai)

《中華牙醫學雜誌（中文版）》 26卷1期 (2007/03) Pp. 17-25

https://doi.org/10.7106/CJD.200703.0017

摘要

The purposes of this research were to discuss changes in the smile after orthodontic treatment and to find the factors affecting smile changes during orthodontic treatment. Pre- and post-treatment frontal smile pictures and lateral cephalometric records were collected from 90 case files of the Specialists Examination of the Taiwan Association of Orthodontists. Pre-and post-treatment smile pictures were coordinated and measured with Adobe Photoshop 4.0 using a personal computer. Seven percentage measurements and fourteen cephalometric measurements were made from all collected pictures and cephalometric tracings, respectively. The post-treatment measurements were subtracted from pretreatment measurements to represent treatment changes in the smile and craniofaciadental morphology. t-test, ANOVA, and Pearson's correlation analysis were used to compare the correlation of the smile and craniofaciadental morphologies between pre- and post-treatment. The results showed that (1) there were no correlations among gender, malocclusion, extraction type, and smile changes; (2) there was a significant statistical difference (p＜0.05) between the skeletal type (and age) and some smile changes; and (3) from the cephalometric measurements, U1-SN and U1-NA were significantly correlated with some smile changes (all p＜0.05). In conclusion, orthodontic treatments can improve the smile; however, a scientific and objective method to evaluate smile changes still needs to be developed.

關鍵字

微笑 ； 齒顎矯正

並列摘要

The purposes of this research were to discuss changes in the smile after orthodontic treatment and to find the factors affecting smile changes during orthodontic treatment. Pre- and post-treatment frontal smile pictures and lateral cephalometric records were collected from 90 case files of the Specialists Examination of the Taiwan Association of Orthodontists. Pre-and post-treatment smile pictures were coordinated and measured with Adobe Photoshop 4.0 using a personal computer. Seven percentage measurements and fourteen cephalometric measurements were made from all collected pictures and cephalometric tracings, respectively. The post-treatment measurements were subtracted from pretreatment measurements to represent treatment changes in the smile and craniofaciadental morphology. t-test, ANOVA, and Pearson's correlation analysis were used to compare the correlation of the smile and craniofaciadental morphologies between pre- and post-treatment. The results showed that (1) there were no correlations among gender, malocclusion, extraction type, and smile changes; (2) there was a significant statistical difference (p＜0.05) between the skeletal type (and age) and some smile changes; and (3) from the cephalometric measurements, U1-SN and U1-NA were significantly correlated with some smile changes (all p＜0.05). In conclusion, orthodontic treatments can improve the smile; however, a scientific and objective method to evaluate smile changes still needs to be developed.

並列關鍵字

smile ； orthodontics