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不正咬合の分類顔 格タイプの分類 1. Sassouni V : A classification of skeletal facial types, Am J Orthod 55: 109-123, 1969 2. 40: 32-56, 1981 3. Lowe BF, Phillips C, Lesterel PE, Fields HW: Skeletal jaw relationships; a quantitative assessment using ellipitical Fourier functions, Angle Orthod 64: 299-308, 1994 1988
Angle - / - W.R. Proffit
Sassouni - - 1981
Short Average Long 1. Proffit WR, Fields HW, Nixon WL: Occlusal forces in normal- and long- adults, J Dent Res 62(5): 566-570, 1983 2. Van Spronsen PH, Weijs WA, Valk J, et al.: A comparison of jaw muscle cross-sections of long- and normal adults, J Dent Res 71: 1279-1285, 1992 3. : 54: 227-233 1995 (OSAS) Class II Class I Class III
Short Average Long Class II Class I Class III Short Average Long Class II Class I Class III
Short Short Average Average Long Long Class II Class I Class III Class II Class Class II Class III Short Short Surgery Zone Average Long Average Long Orthodontic Zone Class II Class I Class III Class II Class I Class III
Short Short Average Average Long Long Class II Class I Class III Class II Class I Class III 1. -ATP - 1 : 153-156 1991 2. -ATP -, 53 (1) : 66-76, 1994 Short Ave Short Ave Long Long Class II Class I Class III Class II Class I Class III
Short Ave Long Class II Class I Class III 1. vertical growth 17-41 1978 2. - - 46 50-70 1987
1. 2. 3. 4. 頭部 X 線規格写真 ( セファロ ) MA 23-04 Initial Jun 18, 2009
セファロ分析 セファロ分析 顔 格タイプの分類 短顔 標準 顔 下顎後退? 標準 下顎前突 W.C. Roentgen (1895) B.H. Broadbent Sr 1931 H. Hofrath (1931) Cephalostat
Magnification (150+15)/150=1.1 ear rod 150cm 15cm W.B. Downs L.B. Higley H.I. Margolis W.L. Wylie A.G. Brodie H.V. Meredith E. Harvold L.DeCoster E. Muji F.C. Moorrees S.E. Coben R.E. Moyers L.E. Johnson L.B. Donavan R. Riedel V. Sassouni C.C. Steiner C.J. Burstone J.D. Subtelny C.H. Tweed T.M. Graber R.A. Holdaway J.R. Jarabak H.P. Bimler A. Bjork R.M. Ricketts A. Jacobson J.A. MacNamara
1. Jacobson A : The Wits appraisal of jaw disharmony, Am J Orthod 67: 125-138, 1975 2. Jacobson A : Application of the Wits appraisal of jaw disharmony, Am J Orthod 70: 175-189, 1976 3. Jacobson A : Update on the Wits appraisal, Angle Orthod 58: 205-219, 1988 ANB angle (Riedel 1952) Wits appraisal (Jacobson 1975)
ANB angle Occlusal Unit Occlusal Unit Occlusal unit Wits appraisal (AB to OP) ANB=7 deg Wits=10 mm ANB=7 deg Wits=0 mm
ANB=-1.5 deg Wits=-1.5 mm ANB=-1.0 deg Wits=-12 mm CDS 分析 - - 1. 37 1-7 1978 2. 4 63-71 1978 3. 39 145-156 1980 4. AL80-59 PRL80-68 47-54 1980 5. 43 621 1984 6. 47 394-408 1988
CDS 30 11 CDS: Craniofacial Drawing Standards)
CDS Step 1: 1. NHP (Natural head position) 2. RLP (Relaxed lip posture) Step 3: 1. Overall 2. Maxilla 3. Mandible Step 4: 1. 2. Step 2: 3. Step 5: Head Position Short? Average? Long? Class I? Class II? Class III? Chin up NHP Chin down
N-Vertical line FH plane Class I - Short (Class III tend) MA 23-04 Initial Jun 18, 2009 頭部 X 線規格写真 ( セファロ ) セファロ分析
セファロ分析 セファロ分析 顔 格タイプの分類 短顔 標準 MA Class I Average Let s practice on CDS analysis! 顔 下顎後退 標準 下顎前突
CDS CDS CDS CDS
CDS CDS CDS CDS
CDS CDS CDS CDS
CDS CDS CDS CDS
CDS CDS CDS
CDS 1. 2. 3. 4. 5. 6. CDS ( ) Pog-N Burstone (1978) -4.3mm (SD 8.5) McNamara (1984) -0.3mm (SD 3.8) Irie (1985) -13.5mm (SD 7.1) Sugawara (1988) -3.7mm (SD 3.2)
1. Casko JH, Shepherd WB: Dental and skeletal variation within the range of normal, Angle Orthod 54: 5-17, 1984 =98 2. Hopkins JB, Murphy JM: Variations in good occlusions, Angle Orthod 41: 55-65, 1971 3. Christie TE: Cephalometric patterns of adults with normal occlusion, Angle Orthod 47: 128-135, 1977 4. - - 54 170-176 1995 Long type Average type Short type CDS -CDS Norm - Short CDS Long Average
Divergent type Neutral type Convergent type Long type Average type Short type Jacobson Template Analysis CDS Bolton Standard
CDS ( ) Illness Subjective Care Psycho/Social NBM Disease Objective Cure Biomedical EBM (Knowledge) (Biomedical Competence) (Skill) (Psycho-Social Competence) (Humanistic Competence) (Attitude)
Langlois JH and Roggman LA : Attractive s are only average, Psychological Science 1 : 115-121, 1990
Alley TR and Cunningham MR : Averaged s are attractive, but very attractive s are not average, Psychological Science 2 : 123-125, 1991