国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (1): 105-111.doi: 10.7518/gjkq.2019.01.019

• 综述 • 上一篇    下一篇

正畸软组织侧貌改变预测的研究进展

张旭1,李妍熹1,李涵识2,魏洁雅1,鄢鑫语1,郑玮3(),李宇2   

  1. 1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医学院 成都 610041
    2. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院正畸科 成都 610041
    3. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院医疗美容科 成都 610041
  • 收稿日期:2018-02-14 修回日期:2018-06-03 出版日期:2019-01-01 发布日期:2019-01-11
  • 通讯作者: 郑玮
  • 作者简介:张旭,学士,Email:xuzhang1008@foxmail.com
  • 基金资助:
    四川大学大学生创新创业训练计划(201710612144)

Research progress on the prediction of the changes in soft tissue profile in orthodontic treatment

Xu Zhang1,Yanxi Li1,Hanshi Li2,Jieya Wei1,Xinyu Yan1,Wei Zheng3(),Yu Li2   

  1. 1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China School of Stomatology, Sichuan University, Chengdu 610041, China;
    2. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
    3. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Medical Cosmetology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
  • Received:2018-02-14 Revised:2018-06-03 Online:2019-01-01 Published:2019-01-11
  • Contact: Wei Zheng
  • Supported by:
    This study was supported by Training Program of Innovation and Entrepreneurship for Undergraduates of Sichuan University(201710612144)

摘要:

改善侧貌美观是很多正畸患者求治的主诉。前牙的唇舌向移动会带来嘴唇位置的改变,进而造成软组织侧貌的改变。尽管正畸医生对前牙移动量的控制越来越精准,却远不能准确预测软组织侧貌随牙移动发生的改变。因此,软组织侧貌预测作为亟待解决的重要临床问题,成为当前口腔正畸学的研究热点之一。本文将从原理、影响因素、可靠性分析及存在问题几个方面对正畸软组织侧貌改变预测的研究进展作一综述。

关键词: 软组织侧貌, 预测, 口腔正畸

Abstract:

In orthodontic treatment, patients often mention facial esthetics as their principal motivation. Changes in anterior teeth in the labial-lingual direction causes the alteration of lip position and subsequent changes in soft tissue profile. Although orthodontists can control the movement amount of anterior teeth more accurately, it cannot accurately predict what changes will be produced in the soft tissue. Therefore, soft tissue profile prediction has considerable clinical significance. It is also a problem that urgently requires a solution. Thus, it is one of the most popular research topics in orthodontics. In this article, we review the principle, impact factors, reliability analysis, and existing problems of software tissue profile prediction in orthodontic treatment.

Key words: soft tissue profile, prediction, orthodontics

中图分类号: 

  • R783.5
[1] Holdaway RA . A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part Ⅰ[J]. Am J Orthod, 1983,84(1):1-28.
doi: 10.1016/0002-9416(83)90144-6
[2] Cangialosi TJ, Chung JM, Elliott DF , et al. Reliabi-lity of computer-generated prediction tracing[J]. Angle Orthod, 1995,65(4):277-284.
[3] Hodges A, Rossouw PE, Campbell PM , et al. Predic-tion of lip response to four first premolar extractions in white female adolescents and adults[J]. Angle Orthod, 2009,79(3):413-421.
doi: 10.2319/050208-247.1 pmid: 19413391
[4] Shirvani A, Sadeghian S, Abbasi S . Prediction of lip response to orthodontic treatment using a multiva-riable regression model[J]. Dent Res J (Isfahan), 2016,13(1):38-45.
doi: 10.4103/1735-3327.174697 pmid: 4770468
[5] Denis KL, Speidel TM . Comparison of three methods of profile change prediction in the adult orthodontic patient[J]. Am J Orthod Dentofacial Orthop, 1987,92(5):396-402.
doi: 10.1016/0889-5406(87)90260-5 pmid: 3479007
[6] Lee HJ, Suh HY, Lee YS , et al. A better statistical method of predicting postsurgery soft tissue response in Class Ⅱ patients[J]. Angle Orthod, 2014,84(2):322-328.
doi: 10.2319/050313-338.1 pmid: 23914820
[7] Van Hemelen G, Van Genechten M, Renier L , et al. Three-dimensional virtual planning in orthognathic surgery enhances the accuracy of soft tissue predic-tion[J]. J Craniomaxillofac Surg, 2015,43(6):918-925.
doi: 10.1016/j.jcms.2015.04.006
[8] Meehan M, Teschner M, Girod S . Three-dimensional simulation and prediction of craniofacial surgery[J]. Orthod Craniofac Res, 2003,6(Suppl 1):102-107.
doi: 10.1034/j.1600-0544.2003.242.x pmid: 14606542
[9] 陈斯, 许天民, 楼航迪 , 等. 面部软组织三维有限元模型的个性化转换及临床应用初探[J]. 中华口腔医学杂志, 2012,47(12):730-734.
doi: 10.3760/cma.j.issn.1002-0098.2012.12.009
Chen S, Xu TM, Lou HD , et al. Individualized three-dimensional finite element model of facial soft tissue and preliminary application in orthodontics[J]. Chin J Stomatol, 2012,47(12):730-734.
doi: 10.3760/cma.j.issn.1002-0098.2012.12.009
[10] Kuhn M, Markic G, Doulis I , et al. Effect of different incisor movements on the soft tissue profile mea-sured in reference to a rough-surfaced palatal implant[J]. Am J Orthod Dentofacial Orthop, 2016,149(3):349-357.
doi: 10.1016/j.ajodo.2015.08.017 pmid: 26926022
[11] Mirabella D, Quartarone L, Lombardo L , et al. Assessment of lower lip changes following incisor displacement in 92 orthodontically-treated adults[J]. Int Orthod, 2012,10(3):289-310.
doi: 10.1016/j.ortho.2012.06.011 pmid: 22921347
[12] Oliver BM . The influence of lip thickness and strain on upper lip response to incisor retraction[J]. Am J Orthod, 1982,82(2):141-149.
doi: 10.1016/0002-9416(82)90492-4 pmid: 6961784
[13] Wisth J . Soft tissue response to upper incisor retrac-tion in boys[J]. Br J Orthod, 1974,1(5):199-204.
doi: 10.1179/bjo.1.5.199 pmid: 4532612
[14] Kasai K . Soft tissue adaptability to hard tissues in facial profiles[J]. Am J Orthod Dentofacial Orthop, 1998,113(6):674-684.
doi: 10.1016/S0889-5406(98)70228-8 pmid: 9637571
[15] Chetan P, Tandon P, Singh GK , et al. Dynamics of a smile in different age groups[J]. Angle Orthod, 2013,83(1):90-96.
doi: 10.2319/040112-268.1 pmid: 22889201
[16] Jahanbin A, Poosti M, Rashed R , et al. Evaluation of nasomaxillary growth of adolescent boys in northeas- tern Iran[J]. Acta Med Iran, 2012,50(10):684-688.
pmid: 23275284
[17] Rosa WG, Navarro Rde L, Conti AC , et al. Assess-ment of cephalometric characteristics in the elderly[J]. Braz Oral Res, 2015,29. doi: 10.1590/1807-3107BOR-2015.vol29.0040.
doi: 10.1590/1807-3107BOR-2015.vol29.0040 pmid: 25715039
[18] Hamamci N, Arslan SG, Sahin S . Longitudinal pro-file changes in an Anatolian Turkish population[J]. Eur J Orthod, 2010,32(2):199-206.
doi: 10.1093/ejo/cjp086 pmid: 19748924
[19] Sforza C, Dolci C, Tommasi DG , et al. Three-dimen-sional facial distances of Northern Sudanese persons from childhood to young adulthood[J]. J Cranio-maxillofac Surg, 2014,42(5):e318-e326.
doi: 10.1016/j.jcms.2013.10.013 pmid: 24290254
[20] Liu Y, Kau CH, Talbert L , et al. Three-dimensional analysis of facial morphology[J]. J Craniofac Surg, 2014,25(5):1890-1894.
doi: 10.1097/01.SCS.0000436677.51573.a6 pmid: 25072972
[21] Fortes HN, Guimarães TC, Belo IM , et al. Photo-metric analysis of esthetically pleasant and unpleasant facial profile[J]. Dental Press J Orthod, 2014,19(2):66-75.
doi: 10.1590/2176-9451.19.2.066-075.oar pmid: 4296611
[22] Zacharopoulos GV, Manios A, Kau CH , et al. An-thropometric analysis of the face[J]. J Craniofac Surg, 2016,27(1):e71-e75.
doi: 10.1097/01.scs.0000484791.52070.45 pmid: 26703056
[23] Amini F, Mashayekhi Z, Rahimi H , et al. Cranio-facial morphologic parameters in a Persian popula-tion: an anthropometric study[J]. J Craniofac Surg, 2014,25(5):1874-1881.
doi: 10.1097/scs.0000000000000902
[24] Kamak H, Celikoglu M . Facial soft tissue thickness among skeletal malocclusions: is there a difference[J]. Korean J Orthod, 2012,42(1):23-31.
doi: 10.4041/kjod.2012.42.1.23 pmid: 3481964
[25] Jain P, Kalra JP . Soft tissue cephalometric norms for a North Indian population group using Legan and Burstone analysis[J]. Int J Oral Maxillofac Surg, 2011,40(3):255-259.
doi: 10.1016/j.ijom.2010.09.011 pmid: 20965694
[26] Li KZ, Guo S, Sun Q , et al. Anthropometric nasal analysis of Han Chinese young adults[J]. J Cranio-maxillofac Surg, 2014,42(2):153-158.
doi: 10.1016/j.jcms.2013.04.005 pmid: 23777921
[27] Jayaratne YS, Deutsch CK, Zwahlen RA . A 3D anthropometric analysis of the orolabial region in Chinese young adults[J]. Br J Oral Maxillofac Surg, 2013,51(8):908-912.
doi: 10.1016/j.bjoms.2013.09.002 pmid: 24094549
[28] Bourzgui F, Alami S, Sebbar M , et al. Effect of or-thodontic treatment on lip position[J]. Int Orthod, 2013,11(3):303-313.
[29] Drobocky OB, Smith RJ . Changes in facial profile during orthodontic treatment with extraction of four first premolars[J]. Am J Orthod Dentofacial Orthop, 1989,95(3):220-230.
doi: 10.1016/0889-5406(89)90052-8
[30] Leonardi R, Annunziata A, Licciardello V , et al. Soft tissue changes following the extraction of premolars in nongrowing patients with bimaxillary protrusion. A systematic review[J]. Angle Orthod, 2010,80(1):211-216.
doi: 10.2319/010709-16.1 pmid: 19852663
[31] Ahn HW, Chang YJ, Kim KA , et al. Measurement of three-dimensional perioral soft tissue changes in dentoalveolar protrusion patients after orthodontic treatment using a structured light scanner[J]. Angle Orthod, 2014,84(5):795-802.
doi: 10.2319/112913-877.1 pmid: 24611593
[32] 袁玲君, 毛丽霞, 夏韫晖 , 等. 成人非拔牙正畸后面部软组织变化的三维测量研究[J]. 中华口腔正畸学杂志, 2015,22(1):10-14.
doi: 10.3760/cma.j.issn.1674-5760.2015.01.002
Yuan LJ, Mao LX, Xia YH , et al. Comparison of 3D facial soft-tissue changes in non-extraction adult patients[J]. Chin J Orthod, 2015,22(1):10-14.
doi: 10.3760/cma.j.issn.1674-5760.2015.01.002
[33] 靳远, 李炜鹏, 杨艳 , 等. 正畸治疗对成年女性颊部丰满度影响的初步研究[J]. 中华口腔正畸学杂志, 2015,22(1):24-27.
doi: 10.3760/cma.j.issn.1674-5760.2015.01.005
Jin Y, Li WP, Yang Y , et al. The effects of ortho-dontic treatment on cheek fullness in adult women[J]. Chin J Orthod, 2015,22(1):24-27.
doi: 10.3760/cma.j.issn.1674-5760.2015.01.005
[34] 谭学莲, 甯佳丽, 陈河林 , 等. 拔牙和非拔牙矫治对正面微笑和静态侧貌的美学影响[J]. 国际口腔医学杂志, 2015,42(2):147-151.
doi: 10.7518/gjkq.2015.02.006
Tan XL, Ning JL, Chen HL , et al. Influence of ex-traction and non-extraction treatment on esthetic perception of frontal smile and resting profile[J]. Int J Stomatol, 2015,42(2):147-151.
doi: 10.7518/gjkq.2015.02.006
[35] Moss JP, Ismail SF, Hennessy RJ . Three-dimensional assessment of treatment outcomes on the face[J]. Orthod Craniofac Res, 2003, 6(Suppl 1): 126-131, 179-182.
doi: 10.1034/j.1600-0544.2003.255.x
[36] 谢柳萍, 张卫兵 . 三维立体摄影技术在颜面部软组织中的应用[J]. 国际口腔医学杂志, 2016,43(2):201-206.
doi: 10.7518/gjkq.2016.02.019
Xie LP, Zhang WB . The application of three-dimen-sional stereophotography in facial soft tissues[J]. Int J Stomatol, 2016,43(2):201-206.
doi: 10.7518/gjkq.2016.02.019
[37] Liebregts JH, Timmermans M, De Koning MJ , et al. Three-dimensional facial simulation in bilateral sa-gittal split osteotomy: a validation study of 100 patients[J]. J Oral Maxillofac Surg, 2015,73(5):961-970.
doi: 10.1016/j.joms.2014.11.006
[38] Resnick CM, Dang RR, Glick SJ , et al. Accuracy of three-dimensional soft tissue prediction for Le Fort Ⅰosteotomy using Dolphin 3D software: a pilot study[J]. Int J Oral Maxillofac Surg, 2017,46(3):289-295.
doi: 10.1016/j.ijom.2016.10.016 pmid: 27856149
[39] Cevidanes LH, Motta A, Proffit WR , et al. Cranial base superimposition for 3-dimensional evaluation of soft-tissue changes[J]. Am J Orthod Dentofacial Orthop, 2010,137(4 Suppl):S120-S129.
doi: 10.1016/j.ajodo.2009.04.021 pmid: 20381752
[40] Abe N, Kuroda S, Furutani M , et al. Data-based prediction of soft tissue changes after orthognathic surgery: clinical assessment of new simulation soft- ware[J]. Int J Oral Maxillofac Surg, 2015,44(1):90-96.
doi: 10.1016/j.ijom.2014.08.006 pmid: 25220944
[41] Nadjmi N, Tehranchi A, Azami N , et al. Comparison of soft-tissue profiles in Le Fort I osteotomy patients with Dolphin and Maxilim softwares[J]. Am J Orthod Dentofacial Orthop, 2013,144(5):654-662.
doi: 10.1016/j.ajodo.2013.06.019 pmid: 24182581
[42] Donatsky O, Bjørn-Jørgensen J, Hermund NU , et al. Immediate postoperative outcome of orthognathic surgical planning, and prediction of positional changes in hard and soft tissue, independently of the extent and direction of the surgical corrections required[J]. Br J Oral Maxillofac Surg, 2011,49(5):386-391.
doi: 10.1016/j.bjoms.2010.06.005 pmid: 20621403
[43] Nadjmi N, Defrancq E, Mollemans W , et al. Quan-titative validation of a computer-aided maxillofacial planning system, focusing on soft tissue deforma-tions[J]. Ann Maxillofac Surg, 2014,4(2):171-175.
doi: 10.4103/2231-0746.147112 pmid: 4293837
[44] Shafi MI, Ayoub A, Ju X , et al. The accuracy of three-dimensional prediction planning for the surgical cor-rection of facial deformities using Maxilim[J]. Int J Oral Maxillofac Surg, 2013,42(7):801-806.
doi: 10.1016/j.ijom.2013.01.015 pmid: 23465803
[45] Terzic A, Combescure C, Scolozzi P . Accuracy of computational soft tissue predictions in orthognathic surgery from three-dimensional photographs 6 months after completion of surgery: a preliminary study of 13 patients[J]. Aesthetic Plast Surg, 2014,38(1):184-191.
doi: 10.1007/s00266-013-0248-4 pmid: 24337148
[46] 王秀芬, 侯敏, 马文 , 等. SurgiCase CMF软件预测骨性Ⅲ类错术后软组织准确性的评估[J]. 中国美容整形外科杂志, 2015,26(6):355-358.
doi: 10.3969/j.issn.1673-7040.2015.06.013
Wang XF, Hou M, Ma W , et al. Evaluation of ac-curacy of predicting postoperative soft tissue of ske-letal class Ⅲ malocclusion with SurgiCase software[J]. Chin J Aesthet Plast Surg, 2015,26(6):355-358.
doi: 10.3969/j.issn.1673-7040.2015.06.013
[47] 宋恩, 莫康楠, 朱赴东 , 等. 计算机辅助正颌外科模拟和预测系统的准确性评估[J]. 口腔医学, 2013,33(1):17-20.
Song E, Mo KN, Zhu FD , et al. Accuracy assessment of computer aided stimulation systerm for ortho-gnathic surgery[J]. Stomatology, 2013,33(1):17-20.
[48] Oh KM, Seo SK, Park JE , et al. Post-operative soft tissue changes in patients with mandibular progna-thism after bimaxillary surgery[J]. J Cranio-Maxillo-fac Surg, 2013,41(3):204-211.
doi: 10.1016/j.jcms.2012.09.001 pmid: 23058178
[49] Peterman RJ, Jiang SY, Johe RN , et al. Accuracy of Dolphin visual treatment objective (VTO) prediction software on class Ⅲ patients treated with maxillary advancement and mandibular setback[J]. Prog Orthod, 2016,17(1):19.
doi: 10.1186/s40510-016-0132-2 pmid: 27312722
[50] Hack GA, de Mol van Otterloo JJ, Nanda R . Long-term stability and prediction of soft tissue changes after LeFort Ⅰ surgery[J]. Am J Orthod Dentofacial Orthop, 1993,104(6):544-555.
doi: 10.1016/S0889-5406(05)80438-X pmid: 8249930
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[4] 王昆润. 重型颌面部炎症死亡和康复病例的实验室检查指标比较[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 逄键梁. 两例外胚层发育不良儿童骨内植入种植体后牙槽骨生长情况[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 温秀杰. 氟化物对牙本质脱矿抑制作用的体外实验研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 杨春惠. 耳颞神经在颞颌关节周围的分布[J]. 国际口腔医学杂志, 1999, 26(04): .
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