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Orthodontic Diagnosis Based on Schwarz Analysis among the Population of Republika SrpskaPrimena Švarcove analize u ortodontskoj dijagnostici kod ispitanika Republike Srpske
Serbian Dental Journal, ORIGINAL ARTICLE [pdf]Stomatološki Glasnik Srbije, ORIGINALNI RAD [pdf]
ID: 4.2015.4.2 Number: 4 Volume: 62 Month: 12 Year: 2015 UDC: 616.31-071.3 : 616.314-089.23 [tmx] [bow]
Adriana Arbutina
Institution: University of Banja Luka, Faculty of Medicine, Study Program Dentistry, Department of Orthodontics, Banja Luka, Republika Srpska, Bosnia and Herzegovina
Mail: adriana.arbutina@gmail.com
Adriana Arbutina
Institucija: Univerzitet u Banjoj Luci, Medicinski fakultet, Studijski program Stomatologija, Katedra za ortopediju vilica, Banja Luka, Bosna i Hercegovina
E-pošta: adriana.arbutina@gmail.com
Marijana Arapović Savić
Institution: University of Banja Luka, Faculty of Medicine, Study Program Dentistry, Department of Orthodontics, Banja Luka, Republika Srpska, Bosnia and Herzegovina
Marijana Arapović Savić
Institucija: Univerzitet u Banjoj Luci, Medicinski fakultet, Studijski program Stomatologija, Katedra za ortopediju vilica, Banja Luka, Bosna i Hercegovina
Mirjana Umićević Davidović
Institution: University of Banja Luka, Faculty of Medicine, Study Program Dentistry, Department of Orthodontics, Banja Luka, Republika Srpska, Bosnia and Herzegovina
Mirjana Umićević Davidović
Institucija: Univerzitet u Banjoj Luci, Medicinski fakultet, Studijski program Stomatologija, Katedra za ortopediju vilica, Banja Luka, Bosna i Hercegovina
Irena Kuzmanović Radman
Institution: University of Banja Luka, Faculty of Medicine, Study Program Dentistry, Department of Dental Diseases, Banja Luka, Republika Srpska, Bosnia and Herzegovina
Irena Kuzmanović Radman
Institucija: Univerzitet u Banjoj Luci, Medicinski fakultet, Studijski program Stomatologija, Katedra za bolesti zuba, Banja Luka, Bosna i Hercegovina
Abstract
Introduction In order to establish an accurate diagnosis and proper therapy planning in orthodontics, it is necessary to perform the analysis of transverse and sagittal dental arch development in relation to the facial type of the patient. The aim of this study was to determine sagittal and transverse parameters of dental arches in the population of Republika Srpska (Bosnia and Herzegovina) based on Schwarz analysis. Material and Methods Facial type was determined in 300 patients of both genders, aged 18 to 25, with class I occlusion. After taking impressions of the upper and lower jaw, cast study models were poured and used to determine basic sagittal and transverse parameters of dental arches. The obtained values were compared with the values defined by Schwarz in order to determine the existence of certain variations. Results Out of 300 subjects, 50.33% were dolichofacial, 30.76% were mesofacial and 19.00% were brachyfacial. The average values of anterior width, posterior width and height of dental arch in patients with all three types of face showed lower range of values compared to the values defined by Schwarz, who determined his values by examining the same parameters in the population of Vienna. These parameters did not show linear proportional increase with the increase of the sum of upper incisors, what is the case with the values defined by Schwarz. Conclusion The results of this study showed significant differences compared to Schwarz’s values. Modification of the size and shape of dental arch leads to changes in the appearance of patient’s face. Therefore, an individual approach during orthodontic diagnosis and treatment planning must be present despite the great importance of biometric standards.
Apstrakt
Uvod Ra­di po­sta­vlja­nja pre­ci­zne di­jag­no­ze i pra­vil­nog pla­ni­ra­nja or­to­dont­skog le­če­nja, neo­p­hod­no je oba­vi­ti ana­li­zu tran­sver­zal­ne i sa­gi­tal­ne raz­vi­je­no­sti zub­nih lu­ko­va u od­no­su na tip li­ca pa­ci­jen­ta. Cilj ovog ra­da je bio da se na osno­vu Švar­co­ve (Schwarz) ana­li­ze utvr­di sa­gi­tal­na i tran­sver­zal­na raz­vi­je­nost zub­nih lu­ko­va u po­pu­la­ci­ji Re­pu­bli­ke Srp­ske (Bo­sna i Her­ce­go­vi­na). Ma­te­ri­jal i me­to­de ra­da Kod 300 is­pi­ta­ni­ka oba po­la, uz­ra­sta od 18 do 25 go­di­na, sa I kla­som den­to­al­ve­o­lar­nih od­no­sa od­re­đen je tip li­ca. Na­kon uzi­ma­nja oti­sa­ka gor­nje i do­nje vi­li­ce iz­li­ve­ni su stu­dij­ski mo­de­li na ko­ji­ma su is­pi­ti­va­ni osnov­ni pa­ra­me­tri sa­gi­tal­ne i tran­sver­zal­ne raz­vi­je­no­sti zub­nih lu­ko­va. Do­bi­je­ne vred­no­sti su po­tom upo­re­đi­va­ne s vred­no­sti­ma po Švar­cu, ka­ko bi se utvr­di­la od­re­đe­na od­stu­pa­nja. Re­zul­ta­ti Od 300 is­pi­ta­ni­ka njih 50,33% je ima­lo uski tip li­ca, 30,76% sred­nji tip li­ca, a 19,00% ši­ro­ki tip li­ca. Pro­seč­ne vred­no­sti pred­nje ši­ri­ne, zad­nje ši­ri­ne i vi­si­ne zub­nog lu­ka kod is­pi­ta­ni­ka sa sva tri ti­pa li­ca po­ka­za­li su ma­nji op­seg vred­no­sti u od­no­su na vred­no­sti do ko­jih je Švarc do­šao is­pi­tu­ju­ći iste pa­ra­me­tre kod sta­nov­ni­štva Be­ča. Na­ve­de­ni pa­ra­me­tri ni­su po­ka­za­li li­ne­ar­no pro­por­ci­o­na­lan po­rast s po­ra­stom zbi­ra gor­njih in­ci­zi­va, kao što je to slu­čaj sa vred­no­sti­ma po Švar­cu. Za­klju­čak Re­zul­ta­ti ovog is­tra­ži­va­nja su po­ka­za­li zna­čaj­na od­stu­pa­nja u od­no­su na Švar­co­ve vred­no­sti. Mo­di­fi­ka­ci­ja ob­li­ka i di­men­zi­ja zub­nog lu­ka do­vo­di do pro­me­na u iz­gle­du li­ca pa­ci­jen­ta, pa je zbog to­ga neo­p­ho­dan in­di­vi­du­al­ni pri­stup pa­ci­jen­tu to­kom po­sta­vlja­nja or­to­dont­ske di­jag­no­ze i pla­ni­ra­nja le­če­nja.
Keywords: anterior width; posterior width; arch height; Schwarz’s analysisKljučne reči: prednja širina; zadnja širina; visina luka; Švarcova analiza
Pages: 166-173Strane: 166-173
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