{"title":"儿童初级牙列错的预测因素(上)","authors":"M. Danilova, P. Ishmurzin, T. I. Rudavina","doi":"10.33925/1683-3031-2023-593","DOIUrl":null,"url":null,"abstract":"Relevance. The evaluation of malocclusion risk factor impact in primary dentition is an essential tool for prevention and treatment planning and high-quality child orthodontic care.The study aimed to determine malocclusion predictors in children with primary dentition.Material and methods. The article presents the retrospective dental status analysis findings of 123 children (55 boys and 68 girls). The initial oral examination was at 4.0 to 55 years old (average age was 5.1 ± 0.6 years), and the reexamination was at 6.0 to 10.5 years old (average age was 8.7 ± 1.3 years). We evaluated the presence of a relationship and its strength between the risk factors in primary dentition and malocclusion in early mixed dentition using Pearson's chi-squared test (χ2) and Kramer–Welch criterion (V). The study calculated the odds ratio with a 95% confidence interval for each pair of primary dentition risk factors – early mixed dentition malocclusion.Results. Differentiation of predisposing factors and their combination analysis allowed the formation of predictor clusters for primary dentition with the clinical probability of malocclusion in the mixed dentition of over 95%. For distal occlusion, the risk factor cluster included early extraction of lower deciduous molars, mouth breathing and postural disorder (χ2 = 11.46, V = 0.47); for mesial occlusion – early extraction of upper deciduous incisors and upper deciduous molars (χ2 = 18.30, V = 0.53); for deep overbite and open bite – early extraction of lower deciduous molars and reverse swallowing (χ2 = 14.61, V = 0.56); for an anterior open-bite – interdental lisp and sucking habits (χ2 = 20.91, V = 0.50); for the mandibular lateral shift – unilateral extraction of lower molars and mouth breathing (χ2 = 9.98, V = 0.42).Conclusion. Malocclusion predictor identification and elimination in children with primary dentition reduce the likelihood of malocclusion formation in mixed dentition.","PeriodicalId":196403,"journal":{"name":"Pediatric dentistry and dental prophylaxis","volume":"1 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Malocclusion predictors in children with primary dentition (part one)\",\"authors\":\"M. Danilova, P. Ishmurzin, T. I. Rudavina\",\"doi\":\"10.33925/1683-3031-2023-593\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Relevance. The evaluation of malocclusion risk factor impact in primary dentition is an essential tool for prevention and treatment planning and high-quality child orthodontic care.The study aimed to determine malocclusion predictors in children with primary dentition.Material and methods. The article presents the retrospective dental status analysis findings of 123 children (55 boys and 68 girls). The initial oral examination was at 4.0 to 55 years old (average age was 5.1 ± 0.6 years), and the reexamination was at 6.0 to 10.5 years old (average age was 8.7 ± 1.3 years). We evaluated the presence of a relationship and its strength between the risk factors in primary dentition and malocclusion in early mixed dentition using Pearson's chi-squared test (χ2) and Kramer–Welch criterion (V). The study calculated the odds ratio with a 95% confidence interval for each pair of primary dentition risk factors – early mixed dentition malocclusion.Results. Differentiation of predisposing factors and their combination analysis allowed the formation of predictor clusters for primary dentition with the clinical probability of malocclusion in the mixed dentition of over 95%. For distal occlusion, the risk factor cluster included early extraction of lower deciduous molars, mouth breathing and postural disorder (χ2 = 11.46, V = 0.47); for mesial occlusion – early extraction of upper deciduous incisors and upper deciduous molars (χ2 = 18.30, V = 0.53); for deep overbite and open bite – early extraction of lower deciduous molars and reverse swallowing (χ2 = 14.61, V = 0.56); for an anterior open-bite – interdental lisp and sucking habits (χ2 = 20.91, V = 0.50); for the mandibular lateral shift – unilateral extraction of lower molars and mouth breathing (χ2 = 9.98, V = 0.42).Conclusion. Malocclusion predictor identification and elimination in children with primary dentition reduce the likelihood of malocclusion formation in mixed dentition.\",\"PeriodicalId\":196403,\"journal\":{\"name\":\"Pediatric dentistry and dental prophylaxis\",\"volume\":\"1 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric dentistry and dental prophylaxis\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33925/1683-3031-2023-593\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric dentistry and dental prophylaxis","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33925/1683-3031-2023-593","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
的相关性。评价初级牙列错危险因素的影响是制定预防和治疗计划和高质量儿童正畸护理的重要工具。该研究旨在确定儿童初级牙列错的预测因素。材料和方法。本文对123例儿童(男55例,女68例)的牙齿状况进行回顾性分析。首次口腔检查年龄为4.0 ~ 55岁(平均年龄5.1±0.6岁),复诊年龄为6.0 ~ 10.5岁(平均年龄8.7±1.3岁)。我们使用Pearson卡方检验(χ2)和Kramer-Welch标准(V)评估初级牙列危险因素与早期混合牙列错合之间存在的关系及其强度。研究以95%的置信区间计算每对初级牙列危险因素-早期混合牙列错合的比值比。通过对诱发因素的区分和组合分析,形成了原发牙列的预测因子簇,混合牙列的临床错牙合概率在95%以上。远端牙合的危险因素包括早期拔下乳牙、口腔呼吸和体位障碍(χ2 = 11.46, V = 0.47);近中牙合-早期拔除上乳牙和上乳牙(χ2 = 18.30, V = 0.53);深复咬和开咬早期拔除下乳牙并反向吞咽(χ2 = 14.61, V = 0.56);前牙开咬-牙间口齿不清和吸吮习惯(χ2 = 20.91, V = 0.50);下颌侧移-单侧拔除下磨牙及口腔呼吸(χ2 = 9.98, V = 0.42)。儿童初级牙列错的识别和消除减少了混合牙列错形成的可能性。
Malocclusion predictors in children with primary dentition (part one)
Relevance. The evaluation of malocclusion risk factor impact in primary dentition is an essential tool for prevention and treatment planning and high-quality child orthodontic care.The study aimed to determine malocclusion predictors in children with primary dentition.Material and methods. The article presents the retrospective dental status analysis findings of 123 children (55 boys and 68 girls). The initial oral examination was at 4.0 to 55 years old (average age was 5.1 ± 0.6 years), and the reexamination was at 6.0 to 10.5 years old (average age was 8.7 ± 1.3 years). We evaluated the presence of a relationship and its strength between the risk factors in primary dentition and malocclusion in early mixed dentition using Pearson's chi-squared test (χ2) and Kramer–Welch criterion (V). The study calculated the odds ratio with a 95% confidence interval for each pair of primary dentition risk factors – early mixed dentition malocclusion.Results. Differentiation of predisposing factors and their combination analysis allowed the formation of predictor clusters for primary dentition with the clinical probability of malocclusion in the mixed dentition of over 95%. For distal occlusion, the risk factor cluster included early extraction of lower deciduous molars, mouth breathing and postural disorder (χ2 = 11.46, V = 0.47); for mesial occlusion – early extraction of upper deciduous incisors and upper deciduous molars (χ2 = 18.30, V = 0.53); for deep overbite and open bite – early extraction of lower deciduous molars and reverse swallowing (χ2 = 14.61, V = 0.56); for an anterior open-bite – interdental lisp and sucking habits (χ2 = 20.91, V = 0.50); for the mandibular lateral shift – unilateral extraction of lower molars and mouth breathing (χ2 = 9.98, V = 0.42).Conclusion. Malocclusion predictor identification and elimination in children with primary dentition reduce the likelihood of malocclusion formation in mixed dentition.