Renata Travassos da Rosa Moreira Bastos, Eduardo Oliveira da Costa, David Normando
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The anterior crowding was measured using Little's Irregularity Index (LI) and modeled through a multilevel linear regression with the predictor variables: village, tooth wear (T1-T0), age (T0), tooth loss (T1-T0), changes in intercanine width (T1-T0) and changes in arch perimeter (T1-T0).</p><p><strong>Results: </strong>A slight increase was observed (< 1 mm) in anterior dental crowding and a decrease in arch perimeter < 1.5 mm, while tooth wear increased between 0.65 and 0.99 units. The contextual variable (village) had no significant association with LI. In the upper arch, tooth loss was the only variable that showed an inverse association with LI (β=-0.41, p < 0.05). In the lower arch, the increase in dental crowding was inversely associated with tooth wear (β=-1.30, p < 0.05) and changes in arch perimeter (β=-0.31, p < 0.05). The other variables did not show significant associations.</p><p><strong>Conclusion: </strong>After 13 years, dental crowding and tooth wear increased, while the arch dimensions tended to decrease. The changes in long-term dental crowding seem to have distinct etiological components for each dental arch. In the mandible, the changes in incisor alignment were associated with increased tooth wear and decreased dental arch dimensions. Whereas in the maxilla, only tooth loss caused alterations in tooth alignment. 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引用次数: 0
摘要
背景:牙齿磨损是减少牙齿尺寸的重要机制,因此,牙齿拥挤。本队列研究的目的是检查牙齿磨损的关系,调整协变量(年龄、牙齿脱落、牙弓周长和齿间宽度),在亚马逊土著人口的三级拥挤。方法:选取40例土著居民恒牙列0岁时(基线)和13岁后(T1)进行评估。样本包括来自Arara村(n = 22,平均年龄16.6和29.9岁)和Assurini do Xingu村(n = 18,平均年龄16.0和29.6岁)的16名男性和24名女性。两次均进行了临床、口内摄影和牙模评估。采用Little's不规则指数(LI)测量前牙拥挤程度,并采用多水平线性回归建模,预测变量为村庄、牙齿磨损(T1-T0)、年龄(T0)、牙齿脱落(T1-T0)、齿间宽度变化(T1-T0)和牙弓周长变化(T1-T0)。结论:13岁后牙体拥挤、牙体磨损增加,牙弓尺寸有减小的趋势。长期牙齿拥挤的变化似乎对每个牙弓有不同的病因。在下颌骨,切牙排列的变化与牙齿磨损增加和牙弓尺寸减小有关。而在上颌骨,只有牙齿脱落才会导致牙齿排列的改变。这表明,增加牙齿磨损对第三级拥挤的病因的影响是小幅度的,仅限于下牙弓。
Tooth wear and tertiary crowding: a 13-year cohort study in Amazon Indigenous populations.
Background: Tooth wear is an important mechanism for reducing dental dimensions and, consequently, dental crowding. The objective of this cohort study was to examine the relation of tooth wear, adjusted for covariates (age, tooth loss, arch perimeter and intercanine width), on tertiary crowding in Amazon Indigenous populations.
Methods: A sample of 40 Indigenous people in permanent dentition at T0 (baseline) and after 13 years (T1) were evaluated. The sample included 16 males and 24 females belonging to two villages, Arara (n = 22, mean ages 16.6 and 29.9 years) and Assurini do Xingu (n = 18, mean ages 16.0 and 29.6 years). Clinical, intraoral photograph and dental cast evaluations were performed at both times. The anterior crowding was measured using Little's Irregularity Index (LI) and modeled through a multilevel linear regression with the predictor variables: village, tooth wear (T1-T0), age (T0), tooth loss (T1-T0), changes in intercanine width (T1-T0) and changes in arch perimeter (T1-T0).
Results: A slight increase was observed (< 1 mm) in anterior dental crowding and a decrease in arch perimeter < 1.5 mm, while tooth wear increased between 0.65 and 0.99 units. The contextual variable (village) had no significant association with LI. In the upper arch, tooth loss was the only variable that showed an inverse association with LI (β=-0.41, p < 0.05). In the lower arch, the increase in dental crowding was inversely associated with tooth wear (β=-1.30, p < 0.05) and changes in arch perimeter (β=-0.31, p < 0.05). The other variables did not show significant associations.
Conclusion: After 13 years, dental crowding and tooth wear increased, while the arch dimensions tended to decrease. The changes in long-term dental crowding seem to have distinct etiological components for each dental arch. In the mandible, the changes in incisor alignment were associated with increased tooth wear and decreased dental arch dimensions. Whereas in the maxilla, only tooth loss caused alterations in tooth alignment. It is suggested that the effect of increased tooth wear on the etiology of tertiary crowding is of small magnitude and restricted to the lower dental arch.
期刊介绍:
Progress in Orthodontics is a fully open access, international journal owned by the Italian Society of Orthodontics and published under the brand SpringerOpen. The Society is currently covering all publication costs so there are no article processing charges for authors.
It is a premier journal of international scope that fosters orthodontic research, including both basic research and development of innovative clinical techniques, with an emphasis on the following areas:
• Mechanisms to improve orthodontics
• Clinical studies and control animal studies
• Orthodontics and genetics, genomics
• Temporomandibular joint (TMJ) control clinical trials
• Efficacy of orthodontic appliances and animal models
• Systematic reviews and meta analyses
• Mechanisms to speed orthodontic treatment
Progress in Orthodontics will consider for publication only meritorious and original contributions. These may be:
• Original articles reporting the findings of clinical trials, clinically relevant basic scientific investigations, or novel therapeutic or diagnostic systems
• Review articles on current topics
• Articles on novel techniques and clinical tools
• Articles of contemporary interest