年龄对上颌阻生切牙治疗时间及“阻生切牙严重程度评分”的影响：一项回顾性研究

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-02-11 DOI:10.1016/j.jobcr.2025.01.024

Umer Mukhtar, Manoj kumar Jaiswal, Rigzen Tamchos, Ashima Goyal, Satinder Pal Singh, Aditi Kapur

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引用次数: 0

摘要

背景上颌前牙缺失对年轻患者的审美、言语、咀嚼和心理健康有显著影响。材料与方法对2012年1月至2022年1月的上颌阻生切牙患儿（8-15岁）进行回顾性研究。初步筛选数字记录后，招募75例80颗阻生上颌中切牙；9例因记录不完整而被排除。结果有阻生门牙75例，发病率0.21%。将患者分为1组（11岁）和2组（11 - 15岁），平均年龄分别为9.51±1.2岁和13.31±1.74岁。11-15岁报告的患者明显多于11岁报告的患者（p = 0.014）。在各种病因中，物理阻塞或空间不足是最常见的。扩张牙75%有外伤史，正常阻生中切牙仅有35%有外伤史（p = 0.00139）。正常阻生切牙和扩张阻生切牙的平均治疗时间分别为16.77±8.83个月和21.75±6.08个月，差异有统计学意义（p = 0.042）。结论考虑到患者的年龄，对治疗时间没有明显影响，但牙根形态的改变如扩张，明显增加了治疗时间。此外，提出的客观评分系统“阻生切牙严重程度评分”可以帮助临床医生评估阻生切牙治疗的难度和持续时间。

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Effect of age on the treatment duration and proposed “impacted incisor severity score” of impacted maxillary incisor: A retrospective study

Background

Absence of anterior maxillary teeth has a significantly impact on esthetics, speech, mastication, and psychosocial well-being in young patients.

Materials and methods

A retrospective study was conducted from January 2012 to January 2022, the data include children (8–15 years) with maxillary impacted incisors. After initial screening of the digital records, 75 cases with 80 impacted maxillary central incisors were recruited; 9 cases were excluded due to incomplete records.

Results

75 patients were found to have impacted incisors with a prevalence of 0.21 %. Patients were then divided into group 1 (<11years) and group 2 (11–15years) with a mean age of 9.51 ± 1.2 and 13.31 ± 1.74, respectively. Patients who reported at 11–15 years of age were significantly more as compared to <11years (p = 0.014). Among the various etiological factors, physical obstruction or inadequate space was found to be most common. Among dilacerated teeth, 75 % had a history of trauma, and only 35 % of normal impacted central incisors had a history of trauma (p = 0.00139). The mean duration of treatment time was found to be 16.77 ± 8.83months and 21.75 ± 6.08months for impacted incisors with normal morphology and with dilaceration, respectively and the difference was statistically significant (p = 0.042).

Conclusions

Considering the age of the patient, it does not show significant effect on the duration of treatment, but a change in root morphology like dilaceration, significantly increases the duration of treatment. In addition, the proposed objective scoring system “Impacted incisor severity score” could help the clinicians to assess the difficulty and duration of treatment of impacted incisors.

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.