自闭症儿童牙周状况与正畸治疗需求。

World journal of orthodontics Pub Date : 2010-01-01
Suwannee Luppanapornlarp, Pattarawadee Leelataweewud, Pongstorn Putongkam, Sutasinee Ketanont
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引用次数: 0

摘要

目的:评估自闭症儿童的牙周状况和正畸治疗需求,并将这些结果与未受影响的同龄儿童进行比较。方法:对32例8 ~ 12岁自闭症儿童(平均9.7±1.2岁)和48例非自闭症儿童(平均9.9±1.1岁)的牙周状况和正畸治疗需求进行评估。所有受试者的牙周状况使用社区牙周治疗需求指数(CPITN)进行轻微修改。采用牙齿美学指数(DAI)确定正畸治疗需求。采用卡方检验和优势比进行统计分析。结果:自闭症组和非自闭症组的性别差异不显著。自闭症儿童的牙周状况明显差于非自闭症儿童(p < 0.05);然而,与非自闭症儿童相比,自闭症儿童出现缺牙、间距、间隙、反向覆盖、开放咬伤和II类磨牙关系倾向的比例更高。总的来说,自闭症儿童和非自闭症儿童经常需要正畸治疗。结论:本研究提示自闭症儿童需要特殊的口腔管理,以改善其口腔卫生和口腔美观。父母、普通牙医和儿科医生/正畸医生应该定期为自闭症儿童提供更多的照顾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Periodontal status and orthodontic treatment need of autistic children.

Aim: To evaluate the periodontal status and orthodontic treatment need of autistic children and compare these findings to nonaffected, same-age individuals.

Method: The periodontal status and orthodontic treatment need were evaluated in 32 autistic and 48 nonautistic boys and girls age 8 years to 12 years (mean 9.7 ± 1.2 years and 9.9 ± 1.1 years, respectively). The periodontal status of all subjects was recorded using the Community Periodontal Index of Treatment Need (CPITN) with a slight modification. The orthodontic treatment need was determined using the Dental Aesthetic Index (DAI). Chi-square test and odds ratio were used for statistical analysis.

Results: No significant sex differences were found in the autistic or nonautistic groups. The autistic children presented with a significantly poorer periodontal status than the nonautistic children (P<.05). No significant differences in terms of the various malocclusion categories were found between both groups (P>.05); however, children with autism showed missing teeth, spacing, diastemas, reverse overjets, open bites, and Class II molar relationship tendencies in a higher percentage than nonautistic individuals. In all, autistic children and nonautistic children frequently needed orthodontic treatment.

Conclusion: This study suggests that children with autism require special dental management to improve their oral hygiene as well as their dental esthetics. More care from parents, general dentists, and pedodontists/orthodontists should be provided routinely to autistic children.

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