乳前牙反的追踪观察研究 王祖华 史宗道 佘秉钺 秦君成 郭洪亮 漆琳 祝瑛摘要 目的:探讨乳前牙反与恒前牙反、磨牙关系及Ⅲ类骨面畸形的关系。方法:对102例口腔社区调查中诊断为乳前牙反的儿童,6年后进行追踪调查。以同期调查中无乳前牙反及恒前牙反的102名儿童作为对照,进行牙颌发育情况的检查。结果:乳前牙反组102例中,51例(50.0%)为恒前牙反。与个别乳前牙反组相比,多个相邻乳前牙反组演变为恒前牙反的危险度比值比为6.8(95%可信限2.7~17.6),达到统计学显著水平。且多个乳前牙反组Ⅲ类错及骨面畸形的罹患率均明显高于对照组及个别前牙反组。结论:多个乳前牙反,尤其是多个相邻乳前牙反应是临床矫治工作的重点。 关键词 前牙反 安氏错分类 颌骨关系 颌骨发育 A Follow-up Study of Anterior Deciduous Cross-biteWang Zuhua, She Bingyue, Qin Juncheng, et al Abstract Objective: To determine the relationship between anterior deciduous crossbite and anterior permanent crossbite, Angle classification of malocclusion and class Ⅲ jaw relationship through a follow-up study in community children. Methods: A follow-up study was done six years later in 102 children who were out of 120 children having anterior deciduous crossbite detected in a survey of six years before. Other 102 children with normal occlusion of deciduous and permanent teeth were treated as the control group. Results: There were 51 out of 102 cases developed anterior permanent crossbite. In comparison with the group with 1~2 anterior deciduous crossbite, the group with more than two neighboring anterior deciduous crossbite had more significant probability to turn into anterior permanent crossbite, OR=6.8 (95%CI: 2.7~17.6). The patients with more than 2 neighboring anterior deciduous teeth crossbite had significantly more chance of developing Angle Ⅲ malocclusion and class Ⅲ jaw relationship than those in the control group and those with 1~2 anterior deciduous teeth crossbite. Conclusion: Clinical orthodontists should pay more attention to the patients with more than 2 neighboring anterior deciduous crossbite. Key words: anterior crossbite Angle malocclusion classification jaw relationship jaw development 对乳牙期的前牙反,一些学者[1~6]认为应早期矫治,否则会影响颌骨发育。据国内流行病学调查资料[7]推测,我国有数百万2~6岁儿童患乳前牙反,故有必要对乳前牙反的转归进行调查分析。为此,作者对口腔社区调查中[8]诊断为乳前牙反的儿童,于6年后进行追踪复查,其中102例得到随访。现将调查结果报道如下。 1 材料和方法 1.1 研究对象 2 结 果 2.1 乳前牙反与恒前牙反的关系 表1 102例乳前牙反患儿6年后复查时恒前牙反罹患情况 |
乳前牙反的追踪观察研究
2008-1-22 11:01
来源:华西口腔学杂志
作者:王祖华 阅读量:1254
作者:王祖华 阅读量:1254
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