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混合牙列中牙齿大小和牙弓尺寸的长期变化。

Secular changes in tooth size and dental arch dimensions in the mixed dentition.

作者信息

Lindsten Rune

机构信息

Department of Orthodontics, Dental Faculty, University of Oslo, Oslo, Norway.

出版信息

Swed Dent J Suppl. 2003(157):1-89.

Abstract

Secular changes in the mixed dentition were studied. Permanent tooth size and dental arch dimensions were examined in Norwegian children born in the 1960s and 1980s, Swedish children born in the 1960s and 1980s, Norwegian Sami children born in the 1980s, and a sample of Norwegian skulls dating from the 14th to the 19th century. The Norwegian Sami children were nomadic in the summertime. A sample of pigs was studied before and after a maceration process to determine what dimensional changes might occur in such a process. A shrinkage of 0.3%-1.7% was found. This information was used when the skulls were compared with the modern groups. Lateral dental arch lengths were shorter in the children born in the 1960s compared with the children born in the 1980s. This was a result of the higher prevalence of caries in the second deciduous molars in the 1960s groups. Children who had lost a deciduous canine prematurely were found to have smaller dental arch perimeters. When compared with other data, this was blamed on a pre-existing crowding. Permanent tooth size was smaller in the skulls compared with the modern groups. Improved nutrition is considered to be the main reason for the difference. Relative dental arch space differed in the group born in the 1960s from that in the other groups, indicating a greater prevalence of crowding in the former. Relative dental arch space in the skulls and in the group born in the 1980s was similar. A more traditional way of living, as practised by the Sami group in this thesis, was not favorable for relative dental arch space. The transverse intermaxillary relation in boys changed from the 1960s to the 1980s, which indicated that the 1980s group ran a greater risk of developing a posterior cross-bite. Before the same conclusion could be made in the girls, the mesial drift of the first permanent molars had to be corrected for, because of a higher prevalence of caries in the 1960s group. The sex-pooled analysis of the skulls and the contemporary groups revealed that the risk for developing a posterior cross-bite in the 1980s group was greater than in the skulls. The skulls had smaller arch depths than the modern groups.

摘要

研究了混合牙列的长期变化。对20世纪60年代和80年代出生的挪威儿童、20世纪60年代和80年代出生的瑞典儿童、20世纪80年代出生的挪威萨米儿童以及14世纪至19世纪的挪威头骨样本进行了恒牙大小和牙弓尺寸的检查。挪威萨米儿童在夏季过着游牧生活。研究了一组猪在浸软过程前后的情况,以确定在这样一个过程中可能发生哪些尺寸变化。发现收缩率为0.3%-1.7%。在将头骨与现代群体进行比较时使用了这些信息。与20世纪80年代出生的儿童相比,20世纪60年代出生的儿童的侧牙弓长度较短。这是20世纪60年代组第二乳磨牙龋齿患病率较高的结果。发现过早失去乳尖牙的儿童牙弓周长较小。与其他数据相比,这归咎于先前存在的牙列拥挤。与现代群体相比,头骨中的恒牙尺寸较小。营养改善被认为是造成这种差异的主要原因。20世纪60年代出生的群体与其他群体相比,相对牙弓间隙有所不同,这表明前者牙列拥挤的患病率更高。头骨和20世纪80年代出生的群体中的相对牙弓间隙相似。本论文中萨米群体所采用的更传统的生活方式不利于相对牙弓间隙。从20世纪60年代到80年代,男孩的横向颌间关系发生了变化,这表明20世纪80年代出生的群体发生后牙反合的风险更大。在对女孩得出相同结论之前,由于20世纪60年代组龋齿患病率较高,必须对第一恒磨牙的近中移动进行校正。对头骨和当代群体的性别合并分析显示,20世纪80年代出生的群体发生后牙反合的风险比头骨更大。头骨的牙弓深度比现代群体小。

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