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与吮指习惯相关的牙颌面异常。

Dentofacial anomalies related to the digit sucking habit.

作者信息

daCosta O O, Orenuga O O

机构信息

Department of Child Dental Health, College of Medicine, University of Lagos, PMB 12003, Lagos, Nigeria.

出版信息

Afr J Med Med Sci. 2002 Sep;31(3):239-42.

Abstract

Digit (thumb or finger) sucking is the most common oral habit, frequently seen among young children. With an increase in the prevalence of the oral habit in Nigeria in recent years there should be an expected increase in the dentofacial effects of the habit. In this study 81 children, 29 males and 52 females aged 3-16 years were examined. Each child was still actively engaged in the digit sucking habit. Subjects were divided into 3 age groups--3-6 years, 7-10 years and 11 years and above. The dentofacial effects of the habit on each subject were assessed. Increased overjet was observed in 63-705 of the children in the different age groups while the occurrence of anterior open bite ranged from 33.3% to 80% declining in frequency with increase in age. Unilateral posterior crossbite was observed in 8.65 of children while no case of bilateral crossbite was observed. Lip incompetence occurred in 51.8% of children examined, occurring most frequently in the oldest age group. Class 2 skeletal pattern was observed in 22.2% of the sample population. Results show that malocclusion is a frequent result of digit sucking especially when prolonged. There is a need to increase social awareness of the detrimental effects of this habit and if necessary offer alternative non-nutritive sucking methods.

摘要

吮指(拇指或手指)是最常见的口腔习惯,在幼儿中很常见。近年来,随着尼日利亚口腔习惯患病率的上升,这种习惯对牙颌面的影响预计也会增加。在这项研究中,对81名3至16岁的儿童进行了检查,其中29名男性,52名女性。每个孩子仍在积极地保持吮指习惯。受试者被分为3个年龄组——3至6岁、7至10岁和11岁及以上。评估了这种习惯对每个受试者的牙颌面影响。在不同年龄组的儿童中,63%至70.5%的儿童出现了覆盖增加,而前牙开颌的发生率在33.3%至80%之间,且随着年龄的增长频率下降。8.65%的儿童出现了单侧后牙反颌,未观察到双侧反颌病例。51.8%接受检查的儿童出现了唇闭合不全,在年龄最大的组中最为常见。22.2%的样本人群观察到了Ⅱ类骨骼型。结果表明,错颌畸形是吮指的常见后果,尤其是长期吮指时。有必要提高社会对这种习惯有害影响的认识,必要时提供替代的非营养性吮吸方法。

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