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坦桑尼亚班图族和芬兰儿童恒牙不同萌出阶段的咬合特征。

Occlusal characteristics during different emergence stages of the permanent dentition in Tanzanian Bantu and finnish children.

作者信息

Mugonzibwa Emeria A, Eskeli Ritva, Kuijpers-Jagtman Anne M, Laine-Alava Maija T, van't Hof Martin A

机构信息

Department of Preventive and Community Dentistry, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania.

出版信息

Eur J Orthod. 2004 Jun;26(3):251-60. doi: 10.1093/ejo/26.3.251.

Abstract

Occlusal characteristics and anomalies were studied among 869 (428 boys, 441 girls) Tanzanian Bantu children aged 3.5-16 years and 706 (319 boys, 387 girls) Finnish children aged 5-11 years during different emergence stages of the permanent dentition. Various occlusal variables were registered according to described criteria. Multiple linear regression, ANOVA, t-test, Chi-square and logistic regression models were used to test for various statistically significant differences between different subgroups. Significant differences between Tanzanians and Finns were found for malocclusion, neutral and distal molar occlusion, mean values for overjet and overbite, overjet greater than 5 mm, deep bite and anterior open bite (all P < 0.0001). The most prevalent anomalies among Tanzanians were anterior open bite (7-19 per cent), increased overjet (3-19 per cent) and distal molar occlusion (3-16 per cent). For the Finns, distal molar occlusion (18-38 per cent) was the most prevalent anomaly, followed by deep bite (4-22 per cent) and increased overjet (4-40 per cent). An anterior crossbite was rare and equally distributed among the two ethnic groups. Girls had a larger mean value for overbite (P = 0.003) and more often a deep bite (P < 0.01) than boys. Mandibular incisor crowding among children with neutral occlusion (Class I malocclusion) occurred significantly more often among Finnish than Tanzanian children. In conclusion, various developmental changes in occlusion were observed leading to variation in occlusal characteristics and anomalies according to the emergence stages of the permanent dentition. Most of the classic malocclusions occur among Tanzanian children, but the prevalence differs from that in other parts of the world.

摘要

在869名(428名男孩,441名女孩)年龄在3.5至16岁的坦桑尼亚班图儿童和706名(319名男孩,387名女孩)年龄在5至11岁的芬兰儿童恒牙不同萌出阶段,对其咬合特征和异常情况进行了研究。根据既定标准记录了各种咬合变量。使用多元线性回归、方差分析、t检验、卡方检验和逻辑回归模型来检验不同亚组之间的各种统计学显著差异。发现坦桑尼亚人和芬兰人在错牙合、中性和远中磨牙咬合、覆盖和覆牙合平均值、覆盖大于5毫米、深覆牙合和前牙开合(所有P<0.0001)方面存在显著差异。坦桑尼亚人当中最常见的异常情况是前牙开合(7%-19%)、覆盖增加(3%-19%)和远中磨牙咬合(3%-16%)。对于芬兰人来说,远中磨牙咬合(18%-38%)是最常见的异常情况,其次是深覆牙合(4%-22%)和覆盖增加(4%-40%)。前牙反牙合很少见,且在两个种族群体中分布均匀。女孩的覆牙合平均值更大(P = 0.003),且比男孩更常出现深覆牙合(P < 0.01)。在中性咬合(I类错牙合)儿童中,芬兰儿童下颌切牙拥挤的发生率显著高于坦桑尼亚儿童。总之,观察到咬合的各种发育变化,导致根据恒牙萌出阶段不同,咬合特征和异常情况存在差异。大多数典型的错牙合发生在坦桑尼亚儿童中,但患病率与世界其他地区不同。

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