Bernabé Eduardo, de Oliveira Cesar Messias, Sheiham Aubrey
Unidad de Investigación en Salud Pública Dental, Departamento de Odontología Social, Universidad Peruana Cayetano Heredia, Lima, Perú.
Eur J Oral Sci. 2007 Dec;115(6):473-8. doi: 10.1111/j.1600-0722.2007.00486.x.
The aim of this study was to assess the association between different anterior occlusal traits and the presence of condition-specific sociodental impacts on the quality of life attributed to malocclusion. For that, 1,318 15-16-yr-old adolescents were randomly selected from children attending all secondary schools in Bauru, Brazil. Participants were first interviewed and then dentally examined. Condition-specific impacts (CSI) attributed to malocclusion were calculated using the Oral Impacts on Daily Performances (OIDP index). Nine anterior occlusal traits were evaluated: maxillary and mandibular overjet; openbite and overbite; centreline deviation; dental crowding and spacing; and maxillary and mandibular irregularity. Statistical associations were tested using binary logistic regression analysis. The prevalence of CSI attributed to malocclusions was 21.2%. Of the nine occlusal traits evaluated, maxillary and mandibular overjet, centreline deviation, dental spacing, openbite, and maxillary irregularity were, in that order, directly associated with the presence of CSI attributed to malocclusion. No interaction term was identified. This study, designed to overcome the limitations found in the existing literature, supports the idea that malocclusion can affect social interaction and psychosocial wellbeing. Different anterior occlusal traits affected the quality of life differently.
本研究的目的是评估不同的前牙咬合特征与特定疾病的社会牙科学影响（归因于错牙合畸形对生活质量的影响）之间的关联。为此，从巴西鲍鲁市所有中学就读的儿童中随机抽取了1318名15至16岁的青少年。参与者首先接受访谈，然后进行牙科检查。使用日常表现的口腔影响（OIDP指数）计算归因于错牙合畸形的特定疾病影响（CSI）。评估了九种前牙咬合特征：上颌和下颌覆盖；开牙合和覆牙合；中线偏差；牙列拥挤和牙间隙；以及上颌和下颌不规则。使用二元逻辑回归分析测试统计关联。归因于错牙合畸形的CSI患病率为21.2%。在所评估的九种咬合特征中，上颌和下颌覆盖、中线偏差、牙间隙、开牙合和上颌不规则依次与归因于错牙合畸形的CSI的存在直接相关。未发现交互项。本研究旨在克服现有文献中发现的局限性，支持错牙合畸形会影响社会互动和心理社会福祉的观点。不同的前牙咬合特征对生活质量的影响不同。
