Uslu Ozge, Akcam M Okan, Evirgen Sehrazat, Cebeci Ilker
Department of Orthodontics, Faculty of Dentistry, Ankara University, Besevler, Ankara, Turkey.
Am J Orthod Dentofacial Orthop. 2009 Mar;135(3):328-35. doi: 10.1016/j.ajodo.2007.03.030.
The purpose of this study was to evaluate the prevalence of dental anomalies in different orthodontic malocclusions.
Based on pretreatment diagnostic records, 900 orthodontic patients were classified as Class I (n = 358), Class II (n = 325), Class II Division 2 (n = 51), or Class III (n = 166). The occurrence rates of each dental anomaly were calculated as percentages of the total sample. Differences in incidence rates of each dental anomaly by sex and malocclusion were analyzed by using chi-square, Fisher exact, and z tests. The Mann-Whitney U test was used to determine whether there were significant differences in the occurrence of dental anomalies by age.
It was found that 40.3% of patients (n = 363) had at least 1 dental anomaly. Agenesis was the most common (21.6%), followed by dens evaginatus (6.2%), invaginatus (5.0%), pulp stones (4.2%), and impaction (2.9%). No statistically significant correlations were found between dental anomaly and type of malocclusion, with the exception of impaction and short or blunt roots (P <0.01 and P <0.05, respectively). The Mann-Whitney U test indicated no significant difference in dental anomalies by age.
A remarkably high rate of dental anomalies was recorded in orthodontic patients; therefore, orthodontists should carefully examine pretreatment records for dental anomalies to include their management in the treatment planning.
本研究旨在评估不同正畸错牙合畸形中牙齿异常的患病率。
根据治疗前的诊断记录,900名正畸患者被分为I类(n = 358)、II类(n = 325)、II类2分类(n = 51)或III类(n = 166)。计算每种牙齿异常的发生率占总样本的百分比。使用卡方检验、Fisher精确检验和z检验分析每种牙齿异常在性别和错牙合畸形方面的发生率差异。使用Mann-Whitney U检验确定牙齿异常的发生率在年龄方面是否存在显著差异。
发现40.3%的患者(n = 363)至少有1种牙齿异常。牙缺失是最常见的(21.6%),其次是畸形中央尖(6.2%)、牙内陷(5.0%)、髓石(4.2%)和阻生(2.9%)。除了阻生和短根或钝根外,牙齿异常与错牙合畸形类型之间未发现统计学上的显著相关性(分别为P <0.01和P <0.05)。Mann-Whitney U检验表明牙齿异常在年龄方面无显著差异。
正畸患者中记录到牙齿异常的发生率非常高;因此,正畸医生应仔细检查治疗前记录中的牙齿异常情况,以便在治疗计划中纳入对其的处理。