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[中国单侧完全性唇腭裂患儿的牙齿异常]

[Dental anomalies in Chinese children with complete unilateral cleft lip and palate].

作者信息

Fan Xin-xin, Li Jing, Ge Li-hong, Ma Lian

机构信息

Department of Pediatric Dentistry, Peking University School, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2011 May;46(5):263-6.

Abstract

OBJECTIVE

To investigate the prevalence of dental anomalies in Chinese children with complete unilateral cleft lip and palate (UCLP).

METHODS

Dental histories and radiographs of 244 Chinese children with UCLP were collected. The diagnosis of dental anomalies was based on panoramic radiographs before alveolar bone grafting. All patients were over 8 years old.

RESULTS

In the UCLP group, 66.8% of the patients was presented with hypodontia. The maxillary lateral incisors were the most common teeth affected, followed by maxillary second premolars, mandibular incisors and mandibular second premolars. A total of 33.6% the patients was presented with dental malformation, most were microdontic laterel incisors. A total of 4.9% the patients was presented with hyperdontia. The supernumerary teeth were more frequently found in the cleft region. The prevalence of missing maxillary lateral incisor in the noncleft side was statistically different between genders, which was higher in male (P < 0.050). This group of Chinese children with UCLP demonstrated significantly higher prevalence of hypodontia, hyperdontia, and malformation on the cleft side than on the noncleft side (P < 0.01).

CONCLUSIONS

Hypodontia is the most common type of dental anomalies. The prevalence of dental anomalies is higher in the UCLP patients than in the normal population. Dental anomalies occur more frequently on the cleft side than on the noncleft side.

摘要

目的

调查中国单侧完全性唇腭裂(UCLP)患儿牙齿异常的患病率。

方法

收集244例中国UCLP患儿的牙科病史和X线片。牙齿异常的诊断基于牙槽骨植骨术前的全景X线片。所有患者年龄均超过8岁。

结果

在UCLP组中,66.8%的患者存在牙齿缺失。上颌侧切牙是最常受影响的牙齿,其次是上颌第二前磨牙、下颌切牙和下颌第二前磨牙。共有33.6%的患者存在牙齿畸形,大多数是侧切牙过小。共有4.9%的患者存在多生牙。多生牙在腭裂区域更常见。非腭裂侧上颌侧切牙缺失的患病率在性别上有统计学差异,男性更高(P<0.050)。这组中国UCLP患儿腭裂侧牙齿缺失、多生牙和畸形的患病率明显高于非腭裂侧(P<0.01)。

结论

牙齿缺失是最常见的牙齿异常类型。UCLP患者牙齿异常的患病率高于正常人群。牙齿异常在腭裂侧比非腭裂侧更常见。

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