Department of Gnathology, University of L'Aquila, Italy.
Eur J Paediatr Dent. 2011 Dec;12(4):272-4.
The purpose of this study was to investigate the prevalence of hyperopia and strabismus among a paediatric population with malocclusions.
From a total of 322 consecutive patients observed at the department of Orthodontics and Gnathology, Dental Clinic, University of L'Aquila, 176 were selected for the study according to the exclusion criteria. Pretreatment diagnostic data, which included radiographic, cephalometric and dental cast evaluation, were recorded and presence of hyperopia or strabismus was assessed through an ophthalmological examination. Differences in incidence rates of strabismus or hyperopia by sex and malocclusion were analysed by using the chi-square (Pearson's chi-square test) and Fisher's exact tests.
According to the sagittal malocclusion, patients were classified as Class I (122), Class II division 1 (26), Class II Division 2 (9), or Class III (19); after ophthalmological examination, hyperopia was detected in 8.6% of patients, while strabismus was present in 3.6% of them. No gender influence was found for hyperopia, strabismus or malocclusion.
Few studies investigated a possible relationship between the ocular and stomatognathic system, and no data are available in the scientific literature; the present study did not highlight differences in the prevalence of hyperopia or strabismus in the three Angle classes malocclusion.
The findings of the present study did not suggest a possible association between hyperopia or strabismus and sagittal malocclusion, but future studies are needed to confirm and explain this observation.
本研究旨在调查错颌畸形儿童中远视和斜视的患病率。
从正畸和颌面科牙科诊所的 322 名连续患者中,根据排除标准选择了 176 名患者进行研究。记录了治疗前的诊断数据,包括影像学、头颅侧位片和牙模评估,通过眼科检查评估远视或斜视的存在。通过卡方检验(皮尔逊卡方检验)和 Fisher 确切概率法分析斜视或远视的发生率与性别和错颌类型的差异。
根据矢状位错颌类型,患者分为Ⅰ类(122 例)、Ⅱ类 1 分(26 例)、Ⅱ类 2 分(9 例)或Ⅲ类(19 例);经过眼科检查,8.6%的患者存在远视,3.6%的患者存在斜视。远视、斜视或错颌类型与性别无关。
很少有研究调查眼与口腔颌面部系统之间的可能关系,科学文献中也没有相关数据;本研究未发现三种安氏错颌类型中远视或斜视的患病率存在差异。
本研究结果提示远视或斜视与矢状位错颌之间可能没有关联,但需要进一步的研究来证实和解释这一观察结果。