Department of Health Sciences, School of Dentistry, University of L'Aquila, Italy.
Eur J Paediatr Dent. 2012 Oct;13(3 Suppl):256-8.
The purpose of this study was to investigate the prevalence of myopia among a paediatric population with malocclusions.
A total of 322 consecutive patients of the department of Orthodontics and Gnathology, Dental Clinic, University of L'Aquila, were enlisted for the study and 292 were selected according to the exclusion criteria. Pretreatment diagnostic data, which included radiographic cephalometric and dental cast evaluation, were recorded and presence of myopia was assessed through an ophthalmological examination. Differences in the prevalence of myopia by sex and malocclusion were analysed by using Pearson's chi-square and Fisher's exact tests.
According to the sagittal malocclusion, patients were classified as Class I (N=162), Class II division 1 (N=75), Class II division 2 (N=38), or Class III (N=12). No gender influence was found for myopia or malocclusion. No differences were recorded when analysing the influence of sex on the prevalence of myopia in classes of malocclusion. A statistical significant higher prevalence was found for subjects showing myopia in Class II division 1 malocclusion, while no other significant differences were found for prevalence in the other classes of malocclusions.
Few studies investigated a possible relationship between the ocular and stomatognathic system, and no data are available in the scientific literature. A higher prevalence of myopia was found in patients with Class II division 1: as expected no other significant association was found.
The findings of the present study suggest a possible association between myopia and Class II, but further studies are needed to confirm and explain this observation.
本研究旨在调查伴有错颌畸形的儿科人群中近视的患病率。
共纳入意大利拉奎拉大学口腔正畸和口腔颌面科的 322 名连续患者,并根据排除标准选择了 292 名患者。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,并通过眼科检查评估近视的存在。采用 Pearson's chi-square 和 Fisher's exact 检验分析近视患病率在性别和错颌类型中的差异。
根据矢状面错颌类型,患者被分为 I 类(N=162)、II 类 1 分(N=75)、II 类 2 分(N=38)或 III 类(N=12)。近视或错颌类型无性别影响。分析性别对不同错颌类型中近视患病率的影响时,未发现差异。在 II 类 1 分错颌的患者中,发现近视的患病率明显更高,而在其他错颌类型中未发现其他显著差异。
少数研究调查了眼与口腔颌面部系统之间的可能关系,但科学文献中尚无数据。在 II 类 1 分错颌的患者中发现了更高的近视患病率:正如预期的那样,未发现其他显著相关性。
本研究的结果提示近视与 II 类错颌之间可能存在关联,但需要进一步研究来证实和解释这一观察结果。