Gokkaya B, Kargul B
Department of Pediatric Dentistry, Marmara University, Istanbul, Turkey.
Eur Arch Paediatr Dent. 2016 Feb;17(1):53-7. doi: 10.1007/s40368-015-0201-0. Epub 2015 Sep 29.
Was to investigate hypodontia and supernumerary teeth, in the same individual, which is termed 'concomitant hypo-hyperodontia' (CHH) and the frequency of CHH in a large sample of non-syndromic orthodontic patients.
In this retrospective study, the records were reviewed of 1236 Turkish orthodontic patients treated between 1994 and 2003 at Marmara University, Paediatric Clinics. Data were collected and analysed for differences in the distribution of hypodontia and supernumerary teeth, sex, and malocclusion type.
A total of 1236 orthodontic patients were included in this study. The mean age of children was 17.05 years (SD = 2.5). The prevalence of hypodontia was 7 % (82) and was more frequently found in girls. Concomitant hypo-hyperodontia was found in 9 children, involving 8 boys and 1 girl. The frequency of mesiodens in hypodontia patients with Class I, II, and Class III malocclusions was 3 (3 boys), 5 (5 boys) and 1 (1 girl), respectively. CHH prevalence was found 0.7 % (9 patients). The gender ratio was 0.2:1.1 for CHH.
Supernumerary teeth may lead to some clinical problems including malocclusions, aesthetic and functional complaints, and also psychological problems. Early diagnosis of the condition and multidisciplinary approach for management of such cases is recommended.
研究同一患者身上的缺牙症和多生牙,即所谓的“伴随性牙量不调”(CHH),以及在大量非综合征性正畸患者样本中CHH的发生率。
在这项回顾性研究中,对1994年至2003年期间在马尔马拉大学儿科诊所接受治疗的1236名土耳其正畸患者的记录进行了审查。收集并分析了有关缺牙症和多生牙分布、性别及错牙合类型差异的数据。
本研究共纳入1236名正畸患者。儿童的平均年龄为17.05岁(标准差=2.5)。缺牙症的患病率为7%(82例),且在女孩中更为常见。在9名儿童中发现了伴随性牙量不调,其中包括8名男孩和1名女孩。在安氏I类、II类和III类错牙合的缺牙症患者中,正中多生牙的发生率分别为3例(3名男孩)、5例(5名男孩)和1例(1名女孩)。CHH的患病率为0.7%(9例患者)。CHH的性别比为0.2:1.1。
多生牙可能导致一些临床问题,包括错牙合、美观和功能方面的问题,以及心理问题。建议对此类情况进行早期诊断并采用多学科方法进行管理。