Krooks Laura, Pirttiniemi Pertti, Kanavakis Georgios, Lähdesmäki Raija
a Oral Development and Orthodontics, Unit of Oral Health Sciences, Medical Faculty , University of Oulu , Oulu , Finland ;
b Oulu University Hospital, Medical Research Centre Oulu , Oulu , Finland ;
Acta Odontol Scand. 2016 Jul;74(5):362-7. doi: 10.3109/00016357.2016.1151547. Epub 2016 Mar 3.
Objective The aim of the study was to examine the prevalence of malocclusion traits and the extent of orthodontic treatment in a Finnish adult population. Materials and methods The study population comprised subjects (n = 1964) from the Northern Finland Birth Cohort 1966 living in the city of Oulu and within 100 km of it. A clinical oral and dental examination with registration of occlusion was carried out in 2012 in connection with a 46-year follow-up survey. Data on previous orthodontic treatment were collected based on a questionnaire. Results In the clinical examination, 39.5% of the subjects had at least one malocclusion trait. The most common malocclusion traits were lateral crossbite (17.9%), overbite ≥ 6 mm (11.7%) and overjet ≥ 6 mm (9.7%). Crossbite on the left premolars, negative overjet and increased overbite were found more frequently in men. The prevalence of malocclusion traits was at the same level in treated and untreated groups. Overall, 18.6% of the subjects had undergone orthodontic treatment. Women showed a significantly higher prevalence of orthodontic treatment. Conclusions The most common malocclusion trait in the present study was lateral crossbite. Significant male dominance in the prevalence of malocclusion was observed, which has not been reported earlier in Finland. Orthodontic treatment of malocclusion traits was more common among females in Northern Finland. This study indicates that orthodontic treatment provided in childhood was, on average, adequate in reducing malocclusion traits to the level observed in the general population.
目的 本研究旨在调查芬兰成年人群中错颌畸形特征的患病率以及正畸治疗的程度。
材料与方法 研究人群包括来自1966年芬兰北部出生队列、居住在奥卢市及其周边100公里范围内的受试者(n = 1964)。2012年,在一项46年的随访调查中,进行了临床口腔和牙齿检查,并记录咬合情况。基于问卷收集既往正畸治疗的数据。
结果 在临床检查中,39.5%的受试者至少有一项错颌畸形特征。最常见的错颌畸形特征是侧方反颌(17.9%)、覆颌≥6mm(11.7%)和覆盖≥6mm(9.7%)。男性左侧前磨牙反颌、负覆盖和覆颌增加的情况更为常见。错颌畸形特征在接受治疗和未接受治疗的组中患病率处于同一水平。总体而言,18.6%的受试者接受过正畸治疗。女性正畸治疗的患病率显著更高。
结论 本研究中最常见的错颌畸形特征是侧方反颌。观察到男性在错颌畸形患病率方面占显著优势,这在芬兰此前尚未有报道。芬兰北部女性对错颌畸形特征进行正畸治疗更为常见。本研究表明,儿童时期接受的正畸治疗平均而言在将错颌畸形特征降低至一般人群中观察到的水平方面是足够的。