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乳牙列反合矫治后恒牙磨牙的横向关系。

Transverse relationship of permanent molars after crossbite correction in deciduous dentition.

作者信息

Masucci Caterina, Cipriani Linda, Defraia Efisio, Franchi Lorenzo

机构信息

Department of Surgery and Translational Medicine, School of Dentistry, Unit of Orthodontics, University of Florence, Florence, Italy.

出版信息

Eur J Orthod. 2017 Oct 1;39(5):560-566. doi: 10.1093/ejo/cjw080.

Abstract

OBJECTIVE

To evaluate the transverse relationships of the first permanent molars after the correction of posterior crossbite performed during the deciduous dentition with two different treatment protocols.

MATERIALS/METHODS: Ninety patients (40 males and 50 females) with posterior crossbite were treated during the deciduous dentition with either a removable expansion plate (RP group, 60 patients) or rapid maxillary expander (RME group, 30 patients). The dental casts before treatment (T0, mean age 5.1 ± 0.7 years) and after treatment, when the first permanent molars were fully erupted, (T1, mean age 7.7 ± 1.0 years) were analysed. The prevalence rates for posterior crossbite on the first permanent molars in the two groups were compared by means of chi-squared test with Yates correction. A logistic regression was performed to evaluate the factors that could influence the presence/absence of posterior crossbite on the first permanent molars.

RESULTS

Prevalence rate of posterior crossbite on the first permanent molars at T1 was 34.4 per cent in the total sample, 28.3 per cent for the RP group and 46.6 per cent for the RME group. No significant predictors for the 'presence/absence of posterior crossbite on the first permanent molars' at T1 were found.

LIMITATIONS

Retrospective study.

CONCLUSIONS

After treatment of posterior crossbite during the deciduous dentition phase, the first permanent molars erupted in crossbite in the 34.4 per cent of the cases. The type of treatment is not a significant predictor for the presence of posterior crossbite on the first permanent molars.

摘要

目的

采用两种不同治疗方案评估乳牙列期后牙反合矫治后第一恒磨牙的横向关系。

材料/方法:90例后牙反合患者(40例男性,50例女性)在乳牙列期接受治疗,其中60例采用可摘式扩弓板(RP组),30例采用快速上颌扩弓器(RME组)。分析治疗前(T0,平均年龄5.1±0.7岁)及治疗后第一恒磨牙完全萌出时(T1,平均年龄7.7±1.0岁)的模型。采用Yates校正的卡方检验比较两组第一恒磨牙后牙反合的患病率。进行逻辑回归分析以评估可能影响第一恒磨牙后牙反合存在与否的因素。

结果

T1时全样本第一恒磨牙后牙反合患病率为34.4%,RP组为28.3%,RME组为46.6%。未发现T1时“第一恒磨牙后牙反合存在与否”的显著预测因素。

局限性

回顾性研究。

结论

乳牙列期后牙反合治疗后,34.4%的病例中第一恒磨牙萌出时出现反合。治疗方式并非第一恒磨牙后牙反合存在的显著预测因素。

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