Bindayel Naif A
Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia, Phone: +96614673591, e-mail:
J Contemp Dent Pract. 2018 May 1;19(5):477-482.
This study aims to investigate the occurrence of malocclusion in patients with orofacial pain and temporomandibular disorders (TMDs).
A total of 437 standard orthodontic screening forms at a craniofacial pain TMD center were utilized to collect the data for this retrospective study. In addition to patient's demographics and Angle's molar classification, the following data were collected: Overjet (OJ), overbite (OB), mandibular range of motion, and whether or not there was a posterior crossbite or prior history of orthodontic therapy. Analysis of variance (ANOVA) and chi-square tests were then used to detect any statistical significant difference of the secondary variables' distribution among the three malocclusion groups.
The majority of the studied population sample had a class I molar relationship (70.9%), followed by class II (21.1%) and class III molar relationship (8%). Overjet and OB were significantly increased for class II molar relationship group (p < 0.001), where no statistical differences could be identified for the mandibular range of motion between the groups. The prevalence of right and left posterior crossbite was about 12% for both, and most of the crossbites presented within class I molar group.
Class I followed by class II molar relationships were found to be the most occurring relationship in the studied population. Posterior crossbite presented in 12% of cases and mostly affected subjects with class I molar relationship.
These findings would aid in recognizing the studied population's orthodontic presentation and support the assessment of their transverse interventional needs.
本研究旨在调查口面部疼痛和颞下颌关节紊乱病(TMD)患者错牙合畸形的发生率。
本回顾性研究使用了颅面部疼痛TMD中心的437份标准正畸筛查表来收集数据。除了患者的人口统计学信息和安氏磨牙分类外,还收集了以下数据:覆盖(OJ)、覆牙合(OB)、下颌运动范围,以及是否存在后牙反牙合或正畸治疗史。然后使用方差分析(ANOVA)和卡方检验来检测三个错牙合畸形组之间次要变量分布的任何统计学显著差异。
研究人群样本中大多数为安氏I类磨牙关系(70.9%),其次是安氏II类(21.1%)和安氏III类磨牙关系(8%)。安氏II类磨牙关系组的覆盖和覆牙合显著增加(p < 0.001),而各组之间下颌运动范围无统计学差异。左右后牙反牙合的患病率均约为12%,且大多数反牙合出现在安氏I类磨牙组中。
在研究人群中,发现安氏I类其次是安氏II类磨牙关系是最常见的关系。12%的病例出现后牙反牙合,且主要影响安氏I类磨牙关系的受试者。
这些发现将有助于识别研究人群的正畸表现,并支持对其横向干预需求的评估。