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性早熟年轻女孩的错牙合及颌面特征

Malocclusion and maxillofacial characteristics of young girls having precocious puberty.

作者信息

de Paula Júnior Delcides Ferreira, Mendonça Elismauro Francisco, da Costa Paulo Sérgio Sucasas, Leles Cláudio Rodrigues

机构信息

Private Practice, Goiânia, GO, Brazil.

Department of Oral Medicine, School of Dentistry, Federal University of Goiás, Goiânia, GO, Brazil.

出版信息

Int J Paediatr Dent. 2018 Jun 21. doi: 10.1111/ipd.12374.

Abstract

AIM

This study aimed to evaluate the dentofacial characteristics and need for orthodontic treatment in young girls having precocious puberty (PP).

DESIGN

It was a cross-sectional study that included 39 girls, age ranging from 6 to 11 years old, with confirmed diagnosis of PP. The Dental Aesthetic Index (DAI) and the Index of Orthodontic Treatment Need (IOTN) were used to assess malocclusion and the need for orthodontic treatment, and cephalometric analysis was used for the diagnosis of facial growth abnormalities. Data analysis included descriptive statistics and one-sample t-test.

RESULTS

Findings revealed high prevalence (64.1%) of severe and very severe malocclusion (DAI grades 3-4), and 82.1% of cases were classified as having moderate to high treatment need (IOTN grades 3-4). All linear cephalometric measures and most of the angular parameters differed significantly from the reference values, indicating a tendency for Class II molar relationship. There was a high proportion of the sample outside the reference value limits, ranging from 79.5% of cases below the reference limits for facial height to 59.0% of cases above the limits for incisor-mandibular plane angle.

CONCLUSIONS

Results suggest that dental and craniofacial development may be associated with PP in young girls, which may be considered in the diagnosis and treatment decisions for orthopaedic/orthodontic intervention.

摘要

目的

本研究旨在评估性早熟(PP)女童的牙颌面特征及正畸治疗需求。

设计

这是一项横断面研究,纳入了39名确诊为PP的6至11岁女童。采用牙科美学指数(DAI)和正畸治疗需求指数(IOTN)评估错牙合畸形及正畸治疗需求,并通过头影测量分析诊断面部生长异常。数据分析包括描述性统计和单样本t检验。

结果

研究结果显示,严重和非常严重错牙合畸形(DAI 3 - 4级)的患病率较高(64.1%),82.1%的病例被归类为有中度至高治疗需求(IOTN 3 - 4级)。所有线性头影测量指标和大多数角度参数均与参考值有显著差异,表明有二类磨牙关系的倾向。样本中超出参考值范围的比例较高,从面部高度低于参考范围的病例占79.5%到切牙-下颌平面角高于参考范围的病例占59.0%不等。

结论

结果表明,年轻女童的牙齿和颅面发育可能与性早熟有关,这在正颌/正畸干预的诊断和治疗决策中可能需要考虑。

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