短舌系带与错牙合畸形的关系。一项多中心研究。
Relationship between short lingual frenulum and malocclusion. A multicentre study.
作者信息
Calvo-Henríquez Christian, Neves Silvia Martins, Branco Ana María, Lechien Jerome R, Reinoso Frank Betances, Rojas Xenia Mota, O'Connor-Reina Carlos, González-Guijarro Isabel, Martínez Capoccioni Gabriel
机构信息
Rhinology Study Group of the Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Paris, France; Service of Otolaryngology, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.
MyFace Clinics and Academy, Lisbon, Portugal.
出版信息
Acta Otorrinolaringol Esp (Engl Ed). 2021 Jul 20. doi: 10.1016/j.otorri.2021.01.002.
OBJECTIVE
Ankyloglossia is characterized by an abnormally short lingual frenulum, which impairs tongue movement. Ankyloglossia has been related to craniofacial growth disturbances and dental malocclusion. But even though there is a clear biological plausibility for this hypothesis, available evidence is scarce.
METHODS
A case-control design was followed. Patients between 4 and 14 years old were routinely screened for short lingual frenulum and recruited from the pediatric Otolaryngology consultation of 3 Spanish tertiary referral hospitals. Lingual frenulum was assessed with the Marchesan system. A cohort of cases with short lingual frenulum and a cohort of healthy controls matched for sex and age were included. Both cases and controls had pictures of occlusion. Occlusion was evaluated by an expert in orthodontics, blinded for the frenulum assessment.
RESULTS
A total of 100 participants were included, 70 males and 30 females. The proportion of malocclusion in the short lingual frenulum group was 48%, while it was 24% in the normal frenulum group. The odds ratio of malocclusion for the short lingual frenulum patients was 2.92 (CI 95% 1.15-7.56). The difference was statistically significant (p=.012). This difference was significant for patients with class III occlusion (p=.029). There was no difference for patients with class II (p=.317).
CONCLUSIONS
This work supports the hypothesis that relates class III malocclusion with a short lingual frenulum.
目的
舌系带过短的特征是舌系带异常短，这会损害舌头运动。舌系带过短与颅面生长紊乱和牙列错合有关。但尽管这一假说有明确的生物学合理性，现有证据却很稀少。
方法
采用病例对照设计。对4至14岁的患者进行常规舌系带过短筛查，这些患者从3家西班牙三级转诊医院的儿科耳鼻喉科会诊中招募。使用马尔切桑系统评估舌系带。纳入一组舌系带过短的病例和一组按性别和年龄匹配的健康对照。病例组和对照组都有咬合图片。由一位正畸专家在不知道舌系带评估结果的情况下评估咬合情况。
结果
共纳入100名参与者，其中男性70名，女性30名。舌系带过短组的错合比例为48%，而正常舌系带组为24%。舌系带过短患者错合的优势比为2.92（95%置信区间1.15 - 7.56）。差异具有统计学意义（p = 0.012）。对于III类错合患者，这种差异具有显著性（p = 0.029）。对于II类患者没有差异（p = 0.317）。
结论
这项研究支持III类错合与舌系带过短相关的假说。
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