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[个别正常牙合儿童乳牙在牙尖交错位的牙合接触]

[Occlusal contact of primary dentition at intercuspal position in children with individual normal occlusion].

作者信息

Shi W H, Wang D D, Tang Z W, Xia B, Qin M, Wang Y Y

机构信息

Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Disease & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2021 Sep 9;56(9):873-879. doi: 10.3760/cma.j.cn112144-20210514-00237.

Abstract

To record occlusal contact of primary dentition at maximal intercuspal position in children with individual normal occlusion. A total of 57 children were recruited from patients of the Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology. Inclusion criteria were that the subjects were 3-5 years old with no visually detectable caries or pupal and periapical diseases, had complete primary dentition, had individual normal occlusion, had normal function of craniofacial system, were medically healthy, could cooperate with sampling and had obtained written informed consent from the parents or guardians. Finally, forty-seven children aged 3 to 5 years old were enrolled, including 24 males and 23 females. The age, height and weight of all subjects were (4.1±0.7) years old (ranging 3.0-5.8 years old), (103.7±7.2) cm (ranging 90-120 cm) and (17.1±2.5) kg (ranging 12.5-22.5 kg), respectively. Occlusal abilities such as occlusal contact area, average bite pressure, maximum bite pressure, maximum bite force and occlusal balance were measured with Dental Prescale Ⅱ system. Maximum bite force and occlusal contact area at intercuspal position in children with primary dentition were (567.40±223.84) N (ranging 226.7-1 154.6 N) and (18.56±6.54) mm (ranging 8.4-41.2 mm), respectively. There was a significantly strong correlation between maximum bite force and occlusal contact area (=0.954, <0.01). Height and weight of children were also positively correlated with their maximum bite force (=0.397, =0.022 and =0.453, =0.008, respectively). Maximum occlusal bite force and contact occlusal area of boys [(651.80±224.34) N and (20.77±6.97) mm] were significantly higher and larger than those of girls [(479.34±190.45) N and (16.25±5.27) mm] (<0.05). Thirty-two of all 47 children had one occlusal contact point with maximum bite pressure, mostly locating within the primary molar region. Bite forces of anterior and posterior teeth of primary dentition were (124.12±56.99) N and (450.11±205.09) N, respectively, about (21.82±11.40)% and (71.80±21.35)% of maximum bite force of the whole primary dentition. All of the occlusal balance points located in posterior teeth regions. Occlusal contacts were observed at both anterior and posterior teeth of primary dentition with individual normal occlusion. There was a great variation of maximum bite forces of primary dentitions at intercuspal position of children with individual normal occlusion. Maximum bite force of primary dentition was significantly correlated with occlusal contact area, height and weight of children. Occlusal contact points with maximum bite pressure and occlusal bite balance points of primary dentitions mostly located in primary molar regions.

摘要

记录个别正常 咬合儿童乳牙列在牙尖交错位时的 咬合接触情况。从北京大学口腔医 院儿童口腔科患者中招募了57名儿 童。纳入标准为:受试者年龄3至5 岁,无肉眼可见的龋病、牙髓病及 根尖周病,乳牙列完整,为个别正 常咬合,颅面系统功能正常,身体 健康,能配合采样,并获得家长或 监护人的书面知情同意。最终,纳 入了47名3至5岁的儿童,其中男 童24名,女童23名。所有受试者的 年龄、身高和体重分别为(4.1±0.7) 岁(范围3.0至5.8岁)、(103.7±7.2) cm(范围90至120 cm)和(17.1±2.5) kg(范围12.5至22.5 kg)。使用 Dental PrescaleⅡ系统测量咬合接 触面积、平均咬合力、最大咬合力、 最大咬力及咬合平衡等咬合能力。 乳牙列儿童牙尖交错位时的最大咬 力和咬合接触面积分别为(567.40± 223.84)N(范围226.7至1 154.6 N) 和(18.56±6.54)mm(范围8.4至 41.2 mm)。最大咬力与咬合接触 面积之间存在显著的强相关性(r =0.954,P<0.01)。儿童的身高和 体重也与其最大咬力呈正相关(分 别为r =0.397,P =0.022和r =0.453, P =0.008)。男童的最大咬合咬力 和接触咬合面积[(651.80±224.34) N和(20.77±6.97)mm]显著高于 和大于女童[(479.34±190.45)N和 (16.25±5.27)mm](P<0.05)。47 名儿童中有32名在最大咬合力时有 一个咬合接触点,大多位于乳磨牙 区域。乳牙列前牙和后牙的咬力分 别为(124.12±56.99)N和(450.11± 205.09)N,分别约为整个乳牙列 最大咬力的(21.82±11.40)%和 (71.80±21.35)%。所有咬合平衡 点均位于后牙区域。在个别正常咬 合的乳牙列的前牙和后牙均观察到 了咬合接触。个别正常咬合儿童牙 尖交错位时乳牙列的最大咬力存在 很大差异。乳牙列的最大咬力与儿 童的咬合接触面积、身高和体重显 著相关。乳牙列最大咬压力时的咬 合接触点和咬合咬平衡点大多位于 乳磨牙区域。

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