Masiulytė Viktorija, Žarovienė Alvyda, Švalkauskienė Vilma
Department of Orthodontics, Lithuanian University of Health Sciences, Lukšos Daumanto street 6, Kaunas, Lithuania.
Stomatologija. 2021;23(2):41-47.
Specific occlusion problems are caused by playing with wind and string musical instruments for a long time. The aim of the work was to establish the orthodontic problems among piano, string and wind instrument players.
The sample of the research included 167 students of musical education institutions in Lithuania. Participants were divided into three groups: 52 string (violin and viola) students, 46 wind students and 69 piano students as a control group. They were investigated clinically according to the ICON index. The facial profile was estimated and a questionnaire was given.
More than half of the participants had a convex facial profile, 37.7% - straight and only 4.2% - concave. In total 35.3% of participants and even 61.5% of string students had a crossbite. 1/3-2/3 overlap of the incisors was more frequent in wind instrument players group than in other groups. The average of all participants' ICON index reached 28.79±15.01 scores: higher values were estimated for violinists and males. Students with crossbite played more hours than without crossbite. A cusp-to-cusp molar relationship (4034.7 hours) was observed in players who played more hours.
Playing the violin might predispose crossbite and playing wind instruments - deep bite.
长时间演奏管乐器和弦乐器会导致特定的咬合问题。这项研究的目的是确定钢琴、弦乐器和管乐器演奏者中的正畸问题。
研究样本包括立陶宛音乐教育机构的167名学生。参与者分为三组:52名弦乐器(小提琴和中提琴)学生、46名管乐器学生和69名钢琴学生作为对照组。根据ICON指数对他们进行临床检查。评估面部轮廓并发放问卷。
超过一半的参与者面部轮廓凸出,37.7%为直面型,只有4.2%为凹面型。总共有35.3%的参与者,甚至61.5%的弦乐器学生有反咬合。管乐器演奏者组中切牙1/3 - 2/3重叠比其他组更常见。所有参与者的ICON指数平均达到28.79±15.01分:小提琴演奏者和男性的得分更高。有反咬合的学生比没有反咬合的学生练习时间更长。练习时间更长的演奏者中观察到尖对尖磨牙关系(4034.7小时)。
演奏小提琴可能易导致反咬合,而演奏管乐器易导致深覆咬合。