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巴西初级保健服务中幼儿错颌畸形的流行情况及其相关因素。

Prevalence of malocclusion in early childhood and its associated factors in a primary care service in Brazil.

机构信息

Universidade Federal do Rio Grande do Sul - UFRGS - Porto Alegre (RS), Brasil.

Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.

出版信息

Codas. 2021 Nov 22;34(2):e20210007. doi: 10.1590/2317-1782/20212021007. eCollection 2021.

DOI:10.1590/2317-1782/20212021007
PMID:34816947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9769416/
Abstract

PURPOSE

to evaluate the prevalence of malocclusion and its associated factors of children cared for by a PHC Service in Porto Alegre, Brazil.

METHODS

a cross-sectional study nested in a cohort, carried out in 12 Health Care Practices. Of the 414 children in the cohort examined, 268 were assessed for malocclusion. The presence of anterior open bite, posterior and anterior crossbite was evaluated by the criteria of Foster and Hamilton. Socioeconomic variables, breastfeeding habits and pacifier use information were collected through a standardized questionnaire. Data analysis was performed using a hierarchical approach by Poisson Regression with robust variance.

RESULTS

out of the total 268 evaluated, 135 (50.4%) were boys, and the average age was 28.6 (± 11.9) months. Out of the 143 (53.4%) cases of malocclusion, 113 were anterior open bite, 16 were anterior crossbite, 27 were posterior crossbite, and 38 had increased overjet. In the final analysis, it was observed that there was a higher prevalence of malocclusion in children who never breastfed (PR = 1.44; 95%CI 1.00-2.08) and who always used a pacifier to sleep (PR = 1.81; 95%CI 1.14-2.86).

CONCLUSION

the prevalence of malocclusion in this population was high and was associated with behavioral habits, such as the use of pacifier and not breastfeeding.

摘要

目的

评估巴西阿雷格里港初级卫生保健服务中儿童错颌畸形的流行情况及其相关因素。

方法

这是一项嵌套在队列研究中的横断面研究,在 12 个医疗保健实践中进行。在队列中检查的 414 名儿童中,有 268 名儿童评估了错颌畸形。采用 Foster 和 Hamilton 的标准评估了前开颌、后牙和前牙反颌的存在情况。通过标准化问卷收集了社会经济变量、母乳喂养习惯和奶嘴使用信息。使用 Poisson 回归的稳健方差进行分层分析进行数据分析。

结果

在评估的 268 名儿童中,有 135 名(50.4%)为男孩,平均年龄为 28.6(±11.9)个月。在 143 例(53.4%)错颌畸形中,有 113 例为前开颌,16 例为前牙反颌,27 例为后牙反颌,38 例为覆颌增加。在最终分析中,观察到从未母乳喂养(PR = 1.44;95%CI 1.00-2.08)和经常使用奶嘴入睡的儿童中,错颌畸形的患病率更高(PR = 1.81;95%CI 1.14-2.86)。

结论

该人群的错颌畸形患病率较高,与行为习惯有关,如使用奶嘴和非母乳喂养。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30eb/9769416/6a44139cefc7/codas-34-2-e20210007-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30eb/9769416/73f8d836dd24/codas-34-2-e20210007-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30eb/9769416/6a44139cefc7/codas-34-2-e20210007-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30eb/9769416/73f8d836dd24/codas-34-2-e20210007-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30eb/9769416/6a44139cefc7/codas-34-2-e20210007-g02.jpg

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