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混合牙列期公立学校学生错颌畸形的流行情况及其与乳牙早失的关系。

Prevalence of malocclusion in public school students in the mixed dentition phase and its association with early loss of deciduous teeth.

机构信息

Universidade Federal de Santa Catarina, Centro de Ciências Biológicas, Departamento de Odontologia, (Florianópolis/SC, Brazil).

Universidade Franciscana, Departamento de Odontologia (Santa Maria/RS, Brazil).

出版信息

Dental Press J Orthod. 2022 Sep 23;27(4):e2220120. doi: 10.1590/2177-6709.27.4.e2220120.oar. eCollection 2022.

Abstract

OBJECTIVE

To determine the prevalence of malocclusion and its association with the early loss of deciduous teeth and other factors in children in the mixed dentition phase, aged six to eight years, enrolled in public schools in southern Brazil.

METHODS

A cross-sectional study was conducted with a representative sample of 528 children from municipal public schools in 2009. Data collection involved a clinical examination for the determination of early tooth loss, dental caries, tongue pressure and malocclusion (outcome), as well as the administration of a questionnaire. Poisson regression analysis with robust variance was used to model the association between malocclusion and the independent variables.

RESULTS

The prevalence of malocclusion and early tooth loss was 69.1% and 21.8%, respectively. In the raw data analysis, malocclusion was associated with age, early tooth loss, dental caries and tongue pressure. After the adjustment, the likelihood of malocclusion was greater among children older than eight years, those who exerted tongue pressure on the teeth and those with early tooth loss. The likelihood of malocclusion was 24% greater among children with early tooth loss, compared to those without tooth loss.

CONCLUSION

The early loss of deciduous teeth was associated with the occurrence of malocclusion in the children studied.

摘要

目的

调查巴西南部公立学校 6-8 岁混合牙列期儿童错颌畸形的流行情况及其与乳牙早失和其他因素的相关性。

方法

2009 年采用横断面研究方法,对巴西南部公立学校的 528 名儿童进行了有代表性的抽样调查。数据收集包括临床检查以确定乳牙早失、龋齿、舌压和错颌畸形(结局),以及问卷调查。采用稳健方差的 Poisson 回归分析来建立错颌畸形与各独立变量之间的关系。

结果

错颌畸形和乳牙早失的发生率分别为 69.1%和 21.8%。在原始数据分析中,错颌畸形与年龄、乳牙早失、龋齿和舌压有关。调整后,8 岁以上儿童、有牙咬舌习惯和有乳牙早失的儿童发生错颌畸形的可能性更大。与无乳牙早失的儿童相比,有乳牙早失的儿童发生错颌畸形的可能性高 24%。

结论

在本研究的儿童中,乳牙早失与错颌畸形的发生有关。

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