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儿童中耳炎与牙颌畸形的相关性研究:系统综述

Is there any correlation between otitis media and dental malocclusion in children? A systematic review.

机构信息

Department of Medical and Surgery Specialties, Radiological Sciences and Public Health, School of Pediatric Dentistry, University of Brescia, Dental Clinic, P.le Spedali Civili N.1, 25133, Brescia, Italy.

University of Insubria, Varese, Italy.

出版信息

Eur Arch Paediatr Dent. 2023 Aug;24(4):441-449. doi: 10.1007/s40368-023-00807-0. Epub 2023 Jun 20.

DOI:10.1007/s40368-023-00807-0
PMID:37338742
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10382365/
Abstract

PURPOSE

This study aims to evaluate whether there is a correlation between otitis and dental malocclusions.

METHODS

Electronic databases were searched for observational studies published until July 2021 without language or time restrictions.

PROSPERO

CRD42021270760. Observational studies on children with and without OM and/or malocclusion were included. After removing duplicates and excluding not-eligible articles, two reviewers screened relevant articles independently. Two reviewers independently extracted data and assessed data quality and validity through the Newcastle-Ottawa Scale (NOS) quality assessment tool for non-randomized studies.

RESULTS

Five studies met the selection inclusion criteria and were included in the studies for a total of 499 patients. Three studies investigated the relationship between malocclusion and otitis media, while the remaining two studies analyzed the inverse relationship and one of them considered eustachian tube dysfunction as a proxy of OM. An association between malocclusion and otitis media and vice versa emerged, although with relevant limitations.

CONCLUSION

There is some evidence that there is an association between otitis and malocclusion; however, it is not yet possible to establish a definitive correlation.

摘要

目的

本研究旨在评估中耳炎与牙齿错颌畸形之间是否存在相关性。

方法

对截至 2021 年 7 月发表的、无语言或时间限制的观察性研究进行电子数据库检索。

前瞻性研究注册

CRD42021270760。纳入研究对象为患有和不患有 OM 和/或错颌畸形的儿童。在去除重复项和排除不符合条件的文章后,两名评审员独立筛选相关文章。两名评审员独立提取数据,并通过非随机研究的纽卡斯尔-渥太华量表(NOS)质量评估工具评估数据质量和有效性。

结果

有 5 项研究符合选择纳入标准,并纳入了总共 499 名患者的研究。其中 3 项研究调查了错颌畸形与中耳炎之间的关系,而另外 2 项研究分析了相反的关系,其中一项将咽鼓管功能障碍视为 OM 的替代指标。尽管存在相关局限性,但仍有一些证据表明中耳炎与错颌畸形之间存在关联。

结论

有一些证据表明中耳炎与错颌畸形之间存在关联,但目前尚无法确定两者之间的明确相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac4f/10382365/698c758b5f4f/40368_2023_807_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac4f/10382365/698c758b5f4f/40368_2023_807_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac4f/10382365/698c758b5f4f/40368_2023_807_Fig1_HTML.jpg

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本文引用的文献

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Panel 7: Otitis Media: Treatment and Complications.
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Outcomes of Recurrent Acute Otitis Media in Children Treated for Dental Malocclusion: A Preliminary Report.治疗牙列不齐的儿童复发性急性中耳炎的结局:初步报告
Biomed Res Int. 2016;2016:2473059. doi: 10.1155/2016/2473059. Epub 2016 Nov 14.
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Craniofacial shape in children with and without a positive otitis media history.有和没有中耳炎病史的儿童的颅面形状。
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Management of recurrent otitis media with rapid maxillary expansion: our experience.快速上颌扩弓治疗复发性中耳炎:我们的经验
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Temporomandibular articulation in mandibular overclosure.下颌过度闭合时的颞下颌关节
J Am Dent Assoc. 1948 Feb;36(2):131-9. doi: 10.14219/jada.archive.1948.0021.
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