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基于牙大小-牙弓长度关系及某些头影测量参数对上颌和下颌牙弓混合牙列中牙列拥挤的评估。

Assessment of Dental Crowding Occurring in Mixed Dentition in Maxillary and Mandibular Arches Based on Tooth Size-Arch Length Relationships and Certain Cephalometric Parameters.

作者信息

Kandakkeel Fathimath Nihala, Nagar Priya, Saseendran Anagha, Syeda Nameeda Khaiser, Jenny Anisha, Bajaj Keshav

机构信息

Department of Pediatric and Preventive Dentistry, Krishnadevaraya College of Dental Sciences, Bengaluru, Karnataka, India.

Intern, Krishnadevaraya College of Dental Sciences, Bengaluru, Karnataka, India.

出版信息

Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):357-362. doi: 10.5005/jp-journals-10005-2574.

Abstract

AIM

The aim of the study is to find indicators of crowding in primary and mixed dentition that may lead to occurrence of dental crowding in future dentition using dental measurements.

MATERIALS AND METHODS

A sample of 300 children was selected and divided into two groups based on their age primary dentition and mixed dentition. Dental arch impressions were made and casts were poured. The study was then divided into two phases for assessment of degree of crowding by Little's irregularity index (LII) and by measurement of tooth size-arch length discrepancies. Appropriate statistical analysis was used to assess the correlation of measurements in crowded and noncrowded groups.

RESULTS

It was found that Little's index is less dependable as an indicator of anterior crowding. In the primary dentition, there is significant difference in inter-canine width between lower noncrowded and crowded dentition. In the mixed dentition, there is significant difference in Intermolar width between upper noncrowded and crowded dentition and in sum of incisors between noncrowded and crowded dentition in both the arches.

CONCLUSION

Little's index is not a reliable indicator of crowding in both primary and mixed dentition. Inter-canine width of lower arch can be considered as an indicator of crowding in primary dentition. The intermolar width of upper arch, sum of incisors in upper and lower arch and the intercanine width of upper and lower arch can be considered indicators of crowding in the mixed dentition.

HOW TO CITE THIS ARTICLE

Kandakkeel FN, Nagar P, Saseendran A, Assessment of Dental Crowding occurring in Mixed Dentition in Maxillary and Mandibular Arches based on Tooth Size-Arch Length Relationships and Certain Cephalometric Parameters. Int J Clin Pediatr Dent 2023;16(2):357-362.

摘要

目的

本研究的目的是通过牙齿测量找出乳牙列和混合牙列中可能导致未来牙列出现牙列拥挤的拥挤指标。

材料与方法

选取300名儿童作为样本,根据其年龄分为乳牙列组和混合牙列组。制取牙弓印模并灌注石膏模型。然后将研究分为两个阶段,通过利特尔不规则指数(LII)和测量牙齿大小与牙弓长度差异来评估拥挤程度。采用适当的统计分析方法评估拥挤组和非拥挤组测量值的相关性。

结果

发现利特尔指数作为前牙拥挤指标的可靠性较低。在乳牙列中,下牙列非拥挤组和拥挤组的尖牙间宽度存在显著差异。在混合牙列中,上牙列非拥挤组和拥挤组的磨牙间宽度以及上下牙弓非拥挤组和拥挤组的切牙总和均存在显著差异。

结论

利特尔指数在乳牙列和混合牙列中都不是可靠的拥挤指标。下牙弓的尖牙间宽度可被视为乳牙列拥挤的指标。上牙弓的磨牙间宽度、上下牙弓的切牙总和以及上下牙弓的尖牙间宽度可被视为混合牙列拥挤的指标。

如何引用本文

Kandakkeel FN, Nagar P, Saseendran A, 基于牙齿大小与牙弓长度关系及某些头影测量参数对上颌和下颌牙弓混合牙列中出现的牙列拥挤的评估。《国际临床儿科牙科学杂志》2023;16(2):357 - 362。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8e7/10373757/7ffecde4fd30/ijcpd-16-357-g001.jpg

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