Alyami Bandar
Department of Preventive Dentistry, Faculty of Dentistry, Najran University, Najran, Saudi Arabia.
Contemp Clin Dent. 2023 Apr-Jun;14(2):123-127. doi: 10.4103/ccd.ccd_155_21. Epub 2022 Nov 28.
The early tooth loss has an adverse effect on the overall well-being of an individual. The aim of the current study was to highlight the orthodontic complications of long-term tooth loss in the city of Najran.
This was a cohort study of patients presenting for orthodontic rehabilitation. A total of 326 patients that presented for orthodontic rehabilitation were examined clinically and data such as age, gender, number of missing teeth, missing teeth, duration of missing teeth, tipping, and overerupted and rotated teeth were recorded. Patients that can be treated with orthodontic space closure were excluded from the study. Patients' data were analyzed using IBM SPSS Statistics and results were presented as simple frequencies and descriptive statistics.
Out of 326 patients that presented for orthodontic rehabilitation, 259 patients had missing teeth with its sequelae that will demand prosthodontic rehabilitation with a prevalence rate of 79.4%. There are 97 (37.5%) males and 162 (62.5%) females with M:F ratio of 1:1.7. The age ranged from 15 to 52 years with mean ± standard deviation (28.5 ± 8.5). The age group 21-30 years constitutes the group with the highest number of missing teeth. A total number of 595 (60.2%) teeth were missing, 173 (17.5%) teeth were tipped, and 124 (12.5%) teeth were overerupted, whereas only 97 (9.8%) teeth were rotated ( = 989). Fixed orthodontic appliances (FOAs) were used for all cases with rotation and FOAs + Mini Screws were used for all cases with tipping, overeruption, and/or combinations. The dental loss was managed by prosthesis depending on patients' choice and financial capability ranging from removable/fixed prosthesis and dental implants.
Orthodontic consequences of early tooth loss include tipping and rotation of adjacent teeth and overeruption of opposing teeth. Early acknowledgment of tooth replacement after tooth loss is essential in preventing long-term orthodontic adverse effects.
早期牙齿缺失会对个体的整体健康产生不利影响。本研究的目的是强调纳季兰市长期牙齿缺失的正畸并发症。
这是一项对前来接受正畸修复的患者进行的队列研究。对总共326名前来接受正畸修复的患者进行了临床检查，并记录了年龄、性别、缺失牙数量、缺失牙、缺失牙持续时间、倾斜牙、过度萌出牙和旋转牙等数据。可通过正畸关闭间隙治疗的患者被排除在研究之外。使用IBM SPSS Statistics对患者数据进行分析，结果以简单频率和描述性统计呈现。
在326名前来接受正畸修复的患者中，259名患者有牙齿缺失及其后遗症，需要进行修复治疗，患病率为79.4%。男性97名（37.5%），女性162名（62.5%），男女比例为1:1.7。年龄范围为15至52岁，平均±标准差为（28.5±8.5）。21至30岁年龄组的缺失牙数量最多。总共595颗（60.2%）牙齿缺失，173颗（17.5%）牙齿倾斜，124颗（12.5%）牙齿过度萌出，而只有97颗（9.8%）牙齿旋转（n = 989）。所有旋转病例均使用固定正畸矫治器（FOAs），所有倾斜、过度萌出和/或合并病例均使用FOAs + 微型螺钉。根据患者的选择和经济能力，通过假体治疗牙齿缺失，包括可摘/固定假体和牙种植体。
早期牙齿缺失的正畸后果包括相邻牙齿的倾斜和旋转以及对颌牙齿的过度萌出。牙齿缺失后尽早认识到牙齿替换对于预防长期正畸不良反应至关重要。
