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唐氏综合征人群错牙合畸形的患病率:一项横断面研究。

Prevalence of Malocclusions in Down Syndrome Population: A Cross-Sectional Study.

作者信息

Alessandri-Bonetti Anna, Guglielmi Federica, Mollo Antongiulia, Sangalli Linda, Gallenzi Patrizia

机构信息

Institute of Dental Clinic, A. Gemelli University Policlinic IRCCS, Catholic University of Sacred Heart, 00168 Rome, Italy.

College of Dental Medicine-Illinois, Midwestern University, 555 31st Street, Downers Grove, IL 60515, USA.

出版信息

Medicina (Kaunas). 2023 Sep 14;59(9):1657. doi: 10.3390/medicina59091657.

Abstract

: A higher prevalence of dental malocclusion has been suggested among individuals with Down Syndrome (DS) compared to controls, although no studies to date have investigated such a difference according to age group. Therefore, the aim of this study was to compare the prevalence of dental malocclusion and other orthodontic measures between DS and non-syndromic (non-DS) individuals across three age groups of children, adolescents, and adults. : This cross-sectional study was conducted on a total of 147 patients. Of those, 72 were diagnosed with DS and were divided into N = 15 children (<10 years), N = 23 adolescents (10-18 years) and N = 34 adults (>18 years). The remaining 75 patients were sex- and age-matched controls. The two groups were compared according to age group in terms of the prevalence of dental malocclusion, measures of sagittal, vertical, and transverse discrepancy, facial profile, and probable sleep bruxism with chi-square tests for proportion. : The DS patients consistently exhibited a higher prevalence of Class 3 malocclusion, concave profile and anterior crossbite compared to the non-DS patients, regardless of age group. The non-DS adolescents presented with a significantly higher prevalence of convex profile than the DS adolescents. The adolescent and adult DS patients most commonly presented with a maxillary transverse discrepancy and posterior crossbite compared to the non-DS controls. The DS adults had a higher prevalence of probable sleep bruxism. : Patients with DS showed a higher prevalence of Class 3 malocclusion, concave profile and anterior crossbite compared to non-DS controls, regardless of age group. Other orthodontic measures showed a fluctuation according to the age group considered.

摘要

与对照组相比,唐氏综合征(DS)患者的牙列错合患病率更高,尽管迄今为止尚无研究按年龄组调查这种差异。因此,本研究的目的是比较DS患者与非综合征(非DS)患者在儿童、青少年和成人三个年龄组中的牙列错合患病率及其他正畸指标。:本横断面研究共纳入147例患者。其中,72例被诊断为DS,分为N = 15名儿童(<10岁)、N = 23名青少年(10 - 18岁)和N = 34名成人(>18岁)。其余75例患者为性别和年龄匹配的对照组。两组按年龄组比较牙列错合患病率、矢状向、垂直向和横向差异测量值、面部轮廓以及可能的睡眠磨牙症,采用卡方检验进行比例比较。:与非DS患者相比,无论年龄组如何,DS患者始终表现出更高的III类错合患病率、凹面型和前牙反合患病率。非DS青少年的凸面型患病率显著高于DS青少年。与非DS对照组相比,DS青少年和成人患者最常见的是上颌横向差异和后牙反合。DS成人的可能睡眠磨牙症患病率更高。:与非DS对照组相比,无论年龄组如何,DS患者的III类错合患病率、凹面型和前牙反合患病率更高。其他正畸指标根据所考虑的年龄组有所波动。

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