牙龄与错畸形的关系：系统评价。
Association between dental age and malocclusions: a systematic review.
机构信息
Department of Stomatology, Federal University of Paraná, Av. Prefeito Lothário Meissner 632, Jardim Botânico, Curitiba, Paraná, 80210-170, Brazil.
Department of Biomaterials, University of Uberaba, Av. Nenê Sabino 1801, Bairro Universitário, Uberaba, Minas Gerais, 38055-500, Brazil.
出版信息
BMC Oral Health. 2024 Mar 25;24(1):383. doi: 10.1186/s12903-024-04143-7.
BACKGROUND
The evidence in the literature suggests that some skeletal or dental malocclusions are involved with dental development, resulting in advanced or delayed dental age (DA). The purpose of this systematic review was to investigate the association between DA and different types of malocclusions.
METHODS
The search was carried out on PubMed, Scopus, Web of Science, Virtual Health Library, and in the gray literature. Observational studies that evaluated the association between DA and sagittal, vertical, or transversal malocclusions were included. The quality assessment was performed using the Newcastle-Ottawa Scale (NOS). The data from primary studies were narratively synthesized. The certainty of evidence was evaluated using the GRADE approach. The study was conducted from August 2023 to October 2023.
RESULTS
One Thousand Nine Hundred Ninety-One records were identified in the initial search. Twenty (n = 20) studies were included. Most of the studies (n=15) presented a moderate quality according to NOS. Twelve studies evaluated the association between DA and sagittal discrepancies; eight studies evaluated vertical discrepancies, and only one study analyzed a transversal discrepancy. Demirjian's method for DA assessment was the most used among the studies. The primary studies observed that patients of both sexes presenting a vertical growth pattern and males with skeletal Class III malocclusion tend to have advanced DA. The study that investigated transversal malocclusion found that unilateral posterior cross-bite is associated with delayed DA. The certainty of evidence was very low for all outcomes evaluated.
CONCLUSION
DA may be associated with the type of malocclusion. It is suggested that DA can be used as an initial diagnostic tool in orthodontics. Future well-designed studies should be performed in order to investigate the association between DA and different types of malocclusions in more detail.
TRIAL REGISTRATION
This study was registered in the PROSPERO database (CRD42023454207).
背景
文献中的证据表明，一些骨骼或牙齿的错颌畸形与牙齿发育有关，导致牙龄（DA）提前或延迟。本系统评价的目的是研究 DA 与不同类型错颌的关系。
方法
在 PubMed、Scopus、Web of Science、Virtual Health Library 和灰色文献中进行了检索。纳入了评估 DA 与矢状、垂直或横向错颌关系的观察性研究。使用纽卡斯尔-渥太华量表（NOS）进行质量评估。对主要研究的数据进行了叙述性综合。使用 GRADE 方法评估证据的确定性。研究于 2023 年 8 月至 2023 年 10 月进行。
结果
初始搜索中确定了 1991 条记录。纳入了 20 项研究（n=20）。根据 NOS，大多数研究（n=15）质量为中度。12 项研究评估了 DA 与矢状差异的关系；8 项研究评估了垂直差异，只有一项研究分析了横向差异。Demirjian 方法是研究中最常用的 DA 评估方法。研究观察到，呈现垂直生长模式的两性患者和骨骼 III 类错颌的男性患者倾向于具有提前的 DA。研究发现单侧后牙反合与延迟的 DA 相关。所有评估结果的证据确定性都非常低。
结论
DA 可能与错颌类型有关。建议 DA 可作为正畸的初始诊断工具。为了更详细地研究 DA 与不同类型错颌的关系，应进行更多的设计良好的未来研究。
试验注册
本研究在 PROSPERO 数据库（CRD42023454207）中进行了注册。
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