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单侧唇腭裂中国男童的牙颌骨成熟度。

Dental and skeletal maturation of Chinese male children with unilateral cleft lip and palate.

机构信息

Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, 200011 Shanghai, China.

出版信息

J Clin Pediatr Dent. 2024 Mar;48(2):40-46. doi: 10.22514/jocpd.2024.032. Epub 2024 Mar 3.

Abstract

The aim of this study was to determine whether the relationship between dental age (DA), cervical stage (CS) and chronological age (CA) in Chinese male children with unilateral cleft lip and palate (UCLP) is similar to that of children without clefts. Panoramic and cephalometric radiographs of 105 male UCLP patients, aged from 8 to 16 years, were collected and compared to 210 age-matched healthy control males. The Demirjian and cervical vertebral maturation (CVM) methods were used to visually examine the radiographs and Spearman's correlation analysis was used to identify differences between the two groups with regards to CS, DA and CA. There was a significant positive correlation between DA and CA in both groups and the mean CA-DA difference was significantly higher in children with UCLP when compared to controls (0.319 0.003, < 0.05). A significant delay in tooth development was detected in UCLP children from 10 to 12 years-of-age. Both the UCLP and control groups showed high correlations between CS and DA. Calcification stage D appeared only before CS3; however, from CS5 to 6, all teeth have almost completed their maturation phase. Chinese male UCLP patients are likely to experience delayed tooth development compared to healthy controls, especially during the fast-growing period. Evaluating the stages of tooth mineralization could represent a rapid method to assess growth potential.

摘要

本研究旨在确定中国单侧唇腭裂(UCLP)男性儿童的牙龄(DA)、颈椎成熟度(CS)和实际年龄(CA)之间的关系是否与无腭裂儿童相似。收集了 105 名 8 至 16 岁的单侧唇腭裂男性患者的全景和头颅侧位片,并与 210 名年龄匹配的健康男性对照组进行了比较。使用 Demirjian 和颈椎成熟度(CVM)方法对 X 光片进行直观检查,并使用 Spearman 相关分析比较两组之间 CS、DA 和 CA 的差异。两组中 DA 与 CA 均呈显著正相关,与对照组相比,UCLP 儿童的平均 CA-DA 差值明显更高(0.319 0.003, < 0.05)。在 10 至 12 岁的 UCLP 儿童中,发现牙齿发育明显延迟。UCLP 和对照组之间 CS 和 DA 之间均呈高度相关。钙化阶段 D 仅出现在 CS3 之前;然而,从 CS5 到 CS6,所有牙齿几乎都已完成成熟阶段。与健康对照组相比,中国男性 UCLP 患者的牙齿发育可能延迟,尤其是在快速生长期间。评估牙齿矿化阶段可能代表一种快速评估生长潜力的方法。

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