Lee You-Sun, Lee Ji-Yeon
Department of Orthodontics, Korea University Anam Hospital, Seoul, Korea.
Department of Orthodontics, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Korean J Orthod. 2024 May 25;54(3):185-195. doi: 10.4041/kjod24.004. Epub 2024 Apr 30.
This study aimed to retrospectively analyze the prevalence of orthodontic problems and the proportion of patients who underwent orthodontic diagnosis among children aged 6 (n = 300), 7 (n = 400), and 8 (n = 400) years who had undergone panoramic radiography.
Children were divided into five groups according to their chief complaint and consultation: conservative dentistry, oral and maxillofacial surgery, orthodontics, periodontics, and prosthodontics). Chief complaints investigated included first molar eruption, lack of space for incisor eruption, frequency of eruption problems, lack of space, impaction, supernumerary teeth (SNT), missing teeth, and ectropion eruption. The number of patients whose chief complaint was not related to orthodontics but had dental problems requiring orthodontic treatment was counted. The proportion of patients with orthodontic problems who received an orthodontic diagnosis was also examined.
Dental trauma and SNT were the most frequent chief complaints among the children. The proportion of patients with orthodontic problems increased with age. However, the orthodontic diagnosis rates based on panoramic radiographs among children aged 6, 7, 8 years were only 1.5% (6 years) and 23% (7 and 8 years).
Accurate information should be provided to patient caregivers to correct misconceptions regarding the appropriateness of delaying orthodontic examination until permanent dentition is established.
本研究旨在回顾性分析接受全景X线摄影的6岁（n = 300）、7岁（n = 400）和8岁（n = 400）儿童正畸问题的患病率以及接受正畸诊断的患者比例。
根据主要诉求和咨询情况将儿童分为五组：保守牙科、口腔颌面外科、正畸科、牙周病科和修复科。调查的主要诉求包括第一恒磨牙萌出、切牙萌出空间不足、萌出问题的发生率、空间不足、阻生、多生牙、牙齿缺失和异位萌出。统计主要诉求与正畸无关但有需要正畸治疗的牙齿问题的患者数量。还检查了接受正畸诊断的正畸问题患者的比例。
牙外伤和多生牙是儿童中最常见的主要诉求。正畸问题患者的比例随年龄增长而增加。然而，6岁、7岁、8岁儿童基于全景X线片的正畸诊断率分别仅为1.5%（6岁）和23%（7岁和8岁）。
应向患者护理人员提供准确信息，以纠正关于将正畸检查推迟到恒牙列形成后是否合适的误解。
