Children's Health Sciences and Dentistry, Piracicaba Dental School, Universidade Estadual de Campinas (UNICAMP), Piracicaba, São Paulo, Brazil.
Department of Genetics, Laboratory of Statistical Genetics, Luiz de Queiroz College of Agriculture (ESALQ), University of São Paulo (USP), Piracicaba, São Paulo, Brazil.
Am J Orthod Dentofacial Orthop. 2024 Sep;166(3):244-251. doi: 10.1016/j.ajodo.2024.05.011. Epub 2024 Jun 25.
This study evaluated the probability of developing malocclusions in mixed dentition.
A longitudinal study was conducted with 598 children (aged 5 years) in deciduous dentition. The children were followed for 3 years until mixed dentition (aged 8 years). Overjet, overbite, and transversal relations were evaluated. Bayesian models were used to analyze the data and estimate the parameters.
The parameter θ was used for the distributions, indicating the probability of presenting a given condition with a credibility index (ICr) of 95%. After 3 years of follow-up, 121 children were reevaluated. The results showed that children have a high probability of malocclusion in mixed dentition. There was a higher probability of developing an increased overjet in the mixed dentition of 20.5% (ICr 95%, 13.6-28.4) to 48.3% (ICr 95%, 39.1-57.7) and a higher probability of having a normal overbite in the deciduous dentition and a lower probability in the mixed dentition (ICr 95%, 9.2-21.3).
Considering the probabilistic model of Bayesian analysis, children with normal overjet in the deciduous dentition may show an increased overjet in the mixed dentition. Concerning overbite, children may present an anterior open bite during the transition between deciduous and mixed dentition, as well as self-correction of deep overbite in mixed dentition. Furthermore, they may present a posterior crossbite during the mixed dentition when there is a normal transverse relationship in the deciduous dentition.
本研究评估了混合牙列中错牙合畸形发生的概率。
对 598 名(5 岁)乳牙列儿童进行了纵向研究。这些儿童随访 3 年至混合牙列期(8 岁)。评估了覆盖、覆牙合和横向关系。使用贝叶斯模型分析数据并估计参数。
参数θ用于分布,表明具有给定条件的概率,可信度指数(ICr)为 95%。经过 3 年的随访,有 121 名儿童重新接受评估。结果表明,儿童在混合牙列中存在错牙合畸形的高概率。混合牙列中,前牙覆盖增加的概率更高,从 20.5%(ICr 95%,13.6-28.4)增加到 48.3%(ICr 95%,39.1-57.7),而乳牙列中正常覆牙合的概率更高,混合牙列中则更低(ICr 95%,9.2-21.3)。
考虑贝叶斯分析概率模型,乳牙列前牙覆盖正常的儿童在混合牙列中可能会出现前牙覆盖增加。对于覆牙合,儿童在乳牙列和混合牙列之间可能会出现前牙开牙合,混合牙列中深覆牙合可能会自我纠正。此外,当乳牙列横向关系正常时,混合牙列中可能会出现后牙反牙合。