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越南8至12岁儿童的错牙合畸形与有害口腔习惯:一项横断面研究。

Malocclusion and Deleterious Oral Habits in Vietnamese Children Between the Ages of 8 and 12 years: A Cross Sectional Study.

作者信息

Nguyen Thao Phuong, Le Lam Nguyen, Le Khanh Phuong Vu

机构信息

Faculty of Odonto-Stomatology, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam.

Department of Pediatrics Dentistry and Orthodontics, Faculty of Odonto-Stomatology, Can Tho University of Medicine and Pharmacy, Vietnam.

出版信息

J Int Soc Prev Community Dent. 2024 Oct 29;14(5):369-378. doi: 10.4103/jispcd.jispcd_72_24. eCollection 2024 Sep-Oct.

Abstract

AIM

This study aimed to determine the relationship between malocclusion and deleterious oral habits in the Vietnamese children aged 8-12 years.

MATERIALS AND METHODS

A cross-sectional descriptive analysis was undertaken on a total of 434 children (8-12 years old, 208 males and 226 females), separated into five age groups: 8 years old (16.8%), 9 years old (18.5%), 10 years old (20.7%), 11 years old (21.4%), and 12 years old (22.6%), with all four first permanent molars erupted, no previous orthodontic treatment, loss of the second primary molar or presence of the second primary molar root or decay, loss of surface material on the second primary molar, and underfilling of the second primary molar size in the mesiodistal direction. The deleterious oral habits and malocclusion were assessed through a clinical examination and questionnaires for parents. The descriptive statistical analysis revealed the following findings: mean and standard deviation. The chi-squared test and Fisher's exact test were used to compare categorical variables. The data were considered significant at < 0.05.

RESULT

Deleterious oral habits were found to have a significant relationship with malocclusion. Mouth breathing habits were associated with anterior open bites ( < 0.05). The tongue thrusting habit was associated with anterior open bite ( < 0.05), posterior crossbite ( < 0.01), overbite greater than 4 mm ( < 0.01), and angle class I malocclusion ( < 0.05). Chewing habits on one side were associated with posterior crossbite ( < 0.01) and posterior open bite ( < 0.05). The habit of pen/pencil/nail biting was associated with midline deviation ( < 0.05). As children got older, there was a greater need for orthodontic treatment for dental healthcare, according to the index of orthodontic treatment need. In the 8-year-old patient group, the need was 4.1%; in the 9-year-old patient group, it was 5%; in the 10-year-old patient group, it was 9%; in the 11-year-old patient group, it was 19.4%; and in the 12-year-old patient group, it was 22.4%. The distribution of orthodontic treatment needs for dental health was significantly different based on the number of deleterious oral habits children had ( < 0.01).

CONCLUSION

Abnormal oral habits were prevalent in about 30.6% of the study participants. Mouth breathing, tongue thrusting, pen/pencil/nail biting, and one-side chewing had a significant impact on malocclusion.

摘要

目的

本研究旨在确定8至12岁越南儿童错牙合畸形与有害口腔习惯之间的关系。

材料与方法

对总共434名儿童(8至12岁,男性208名,女性226名)进行横断面描述性分析,这些儿童被分为五个年龄组:8岁(16.8%)、9岁(18.5%)、10岁(20.7%)、11岁(21.4%)和12岁(22.6%),所有四颗第一恒磨牙均已萌出,既往未接受过正畸治疗,第二乳磨牙缺失或存在第二乳磨牙牙根或龋坏,第二乳磨牙表面材料缺失,且第二乳磨牙近远中方向尺寸充填不足。通过临床检查和家长问卷对有害口腔习惯和错牙合畸形进行评估。描述性统计分析得出以下结果:均值和标准差。采用卡方检验和Fisher精确检验比较分类变量。数据在<0.05时被认为具有统计学意义。

结果

发现有害口腔习惯与错牙合畸形之间存在显著关系。口呼吸习惯与前牙开牙合有关(<0.05)。吐舌习惯与前牙开牙合(<0.05)、后牙反牙合(<0.01)、覆牙合大于4mm(<0.01)和安氏I类错牙合(<0.05)有关。单侧咀嚼习惯与后牙反牙合(<0.01)和后牙开牙合(<0.05)有关。咬笔/铅笔/指甲的习惯与中线偏移有关(<0.05)。根据正畸治疗需求指数,随着儿童年龄增长,对牙齿保健进行正畸治疗的需求更大。在8岁患者组中,需求为4.1%;在9岁患者组中,为5%;在10岁患者组中,为9%;在11岁患者组中,为19.4%;在12岁患者组中,为22.4%。基于儿童有害口腔习惯的数量,牙齿健康正畸治疗需求的分布存在显著差异(<0.01)。

结论

约30.6%的研究参与者存在异常口腔习惯。口呼吸、吐舌、咬笔/铅笔/指甲和单侧咀嚼对错牙合畸形有显著影响。

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