Ahlat Elif Merve, Ertuğrul Fahinur, Baydaş Bülent, Ersin Nazan, Ghabchi Behrang
Private Practice, Izmir, Turkey.
Faculty of Dentistry, Department of Pedodontics, Ege University, Izmir, Turkey.
BMC Oral Health. 2025 Jul 28;25(1):1266. doi: 10.1186/s12903-025-06600-3.
This study aimed to retrospectively evaluate the effect of adenoid hypertrophy on growth development levels and dental age in pediatric patients aged 7-12 years, using panoramic and lateral cephalometric radiographs.
This analytical-archival study assessed radiographs of 348 children aged 7-12 who underwent orthodontic examination at a private oral and dental health polyclinic between 2008 and 2023. Dental ages were estimated using the Nolla methods based on panoramic radiographs. Lateral cephalometric radiographs were analyzed using the Webceph™ program. Adenoid hypertrophy was assessed with the McNamara Method, while growth development levels were evaluated using the Baccetti Cervical Vertebral Maturation (CVM) stages.
Adenoid hypertrophy was identified in 29.8% of the patients (n = 348). SNA, SNB, ramus height, and face height ratio values were significantly higher in the control group (P < 0.05). FMA, SN-GoMe, mandibular plane angle, and Y-axis angle values were significantly higher in the study group (P < 0.05). No significant differences were found for ANB, gonial angle, lower gonial angle, or convexity angle (P > 0.05). In CS1 and CS3 stages, boys had significantly higher chronological ages than girls (P < 0.05), while no gender-based differences were observed in CS2 and CS4 stages (P > 0.05). The Baccetti classification stages increased with age in both genders, with a statistically higher rate of increase in girls (P < 0.05). However, no significant differences were found in chronological age between study groups within the same Baccetti stages (P > 0.05). Nolla ages were significantly lower in the study group (P < 0.05).
Adenoid hypertrophy did not significantly affect growth development levels based on cervical vertebral maturation in children aged 7-12. However, Nolla dental ages were significantly delayed in patients with adenoid hypertrophy, suggesting a negative impact on tooth eruption and development. A multidisciplinary approach involving pediatric dentists, orthodontists, ENT specialists, and pediatricians is essential to address the effects of respiratory disorders.
本研究旨在通过全景片和头颅侧位片，回顾性评估腺样体肥大对7至12岁儿童患者生长发育水平和牙龄的影响。
本分析性档案研究评估了2008年至2023年间在一家私立口腔健康综合诊所接受正畸检查的348名7至12岁儿童的X光片。根据全景片，采用诺拉方法估算牙龄。使用Webceph™程序分析头颅侧位片。采用麦克纳马拉方法评估腺样体肥大，同时使用巴切蒂颈椎成熟度（CVM）分期评估生长发育水平。
29.8%的患者（n = 348）被诊断为腺样体肥大。对照组的SNA、SNB、升支高度和面部高度比值显著更高（P < 0.05）。研究组FMA、SN-GoMe、下颌平面角和Y轴角的值显著更高（P < 0.05）。ANB、下颌角、下颌下角或凸度角无显著差异（P > 0.05）。在CS1和CS3期，男孩的实际年龄显著高于女孩（P < 0.05），而在CS2和CS4期未观察到基于性别的差异（P > 0.05）。巴切蒂分类分期在男女中均随年龄增加，女孩的增加率在统计学上更高（P < 0.05）。然而，在同一巴切蒂分期内的研究组之间，实际年龄无显著差异（P > 0.05）。研究组的诺拉年龄显著更低（P < 0.05）。
腺样体肥大对7至12岁儿童基于颈椎成熟度的生长发育水平没有显著影响。然而，腺样体肥大患者的诺拉牙龄显著延迟，表明对牙齿萌出和发育有负面影响。涉及儿童牙医、正畸医生、耳鼻喉科专家和儿科医生的多学科方法对于解决呼吸障碍的影响至关重要。
