渭南地区替牙期儿童错(牙合)畸形患病情况调查分析
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Stomatology, 2019,39 (6) ： 535- 538,560
错跆畸形是指牙及牙列关系的异常，被认为是 影响人类口腔功能、颜面美观、社会交往和健康相关 的主要口腔疾病之一⑷。随着学龄期儿童进入生 长发育高峰期，其颌骨生长发育较快,同时由于乳恒 牙替换的复杂性，替牙期牙颌畸形的发生率和种类 均明显增加⑺。国内学者［I］对同一地区不同年份 调查结果显示替牙期儿童错跆畸形患病率呈上升趋 势，如郑州市中小学生错胎畸形患病率由2007年的
基金项目：国家自然科学基金(81500805,81670988) 作者单位：1军事口腔医学国家重点实验室，国家口腔疾病临床医学 研究中心,陕西省口腔疾病临床医学研究中心，空军军医大学第三 附属医院儿童口腔科，陕西西安(710032) ；2西安交通大学口腔医院 正畸科，陕西西安(710004)；3空军军医大学第一附属医院老年病 科，陕西西安(710032) 通信作者:王小竞 Tel( Fax) ：(029)84776083
惯的儿童其错粘畸形发生的危险性为正常儿童的2.2-6.6倍(P<0.001)。结论 渭南地区替牙期儿童错粘畸形患病率较高，
应采取有针对的干预措施以降低其患病情况。 ［关键词］流行病学调查;错粘畸形;替牙期;患病率
［中图分类号］R780.1 ［文献标识码］A ［文章编号］1003-9872(2019)06-0535-05 ［doi］ 10.1359 l/ki.kqyx.2019.06.011
口腔医学2019年6月第39卷第6期
・535・
渭南地区替牙期儿童错胎畸形患病情况调查分析
惠泽明I,杨宽2,王子瑞'，王军辉'，郭飞飞I,戴建立3,王小竞,
［摘要］目的通过流行病学调查了解渭南地区替牙期儿童错粘畸形患病情况。方法按照分层随机抽样的原则抽取渭南
地区3所小学707名6~12岁儿童，对其咬合情况进行检查，调査与错粘畸形相关的危险因素并对数据进行统计分析。结果 受检儿童中有一种或多种错粘畸形的患病率为34.7%,在各种错粘畸形类型中深覆粘患病率最高，为9.9%,有口腔不良习
Investigation and analysis of the prevalence of malocclusion among children in mixed dentition in Weinan HUI Zeming, YANG Kuan, WANG Zirui, WANG Junhui, GUO Feifei, DAI Jianli, WANG Xiaojing. ( State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center of Oral Diseases, Department of Pe diatric Dentistry , School of Stomatology, the Fourth Military Medical University, Xi an 710032, China) Abstract: Objective To understand the prevalence of malocclusion among children in mixed dentition in Weinan through epidemio logical investigation, and to provide a scientific basis for early correction. Methods According to the principle of stratified random sampling, 707 children aged 6-12 in three primary schools in Weinan were selected to check their occlusion, and the risk factors asso ciated with malocclusion were investigated and the data were statistically analyzed. Results The prevalence of one or more malocclu・ sions in the children examined was 34.7%. The prevalence of deep overbite was 9.9% in all types of malocclusions, and the malocclu sion occurred in children with bad oral habits, whose risk was 2.2-6.6 times higher than that of normal children (P<0.001 ). Conclu sion The prevalence of malocclusion among children in mixed dentition in Weinan is high, and targeted interventions should be taken to reduce the prevalence of disease. Key words: epidemiology ； malocclusion ； mixed dentition ； prevalence
E-mail: wxjing@
48.08%±升到2012年的50.03%,齐齐哈尔市小学 生错胎畸形患病率由2004年的42.22%±升到2009 年的50.04%o已有研究表明，恒牙列的错胎畸形在 很大程度上同早期替牙列错殆畸形的存在及发展密 切相关，并且随着时间的推移,错胎畸形有逐渐加重 的趋势⑴。因此，如何在乳恒牙替换的关键时期给 予相应的预防及干预措施，以减轻成年后错胎畸形 的严重程度及治疗需求显得尤为重要。
错跆畸形是指牙及牙列关系的异常，被认为是 影响人类口腔功能、颜面美观、社会交往和健康相关 的主要口腔疾病之一⑷。随着学龄期儿童进入生 长发育高峰期，其颌骨生长发育较快,同时由于乳恒 牙替换的复杂性，替牙期牙颌畸形的发生率和种类 均明显增加⑺。国内学者［I］对同一地区不同年份 调查结果显示替牙期儿童错跆畸形患病率呈上升趋 势，如郑州市中小学生错胎畸形患病率由2007年的
基金项目：国家自然科学基金(81500805,81670988) 作者单位：1军事口腔医学国家重点实验室，国家口腔疾病临床医学 研究中心,陕西省口腔疾病临床医学研究中心，空军军医大学第三 附属医院儿童口腔科，陕西西安(710032) ；2西安交通大学口腔医院 正畸科，陕西西安(710004)；3空军军医大学第一附属医院老年病 科，陕西西安(710032) 通信作者:王小竞 Tel( Fax) ：(029)84776083
惯的儿童其错粘畸形发生的危险性为正常儿童的2.2-6.6倍(P<0.001)。结论 渭南地区替牙期儿童错粘畸形患病率较高，
应采取有针对的干预措施以降低其患病情况。 ［关键词］流行病学调查;错粘畸形;替牙期;患病率
［中图分类号］R780.1 ［文献标识码］A ［文章编号］1003-9872(2019)06-0535-05 ［doi］ 10.1359 l/ki.kqyx.2019.06.011
口腔医学2019年6月第39卷第6期
・535・
渭南地区替牙期儿童错胎畸形患病情况调查分析
惠泽明I,杨宽2,王子瑞'，王军辉'，郭飞飞I,戴建立3,王小竞,
［摘要］目的通过流行病学调查了解渭南地区替牙期儿童错粘畸形患病情况。方法按照分层随机抽样的原则抽取渭南
地区3所小学707名6~12岁儿童，对其咬合情况进行检查，调査与错粘畸形相关的危险因素并对数据进行统计分析。结果 受检儿童中有一种或多种错粘畸形的患病率为34.7%,在各种错粘畸形类型中深覆粘患病率最高，为9.9%,有口腔不良习
Investigation and analysis of the prevalence of malocclusion among children in mixed dentition in Weinan HUI Zeming, YANG Kuan, WANG Zirui, WANG Junhui, GUO Feifei, DAI Jianli, WANG Xiaojing. ( State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center of Oral Diseases, Department of Pe diatric Dentistry , School of Stomatology, the Fourth Military Medical University, Xi an 710032, China) Abstract: Objective To understand the prevalence of malocclusion among children in mixed dentition in Weinan through epidemio logical investigation, and to provide a scientific basis for early correction. Methods According to the principle of stratified random sampling, 707 children aged 6-12 in three primary schools in Weinan were selected to check their occlusion, and the risk factors asso ciated with malocclusion were investigated and the data were statistically analyzed. Results The prevalence of one or more malocclu・ sions in the children examined was 34.7%. The prevalence of deep overbite was 9.9% in all types of malocclusions, and the malocclu sion occurred in children with bad oral habits, whose risk was 2.2-6.6 times higher than that of normal children (P<0.001 ). Conclu sion The prevalence of malocclusion among children in mixed dentition in Weinan is high, and targeted interventions should be taken to reduce the prevalence of disease. Key words: epidemiology ； malocclusion ； mixed dentition ； prevalence
E-mail: wxjing@
48.08%±升到2012年的50.03%,齐齐哈尔市小学 生错胎畸形患病率由2004年的42.22%±升到2009 年的50.04%o已有研究表明，恒牙列的错胎畸形在 很大程度上同早期替牙列错殆畸形的存在及发展密 切相关，并且随着时间的推移,错胎畸形有逐渐加重 的趋势⑴。因此，如何在乳恒牙替换的关键时期给 予相应的预防及干预措施，以减轻成年后错胎畸形 的严重程度及治疗需求显得尤为重要。