口腔疾病防治 ›› 2017, Vol. 25 ›› Issue (12): 794–797.doi: 10.12016/j.issn.2096-1456.2017.12.009

• 防治实践 • 上一篇    下一篇

昆明市学龄前儿童乳牙列错牙合畸形患病率调查

黄春明(), 许艳华, 黄桂月()   

  1. 昆明侨联现代口腔,云南昆明(650000)
  • 收稿日期:2016-12-01 修回日期:2017-07-19 出版日期:2017-01-04 发布日期:2018-09-03
  • 作者简介:

    【作者简介】 黄春明,副主任医师,学士, Email:xdkq@qq.com

  • 基金资助:
    国家自然科学基金(81260162)

Prevalence of malocclusion in deciduous teeth among preschool children in Kunming

Chunming HUANG(), Yanhua XU, Guiyue HUANG()   

  1. Qiaolian Modern dental Clinic, Kunming 650000, China
  • Received:2016-12-01 Revised:2017-07-19 Online:2017-01-04 Published:2018-09-03

摘要:

目的 了解昆明市学龄前儿童乳牙列错牙合畸形患病率情况,分析学龄前儿童乳牙列错牙合畸形与口腔不良习惯、遗传因素和乳牙患龋率之间的关系。方法 随机抽取昆明市9所幼儿园共2 116名学龄前儿童进行调查。由经培训过的口腔医生对其进行口腔检查,了解昆明市学龄前儿童的错牙合畸形患病率和龋病患病率。采用自制问卷进行调查,收集被检儿童的口腔不良习惯和遗传因素的情况,分析错牙合畸形与口腔不良习惯、遗传因素和乳牙患龋率之间的关系。结果 受检的2 116名学龄前儿童中,错牙合畸形患病率为71.64%,患龋率为63.50%。不良习惯和遗传因素是错牙合畸形发生的危险因素,受检儿童有或没有龋病,错牙合畸形的患病率差异没有统计学意义。结论昆明市学龄前儿童乳牙列错牙合畸形患病率偏高。

关键词: 错牙合畸形, 乳牙列, 患病率, 问卷调查, 口腔不良习惯

Abstract:

Objective To investigate the prevalence of malocclusion in primary dentition among preschool children in Kunming. To analysze the relationship between malocclusion and oral bad habits, genetic factors and the caries prevalence in preschool children. Methods According to economic conditions and distribution area of Kunming school, a total of 2 116 preschool children from nine kindergarten in Kunming city were surveyed. Oral examniation of 2 116 preschool children were conducted by trained dentists to investigate the prevalence of malocclusion and the prevalence of dental caries in Kunming. A self-designed questionnaire was used to investigate the oral habits and genetic factors of the children in the study and to analyze the correlation between malocclusion and oral bad habits, genetic factors and caries rate of deciduous teeth. Results Among the 2 116 preschool children examined, 1 516 were malocclusion, the prevalence of malocclusion was 71.64%, and the rate of dental caries was 63.50%. Bad habits and genetic factors were the risk factors of malocclusion, and there was no statistical difference in the prevalence of malocclusion between the tested children and those with or without caries. Conclusion The prevalence of malocclusion in the preschool children in Kunming city is high. The dentist is required to do the work of preventing bad habits. Parents need to improve the awareness of oral health care, together to do the early diagnosis of malocclusion, early diagnosis, early treatment.

Key words: Malocclusion, Primary dentition, Prevalence, Questionnaire survey, Oral bad habbits

中图分类号: 

  • R783.5

表1

2 116名儿童乳牙列错牙合畸形的患病率"

性别 人数 正常牙合 错牙合 患病率(%)
1 124 356 768 68.33
992 244 748 75.40
合计 2 116 600 1 516 71.64

表2

不良习惯、遗传因素与错牙合畸形的关系"

项目 有错牙合
畸形(%)
无错牙合
畸形(%)
OR值
有不良习惯 1 053(69.43) 183(30.57) 5.18
无不良习惯 463(28.00) 417(72.00)
小计 1 516 600
有遗传因素 1 382(90.7) 480(99.60) 2.57
无遗传因素 134(9.30) 120(0.4)
小计 1 516 600

表3

龋病患病率调查结果"

性别 受检人数 患龋人数 患龋率(%)
1 023 732 71.55
1 093 606 55.45
合计 2 116 1 338 63.50

表4

2 116名儿童错牙合畸形及龋病情况"

龋病 有错牙合畸形(%) 无错牙合畸形(%) 合计
870(57.39) 468(78) 1 338
646(42.61) 132(22) 778
合计 1 516 600 2 116
[1] 傅民魁. 口腔正畸学[M]. 6版. 北京: 人民卫生出版社, 2014: 1.
[2] 徐宝华. 现代临床口腔正畸学[M]. 北京: 人民卫生出版社, 1996: 270-343.
[3] 张侬, 刘贵敏, 陈周唤, 等. 社会因素和祖辈口腔健康行为对儿童龋病发生的影响[J]. 中国妇幼保健, 2009, 24(21): 2950-2952.
[4] 姜平. 儿童口腔不良习惯导致错牙合畸形预防措施[J]. 中外健康文摘, 2008, 6: 158.
[5] 王楠. 1 284例儿童口腔不良习惯调查分析[J]. 中国医药导刊, 2013, 10(2): 7915-7916.
[6] 施伟文. 口腔不良习惯与错颌畸形关系的相关性研究[J]. 当代医学, 2011, 17(11): 62-63.
[7] 陈利民, 张美兰, 宫尚红. 1 214名学龄前儿童口腔不良习惯与心理状态的调查[J]. 中国妇幼保健, 2011, 26(31): 4894-4895.
[8] Harari D, Redlich M, Miri S, et al.The effect of mouth breathing versus nasal breathing on dentofacial and craniofacial development in orthodontic patients[J]. The Laryngoscope, 2010, 120(10): 2089-2093.
[9] Ellen Wen-Cbing Ko, Chiung Shing, Huang, et al. Longitudinal observation of mandibular motion pattern in patients with skeletal Class III malocclusion subsequent to orthognathic surgery[J]. J Oral Maxillofac Surg, 2012, 70(2): e158-e168.
[10] 罗立伟. 2 217例儿童口腔不良习惯调查分析[J]. 当代医学, 2009, 15(36): 88-89.
[11] Cheifetz AT, Osganian SK, Allred EN, et al.Prevalence of bruxism and associated correlates in children as reported by parents[J]. J Dent Child, 2005, 72: 67-73.
[12] 姜若萍, 傅民魁. 安氏Ⅱ类1分类错牙合患者亲子间相似性的个体研究[J]. 中华口腔医学杂志, 2001, 36(2): 143-168.
[13] Suzuki A, Takahama Y.A cephalometric study on the similarity of craniofacial morphology between children and their parents[J]. Nippon Kyosei Shika Gakkai Zasshi, 1988, 47(4): 697-719.
[14] Manfredi C, Martina R, Gross GB, et al.Heritability of 39 orthodontic cephalometric parameters on MZ, DZ twins and MN-paired singletons[J]. Orthod Dentofacial Orthop, 1997, 112(3): 17A-21A.
[15] 姜若萍, 傅民魁. 安氏Ⅱ类1分类错牙合患者亲子间相似性的个体研究[J]. 中华口腔医学杂志, 2001, 36(2): 143-145.
[16] 彭静, 邓辉, 曹采方. 6~12岁女童头影测量中颅面形态遗传作用的纵向分析[J]. 中华口腔医学研究杂志(电子版), 2009, 3(3): 37-42.
[17] 王爽, 丰培勋, 陈曦等. 骨性安氏Ⅲ 类错牙合的家族聚集性研究[J]. 临床口腔医学杂志, 2012, 28(10): 48-50.
[18] Dhar V, Jain A, Van Dyke TE, et al.Prevalence of gingival diseases, malocclusion and uorosis in school-going children of rural areas in Udaipur district[J]. J Indian Soc Pedod Prev Dent, 2007, 25(2): 103-105.
[19] 傅民魁, 张丁, 王邦康.中国25392名儿童与青少年错颌畸形患病率的调查[J]. 口腔正畸学杂志, 2002, 4: 151-153.
[20] 齐小秋. 第三次全国口腔健康流行病学调查报告[M]. 北京: 人民卫生出版社, 2008: 11-13.
[21] 周庆, 刘娟, 张灿华, 等. 昆明市儿童龋病和氟牙症流行状况调查[J]. 华西口腔医学杂志, 2011, 29(5): 514-516.
[1] 吴锋, 李俊芳, 林和平, 王瑧. 单侧Forsus矫治器治疗安氏Ⅱ类亚类错牙合效果分析[J]. 口腔疾病防治, 2017, 25(9): 590-595.
[2] 于雪菲, 周诺. 骨性Ⅱ类错畸形患者侧貌相关分析及正畸正颌联合治疗后组织变化[J]. 口腔疾病防治, 2017, 25(4): 211-215.
[3] 李雪琦, 陈思韩, 余红兵, 张婷. 深圳市南山区儿童家长口腔健康素养促进的干预效果评估[J]. 口腔疾病防治, 2016, 24(2): 105-107.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 李婷, 陈瞰, 兰玲莉, 任笑春, 应彬彬, 祝颂松. 关节腔内早期注射阿仑膦酸钠对卵巢摘除大鼠髁突软骨下骨的影响[J]. 口腔疾病防治, 2017, 25(2): 87 -92 .
[2] 赵晓菊, 赵晓英 综述, 张景慧 审校. 透明压膜保持器与Hawley保持器保持效果比较[J]. 口腔疾病防治, 2017, 25(4): 270 -272 .
[3] 黄丹丹. 正畸治疗对牙周病患者牙槽骨密度及表皮生长因子表达的影响[J]. 口腔疾病防治, 2017, 25(6): 389 -393 .
[4] 魏雅楠, 盛迅, 曹志云. 无牙颌确定咬合垂直距离的研究现状[J]. 口腔疾病防治, 2017, 25(12): 814 -816 .
[5] 黄志权, 张大明. 微创外科技术在口腔颌面外科中的应用[J]. 口腔疾病防治, 2018, 26(2): 75 -82 .
[6] 宗丽, 赵克. 两种牙漂白方案的临床评价[J]. 口腔疾病防治, 2018, 26(2): 104 -108 .
[7] 申俊, 殷操, 王炫, 叶慧铭, 姜啸. 口腔扁平苔藓患者外周血CD4+ T淋巴细胞组蛋白乙酰化的意义[J]. 口腔疾病防治, 2018, 26(6): 365 -369 .
[8] 刘军平, 伍金华, 黄劲菊. T形截冠法在拔除下颌低位水平阻生齿中的应用[J]. 口腔疾病防治, 2018, 26(7): 468 -471 .
[9] 李少冰, 倪佳, 张雪洋, 黄雁红, 容明灯, 卢海宾. 数字化全程外科导板在磨牙区即刻种植的应用[J]. 口腔疾病防治, 2018, 26(8): 508 -513 .