A longitudinal study of the probability of developing malocclusion in children using a Bayesian analysis

IF 2.7 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE American Journal of Orthodontics and Dentofacial Orthopedics Pub Date : 2024-09-01 DOI:10.1016/j.ajodo.2024.05.011
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Abstract

Introduction

This study evaluated the probability of developing malocclusions in mixed dentition.

Methods

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.

Results

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).

Conclusions

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.

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利用贝叶斯分析法对儿童发生错牙合畸形的概率进行纵向研究。
简介本研究评估了混合牙列畸形的发生概率:对 598 名儿童(5 岁)的乳牙畸形情况进行了纵向研究。方法: 对 598 名 5 岁乳牙期儿童进行了一项纵向研究,并对这些儿童进行了为期 3 年的跟踪调查,直至他们长出混合牙(8 岁)。对过咬合、过咬合和横向关系进行了评估。贝叶斯模型用于分析数据和估计参数:参数θ用于分布,表示出现特定情况的概率,可信度指数(ICr)为95%。随访 3 年后,对 121 名儿童进行了重新评估。结果显示,混合牙列的儿童出现错合畸形的概率很高。混合牙列中出现过咬合增加的概率较高,从20.5%(ICr 95%,13.6-28.4)到48.3%(ICr 95%,39.1-57.7)不等,落牙列中出现正常过咬合的概率较高,而混合牙列中出现过咬合的概率较低(ICr 95%,9.2-21.3):考虑到贝叶斯分析的概率模型,在萌牙期有正常过咬合的儿童在混合牙列中可能会出现过咬合增加的情况。关于过咬合,儿童在乳牙和混合牙列之间的过渡时期可能会出现前开放咬合,以及在混合牙列中出现深过咬合的自我矫正。此外,在混合牙列中,当乳牙列中的横向关系正常时,他们可能会出现后交叉咬合。
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来源期刊
CiteScore
4.80
自引率
13.30%
发文量
432
审稿时长
66 days
期刊介绍: Published for more than 100 years, the American Journal of Orthodontics and Dentofacial Orthopedics remains the leading orthodontic resource. It is the official publication of the American Association of Orthodontists, its constituent societies, the American Board of Orthodontics, and the College of Diplomates of the American Board of Orthodontics. Each month its readers have access to original peer-reviewed articles that examine all phases of orthodontic treatment. Illustrated throughout, the publication includes tables, color photographs, and statistical data. Coverage includes successful diagnostic procedures, imaging techniques, bracket and archwire materials, extraction and impaction concerns, orthognathic surgery, TMJ disorders, removable appliances, and adult therapy.
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