Dento-Skeletal Abnormalities in School-aged Children in Iran: A Cross-Sectional Study

M. Shirazi, Y. Jalali, H. Hessari
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Abstract

Aim: The aim of this study was to evaluate skeleto-dental abnormalities in 9-11-year-old school children, in Tehran, Iran. Materials and Methods: In this population-based cross-sectional descriptive study, a random cluster sampling was done among 19 school districts. A total of 1,429 socioeconomically and ethnically diverse Iranian schoolchildren, aged 9-11 years were studied. A brief questionnaire including background information such as gender and age was completed by the parents. Clinical examinations included the evaluation of sagittal and vertical skeletal relationship, Facial form (facial index), and the presence of significant asymmetry. Results: There were 758 males and 671 females with the mean age of 10 years±8 months. According to the sagittal skeletal relationship, the most prevalent type was convex (63%) that presenting the skeletal Cl II jaw relation; followed by straight (32.9%); and then concave (4.1%). In the vertical skeletal relationship, 73.9% of the children had an average facial relationship, 18.4 % had a long face pattern; and 7.8% had a short face pattern. Regarding facial form in the frontal view, the most common was the average form (79.3%); followed by narrow (14%); and broad (6.7%). The prevalence of significant facial asymmetry was 15.2%. Conclusion: The prevalence of dento-skeletal abnormalities were high. The majority of the Iranian schoolchildren, aged 9-11 years, had at least one dento-skeletal abnormality, even though it is commonly preventable.
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伊朗学龄儿童牙齿骨骼异常:一项横断面研究
目的:本研究的目的是评估伊朗德黑兰9-11岁学童的骨骼牙齿异常。材料和方法:在这项基于人群的横断面描述性研究中,在19个学区中进行了随机整群抽样。共对1429名9-11岁的社会经济和种族多样化的伊朗学童进行了研究。父母填写了一份简短的问卷,其中包括性别和年龄等背景信息。临床检查包括评估矢状和垂直骨骼关系、面部形态(面部指数)和是否存在显著不对称。结果:男性758例,女性671例,平均年龄10岁±8个月。根据矢状-骨骼关系,最常见的类型是凸型(63%),表现为骨骼Cl-II颌关系;其次是直链(32.9%);在垂直骨骼关系中,73.9%的儿童具有平均面部关系,18.4%的儿童具有长面部模式;7.8%具有短脸图案。关于正面视图中的面部形态,最常见的是平均形态(79.3%);其次是窄型(14%);明显面部不对称的发生率为15.2%。结论:齿骨异常的发生率较高。大多数9-11岁的伊朗学童至少有一种牙齿骨骼异常,尽管这通常是可以预防的。
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