A longitudinal study of tooth wear in orthodontically treated patients
A longitudinal study of tooth wear in orthodontically treated patients
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DOI：
10.1016/s0889-5406(97)70246-4
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发表时间：
1997-08-01
影响因子：
3
通讯作者：
Ramsay, DS
中科院分区：
文献类型：
--
作者：
Knight, DJ;Leroux, BG;Ramsay, DS
本研究的主要目的是确定混合牙列期间切牙/咬合牙磨损与成人牙列随后的磨损之间是否存在关系。 223 名接受正畸治疗的患者获得了混合牙列期间 (T1) 的治疗前正畸记录以及平均 20 年后 (T2) 的随访记录。切牙/咬合牙磨损是通过四类评分系统从 T1 和 T2 铸件逐颗牙齿测量的。多元回归分析 (R-2 = 0.33) 表明，可以根据 T1 时下颌乳牙和磨牙观察到的磨损情况来预测成年期给定年龄的磨损情况 (p < 0.0001)。这种预测关系会根据观察到 T1 磨损的年龄 (p = 0.029) 以及患者的性别 (p = 0.10) 进行修改。这些结果表明，成人牙齿磨损与儿童时期发生的牙齿磨损并不独立。磨牙症被认为是一种可能的常见病因机制，可以解释儿童期和成年牙齿磨损之间的关系。
The primary objective of this study was to determine whether there is a relationship between incisal/occlusal tooth wear during the mixed dentition and subsequent wear of the adult dentition. Pretreatment orthodontic records taken during the mixed dentition (T1), as well as follow-up records taken an average of 20 years later (T2), were available for 223 orthodontically treated patients. Incisal/occlusal tooth wear was measured on a tooth-by-tooth basis from T1 and T2 stone casts with a four-category scoring system. Multiple regression analysis (R-2 = 0.33) indicated that wear could be predicted at a given age during adulthood from wear observed on the deciduous mandibular canines and molars at T1 (p < 0.0001). This predictive relationship was modified by the age at which the T1 wear was observed (p = 0.029) and possibly by the sex of the patient (p = 0.10). These results indicate that adult tooth wear is not independent of the tooth wear that occurred as a child. Bruxism is suggested as a possible common etiologic mechanism that may account for the relationship between childhood and adult tooth wear.