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奶瓶喂养儿童安氏Ⅲ类错牙合病因的探讨 预览 被引量:3

Etiological study on class Ⅲ malocclusion in deciduous dentition due to bottle feeding
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摘要 目的探讨奶瓶喂养儿童乳牙期安氏Ⅲ类错牙合畸形的病因。方法选择在6个月内奶瓶喂养的儿童60例,按照乳磨牙的关系分为正常牙合组(30例)和安氏Ⅲ类错牙合组(30例)。使用模拟婴儿测量其母亲做奶瓶喂养时儿童和奶瓶的位置;使用奶瓶喂养吮吸压力传感检测系统测量每位受试儿童的吮吸负压值。测量结果采用SPSS16.0的独立样本t检验进行统计学处理。结果奶瓶喂养儿童中,乳牙期安氏Ⅲ类错牙合患者与正常牙合儿童之间的头颅角度、躯干角度、奶瓶角度以及奶瓶与头颅相对角度均未见显著性差异(P〉0.5)。病例组儿童的吮吸负压平均值为(15.3±3.3)kPa,正常组儿童的吮吸负压为(20.1±2.7)kPa,两者存在显著差异(P〈0.01)。结论奶瓶喂养儿童中,乳牙期安氏Ⅲ类错牙合患者口腔吮吸力显著性低于正常牙合儿童,两者的喂养姿势没有显著性差异。提示吮吸力低下可能是奶瓶喂养儿童发生安氏Ⅲ类错牙合的病因之一,而其与喂养姿势的关系需要进一步的研究。 Objective To disclose the etiologies of class Ⅲ malocclusion in deciduous dentition due to bottle feeding. Methods Sixty children with a history of bottle feeding in six months after birth were chosen as participants,thirty with normal occlusion( control group) and thirty with class Ⅲ malocclusion( case group). A simulation baby was used for mothers to mimic their feeding gesture when they fed their children during lactation period and the baby's angulation of head,body, and milk bottle from the horizontal plane were re- corded by a customed inclination device. Meanwhile, sucking pressure of each child was measured by a negative pressure transducer. The data were statistically analyzed by SPSS 16.0 software and the significance was set at P 〈 0.05. Results No significant difference in the angles of head,body, and milk bottle between the two groups was found,nor the angle value from bottle to head (P 〉 0.05 ). The average sucking pressure value in control group was (20.1 ± 2.7)kPa while the sucking negative pressure in case group was (15.3 ± 3.3) kPa,which was statistically lower than its counterpart ( P 〈 0.01 ). The difference was significant. Conclusions For the children with bottle feeding, the sucking force in the case group is significantly lower than the control group while there is no statistical difference in feeding gesture between these two groups. We conclude that the lower sucking force can be one of the etiologies that cause class Ⅲ malocclusion in deciduous dentition due to bottle feeding and its relationship with feeding gesture needs to be further studied.
作者 陶海彪 阮文华 TAO Haibiao ,RUAN Wenhua. ( Department of Stomatology, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China)
出处 《口腔医学》 CAS 2014年第10期768-771,共4页 Stomatology
基金 浙江省人口与计划生育科研项目(N20100280)
关键词 奶瓶喂养 安氏Ⅲ类错牙合畸形 吮吸压力 bottle feeding class Ⅲ malocclusion sucking negative pressure
作者简介 通信作者:阮文华Tel:(0571)88873291E—mail:ruanwh@hzcnc.com
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