早期儿童非营养吸行为 (包括乳头) 对缺陷的影响:一项随机对照试验
Irma Arpalahti1,2, Krista Hänninen3, Mimmi Tolvanen1,2,4
1University of Turku, Faculty of Medicine, Lemminkäisenkatu 2, 20520 Turku.
European journal of orthodontics
|August 9, 2024
概括
超过12个月的吸管使用与儿童的后部交叉咬伤有关. 在第一个生日之后限制吸乳器的使用可能会降低缺陷的风险.
科学领域:
- 儿科牙科 儿科牙科
- 矯正牙科 矯正牙科是一種矯正牙科.
- 儿童口腔健康 儿童口腔健康
背景情况:
- 系统性审查表明,需要进行高质量的随机对照试验 (RCT),以研究乳头对闭塞的影响.
- 不营养的吸习惯在幼儿时期很常见,可能会影响牙的发育.
研究的目的:
- 调查幼儿时期非营养性吸习惯与缺陷结之间的联系.
- 为了比较特定研究乳头对其他乳头和没有乳头使用的效果.
- 为了确定乳头的持续时间或指头吸是否会影响闭塞.
主要方法:
- 一个前性,三臂,随机对照试验,涉及2008年出生在芬兰万塔的长子.
- 参与者被分配给接受研究乳头,其他乳头或没有乳头,随访2年和7年.
- 通过吸习惯调查问卷和临床检查不良闭塞的数据.
主要成果:
- 在使用非研究乳头的儿童中,与研究乳头组相比,后部交叉咬伤的患病率更高,即使在与母亲教育相匹配后也是如此.
- 长时间使用乳头 (≥12个月) 与后部交叉咬伤的更高患病率显著相关.
- 长达12个月或更长时间吸食指甲与牙拥挤的患病率增加有关.
结论:
- 吸管使用,特别是在12个月以后,与后部交叉咬伤的风险增加有关.
- 应该建议家长在孩子一岁生日后尽量减少或停止使用乳头,以减轻牙的影响.
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