Dynamics of structure and severity of dentoalveolar anomalies on the background of early orthodontic treatment during occlusion

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Abstract

Background. According to the statistics, the incidence of dentoalveolar anomalies, as well as the frequency of orthodontic visits, is constantly growing.

Objective. To analyze the efficiency of orthodontic treatment in children during the period of mixed dentition.

Methods. We have performed a study on the incidence and severity of dentoalveolar anomalies of the dental status in 7-9-year-old patients vs. 15-17-year-old adolescents after the completion of occlusion. The adolescents were divided into two groups – those who underwent orthodontic treatment during the mixed dentition period and those who did not. The evaluation of the children’s dental status was performed using a specialized WHO Map (2013), supplemented by the «Dental Maxillofacial Anomalies» section. We determined the following indices: DMF (Decayed-Missing-Filled Index), DMF-df, OHI-S, CPI, PAR, DAI, as well as the Little’s irregularity index. The need in the different types of dental and orthodontic treatment was estimated, including that per one examined person in a group.

Results. In the group of 7-9-year-old we have revealed a high incidence of premature teeth loss (17.0% of patients), dentoalveolar anomalies (73.9%) and their combinations (60.8%).

Discussion. Orthodontic treatment during the period of mixed dentition reduces the incidence of the teeth positioning anomalies (crowding and tooth displacement) and dental arch ratio anomalies (completely eliminating the cross-bite). At the same time, early orthodontic treatment does not have a significant influence on the tooth rotation, interdental spaces, deep, open, distal, mesial occlusions and the displacement of dental arches. The severity of dentoalveolar anomalies is reduced in this case.

Conclusion. Orthodontic treatment of children during the period of mixed dentition is indicated in the presence of teeth crowding and displacement, as well as in the presence of a cross-bite; concerning other types of dentoalveolar anomalies, early orthodontic treatment is justified only when the patient’s psychological and functional indices are reduced.

About the authors

E. E. Olesov

Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Author for correspondence.
Email: olesov_georgiy@mail.ru
ORCID iD: 0000-0001-9165-2554
SPIN-code: 8924-3520

MD, Head of the Department of dentistry, Full Professor

Russian Federation, Moscow

O. S. Kaganova

Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Email: my_resident@mail.ru
ORCID iD: 0000-0002-4740-5318

ассистент кафедры клинической стоматологии и имплантологии

Russian Federation, Moscow

T. A. Fazilova

Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Email: tfazylova@yandex.ru
ORCID iD: 0000-0001-5878-6761
SPIN-code: 5248-5572

ассистент кафедры клинической стоматологии и имплантологии

Russian Federation, Moscow

M. Z. Mirgazizov

Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Email: mirgazizov@mail.ru
ORCID iD: 0000-0002-1873-3224
SPIN-code: 8246-0782

д-р мед. наук, профессор, профессор кафедры клинической стоматологии и имплантологии

Russian Federation, Moscow

A. A. Ilyin

Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Email: Alex2017ilyin@yandex.ru
ORCID iD: 0000-0002-8021-4599
SPIN-code: 2615-2137

д-р мед. наук, профессор, профессор кафедры клинической стоматологии и имплантологии

Russian Federation, Moscow

I. A. Shugailov

Academy of Postgraduate Education under the FSBU «Federal Scientific and Clinical Center for Specialized Medical Assistance and Medical Technologies of the Federal Medical Biological Agency»

Email: 9978753@mail.ru
ORCID iD: 0000-0001-5304-6078

д-р мед. наук, профессор, профессор кафедры клинической стоматологии и имплантологии

Russian Federation

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Supplementary files

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2. Fig. 1. The prevalence of types of tooth position anomalies in the compared groups,%

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3. Fig. 2. The prevalence of types of anomalies in the ratio of dental arches in the compared groups,%

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Copyright (c) 2019 Olesov E.E., Kaganova O.S., Fazilova T.A., Mirgazizov M.Z., Ilyin A.A., Shugailov I.A.

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