Reference parameters for normality and associated factors to hard palate during mixed dentition phase
Parâmetros de referência para normalidade e fatores associados ao palato duro durante a fase de dentição mista
Luana Cristina Berwig; Mariana Marquezan; Jovana de Moura Milanesi; Jessica Klöckner Knorst; Thiago Machado Ardenghi; Ana Maria Toniolo da Silva
Abstract
Purpose: To evaluate the association among dimensions of the hard palate according to the sexes, skin color, and periods of the mixed dentition and present reference parameters of normality for this stage of development. Methods: This cross-sectional study evaluated a representative sample of children between the ages of 7 and 13 years in Santa Maria, southern Brazil. The outcomes of the study were the dimensions of the palate: width measurements and depth. Sociodemographic characteristics and related oral measures were also assessed. Adjusted linear regression model were used to evaluate the effect of the predictor’s variables on the dimensions of the hard palate in millimeters. The reference standards for the hard palate normality were presented in mean, standard deviation, and 95% confidence interval. Results: A total of 569 children were evaluated. The hard palate dimensions were larger in the male sex and smaller in the first transitional period of mixed dentition. Skin color had an influence on the hard palate width at the level of the premolars, and the width measurements were smaller in white individuals. Posterior cross bite, Angle Class II and III malocclusions and non-nutritional sucking habits caused reduction in the hard palate width measurements. Conclusion: Different dimensions of the hard palate are influenced by demographic variables such as sex, skin color, and mixed dentition period. Children of the female sex, white-skinned and in the first transition period of mixed dentition had smaller dimensions of the hard palate. Establishing normality reference standards in measurements of the palates guides the clinical practice.
Keywords
Resumo
Objetivo: Avaliar a associação entre as dimensões do palato duro de acordo com os sexos, cor da pele e períodos da dentição mista e apresentar parâmetros de normalidade de referência para esta fase de desenvolvimento. Método: Este estudo transversal avaliou uma amostra representativa de crianças com idade entre 7 e 13 anos em Santa Maria, sul do Brasil. Os desfechos do estudo foram as dimensões do palato: medidas de largura e profundidade. Características sociodemográficas e medidas orais relacionadas também foram avaliadas. Modelos de regressão linear ajustados foram utilizados para avaliar o efeito das variáveis preditoras sobre as dimensões do palato duro em milímetros. Os padrões de referência para a normalidade do palato duro foram apresentados em média, desvio padrão e intervalo de confiança de 95%. Resultados: Foram avaliadas 569 crianças. As dimensões do palato duro foram maiores no sexo masculino e menores no primeiro período de transição da dentição mista. A cor da pele influenciou a largura do palato duro ao nível dos pré-molares, sendo as medidas de largura menores nos brancos. Mordida cruzada posterior, más oclusões de Classe II e III de Angle e hábitos de sucção não nutricionais causaram redução nas medidas da largura do palato duro. Conclusão: As diferentes dimensões do palato duro são influenciadas por variáveis demográficas como o sexo, cor da pele e período de dentição mista. Crianças do sexo feminino, de cor de pele branca e no primeiro período de transição de dentição mista apresentaram menores dimensões do palato duro. O estabelecimento de padrões de referência de normalidade nas medidas do palato orienta a prática clínica.
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Referências
1) Maria CM, Silva AMT, Busanello-Stella AR, Bolzan GP, Berwig LC. Avaliação da profundidade do palato duro: correlação entre método quantitativo e qualitativo. Rev. CEFAC. 2013;15(5):1292-99.
2) Stern S, Finke H, Strosinski M, Mueller-Hagedorn S, McNamara JA, Stahl F. Longitudinal changes in the dental arches and soft tissue profile of untreated subjects with normal occlusion. J Orofac Orthop. 2020;81(3):192-208. http://dx.doi.org/10.1007/s00056-020-00221-x PMid:32253459.
» http://dx.doi.org/10.1007/s00056-020-00221-x
3) Sillman JH. Dimensional changes of the dental arches: longitudinal study from birth to 25 years. Am J Orthod Dentofacial Orthop. 1964;50(11):824-42. http://dx.doi.org/10.1016/0002-9416(64)90040-5
» http://dx.doi.org/10.1016/0002-9416(64)90040-5
4) Sangwan S, Chawla HS, Goyal A, Gauba K, Mohanty U. Progressive changes in arch width from primary to early mixed dentition period: a longitudinal study. J Indian Soc Pedod Prev Dent. 2011;29(1):14-9. http://dx.doi.org/10.4103/0970-4388.79915 PMid:21521912.
» http://dx.doi.org/10.4103/0970-4388.79915
5) Caixeta ACP, Andrade JRI, Pereira TBJ, Franco LP, Becker HMG, Souki BQ. Dental arch dimensional changes after adenotonsillectomy in prepubertal children. Am J Orthod Dentofacial Orthop. 2014;145(4):461-8.
6) de Freitas FCN, Bastos EP, Primo LS, de Freitas VL. Evaluation of the palate dimensions of patients with perennial allergic rhinitis. Int J Paediatr Dent. 2001;11(5):365-71. http://dx.doi.org/10.1046/j.0960-7439.2001.00292.x PMid:11572268.
» http://dx.doi.org/10.1046/j.0960-7439.2001.00292.x
7) Ghasempour M, Mohammadzadeh I, Garakani S. Palatal arch diameters of patients with allergic rhinitis. Iran J Allergy Asthma Immunol. 2009;8(1):63-4. PMid:19279362.
8) Louly F, Nouer PR, Janson G, Pinzan A. Dental arch dimensions in the mixed dentition: a study of Brazilian children from 9 to 12 years of age. J Appl Oral Sci. 2011;19(2):169-74. http://dx.doi.org/10.1590/S1678-77572011000200014 PMid:21552719.
» http://dx.doi.org/10.1590/S1678-77572011000200014
9) Lione R, Buongiorno M, Franchi L, Cozza P. Evaluation of maxillary arch dimensions and palatal morphology in mouth-breathing children by using digital dental casts. Int J Pediatr Otorhinolaryngol. 2014;78(1):91-5. http://dx.doi.org/10.1016/j.ijporl.2013.09.028 PMid:24300946.
» http://dx.doi.org/10.1016/j.ijporl.2013.09.028
10) Derech CD, Locks A, Bolognese AM. Palatal configuration in Class II Division 1 malocclusion: a longitudinal study. Am J Orthod Dentofacial Orthop. 2010;137(5): 658-64.
11) Sharaf RM, Jaha HS. Etiology and treatment of malocclusion: overview. Int J Sci Eng Res. 2017;8(12):101-14.
12) Sun L, Wong HM, McGrath CP. Relationship between the severity of malocclusion and oral health related quality of life: a systematic review and meta-analysis. Oral Health Prev Dent. 2017;15(6):503-17. PMid:28944350.
13) Wall A. Do malocclusions affect oral health related quality of life? Evid Based Dent. 2020;21(1):24-5. http://dx.doi.org/10.1038/s41432-020-0084-8 PMid:32221491.
» http://dx.doi.org/10.1038/s41432-020-0084-8
14) IBGE: Instituto Brasileiro de Geografia e Estatistica. Resultados da Amostra - Trabalho e Rendimento 2010. Rio de Janeiro: IBGE; 2010.
15) Al-Zubair NM. Determinant factors of Yemeni maxillary arch dimensions. Saudi Dent J. 2015;27(1):50-4. http://dx.doi.org/10.1016/j.sdentj.2014.08.005 PMid:25544815.
» http://dx.doi.org/10.1016/j.sdentj.2014.08.005
16) WHO: World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: World Health Organization, 2013.
17) Laine T, Alvesalo L, Lammi S. Palatal dimensions in 45,X-females. J Craniofac Genet Dev Biol. 1985;5(3):239-46. PMid:4044787.
18) Berwig LC, Montenegro MM, Ritzel RA, da Silva AMT, Correa ECR, Mezzomo CL. Influence of the respiratory mode and nonnutritive sucking habits in the palate dimensions. J Oral Sci. 2011;10:42-9.
19) Felício CM, Folha GA, Ferreira CLP, Medeiros APM. Expanded protocol of orofacial myofunctional evaluation with scores: validity and reliability. Int J Pediatr Otorhinolaryngol. 2010;74(11):1230-9. http://dx.doi.org/10.1016/j.ijporl.2010.07.021 PMid:20800294.
» http://dx.doi.org/10.1016/j.ijporl.2010.07.021
20) Cattoni DM, Fernandes FDM, Marchsan IQ, Latorre MRDO. Medidas antropométricas faciais em crianças segundo períodos da dentição mista. Rev CEFAC. 2003;5:21-9.
21) Berwig LC, Marquezan M, Milanesi JM, Montenegro MM, Ardenghi TM, Toniolo da Silva AM. Do gender and age influence hard palate dimensions? A systematic review. CoDAS. 2018;30(5):e20170216. PMid:30379195.
22) El–Badry H, Nemat H, Mostafa I, Ramzy I. Palatal dimensions in egyptian children at the mixed dentition period. Inter J Dental Anthropol. 2008;12:15-20.
23) Patel M, Daruwala N. Appraisal of dental arch dimension in gujarati males and females. Adv Hum Biol. 2015;5:61-7.
24) El Samad Younes SA. Maxillary arch dimensions in Saudi and Egyptian population sample. Am J Orthod. 1984;85(1):83-8. http://dx.doi.org/10.1016/0002-9416(84)90126-X PMid:6581730.
» http://dx.doi.org/10.1016/0002-9416(84)90126-X
25) Burris BG, Harris EF. Maxillary arch size and shape in American blacks and whites. Angle Orthod. 2000;70(4):297-302. PMid:10961779.
26) Jacobson A. The dentition of the South African Negro. Anniston, Al: Higginbotham Inc; 1982.
27) Melink S, Vagner MV, Hocevar-Boltezar I, Ovsenik M. Posterior crossbite in the deciduous dentition period, its relation with sucking habits, irregular orofacial functions, and otolaryngological findings. Am J Orthod Dentofacial Orthop. 2010;138(1):32-40. http://dx.doi.org/10.1016/j.ajodo.2008.09.029 PMid:20620831.
» http://dx.doi.org/10.1016/j.ajodo.2008.09.029
28) Mutlu E, Parlak B, Kuru S, Oztas E, Pınar-Erdem A, Sepet E. Evaluation of Crossbites in Relation with Dental Arch Widths, Occlusion Type, Nutritive and Non-nutritive Sucking Habits and Respiratory Factors in the Early Mixed Dentition. Oral Health Prev Dent. 2019;17(5):447-55. PMid:31268046.
29) Marinelli A, Mariotti M, Defraia E. Transverse dimensions of dental arches in subjects with Class II malocclusion in the early mixed dentition. Prog Orthod. 2011;12(1):31-7. http://dx.doi.org/10.1016/j.pio.2011.02.006 PMid:21515229.
» http://dx.doi.org/10.1016/j.pio.2011.02.006
30) Machry RV, Knorst JK, Tomazoni F, Ardenghi TM. School environment and individual factors influence oral health related quality of life in Brazilian children. Braz Oral Res. 2018;32:e63. http://dx.doi.org/10.1590/1807-3107bor-2018.vol32.0063 PMid:29995067.
» http://dx.doi.org/10.1590/1807-3107bor-2018.vol32.0063
Submetido em:
31/08/2020
Aceito em:
24/02/2021
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