Orthodontic Status Assessment of Bulgarian Children Aged 3 to 6 Years
Keywords:
malocclusion, orthodontic status, molar relationship, canine relationship, spaced and closed dentition,, primate spaceAbstract
Introduction: The importance of oral health prevention cannot be overstated and encompasses general oral health as well as orthodontic care. The occlusion observed in the primary dentition can serve as an indicator for the future occlusion in the permanent dentition. If certain occlusal discrepancies present in the primary dentition are not addressed appropriately or timely, they may persist into the mixed or permanent dentition.
The aim of the study was to assess the orthodontic status of preschool children.
Material and methods: The study included 200 children aged 3 to 6. The children underwent an orthodontic clinical examination with a standard dental examination set and a periodontal probe graduated in mm. The occlusion of the children was analyzed by evaluating the following parameters: molar relationship, canine relationship, and presence of physiological spaces.
Results: A flush terminal plane and a Class I canine relationship are prevalent among most children studied. Most children also exhibit spaced dentition or primate spaces.
Conclusion: Our findings suggest favorable occlusal characteristics and a higher likelihood of achieving correct occlusion in their permanent dentition.
References
Bogovska-Gigova R, Kabaktchieva R. Dental Home – Contemporary concept for early primary oral prophylaxis of children up to 3 years old (Literature Review). Problems of dental medicine. 2019; 45(2):53-61.
Bogovska-Gigova R, Kabaktchieva R. Evaluating the Effectiveness of Oral Health Program in DentalHome after 2 years. J of IMAB. 2022 Oct-Dec;28(4):4695-4699.
Prabhakar RR, Saravanan R, Karthikeyan MK, Vishnuchandran C, Sudeepthi. Prevalence of malocclusion and need for early orthodontic treatment in children. J Clin Diagn Res. 2014 May;8(5):ZC60-1.
Jafarzadeh M, Ehteshami A, Shanaghi A, marzoughi S, Salari-Moghaddam R. A Cross Sectional Study on Frequency of Malocclusion in 3 to 5- Year-Old Children in Isfahan, Iran. J Res Dent Maxillofac Sci 2021; 6 (3) :1-7.
Klein OD, Oberoi S, Huysseune A, Hovorakova M, Peterka M, Peterkova R. Developmental disorders of the dentition: an update. Am J Med Genet C Semin Med Genet. 2013 Nov;163C(4):318-32.
Onyeaso CO, Isiekwe MC. Occlusal changes from primary to mixed dentitions in Nigerian children. The Angle Orthodontist. 2008 Jan;78(1):64-9.
Sriram CH, Priya VK, Sivakumar N, Reddy KR, Babu PJ, Reddy P. Occlusion of primary dentition in preschool children of Chennai and Hyderabad: A comparative study. Contemp Clin Dent. 2012 Jan;3(1):31-7.
Bhat SS, Rao HA, Hegde KS, Kumar BK. Characteristics of primary dentition occlusion in preschool children: an epidemiological study. Int J Clin Pediatr Dent. 2012 May;5(2):93-7.
Golovachova E, Mikadze T, Kalandadze M. The prevalence of different types of occlusal relationships based on the type of terminal plane in primary dentition: a study among 3- to 6-year old children in Tbilisi, Georgia, J Dent Res Dent Clin Dent Prospects, 2022, 16(1), 24-28.
Baume LJ. Developmental and diagnostic aspects of the primary dentition. Int Dent J. 1959;9:349-66.
Zhou X, Zhang Y, Wang Y, Zhang H, Chen L, Liu Y. Prevalence of Malocclusion in 3-to 5-year-old children in Shanghai, China. International journal of environmental research and public health. 2017 Mar;14(3):328.
Anu V, Pavani B, Pavani D, Liana BJ, Lubna FA, Saikrishna YV. Distribution of school children based on the type of terminal plane in primary dentition: a study among 3- to 5-year-old children in Chennai, Tamil Nadu, India. Int J Clin Pediatr Dent. 2020;13(2):136-7.
Vignesh R, Rekha CV, Annamalai S, Norouzi P, Sharmin D. A Comparative Evaluation between Cheiloscopic Patterns and Terminal Planes in Primary Dentition. Contemp Clin Dent. 2017 Oct-Dec;8(4):522-525.
Nanda RS, Khan I, et al. Age changes in the occlusal pattern of deciduous dentition. J Dent Res. 1973 Mar-Apr;52(2):221–224.
Proffit WR. A textbook of contemporary orthodontics, 2nd ed, Mosby Year Book International; 1993.
Yilmaz Y, Gurbuz T, Simsek S, Dalmis A. Primary canine and molar relationships in centric occlusion in three to six year-old Turkish children: a cross-sectional study. J Contemp Dent Pract. 2006 Jul 1;7(3):59-66.
Jamal KM, Amash A, Ibrahim A. Epidemiological study of features of primary dentition occlusion in Iraqi preschool kids sample. Iraqi Dental Journal. 2017 Apr 13;39(1):7-11.
Shen L, He F, Zhang C, Jiang H, Wang J. Prevalence of malocclusion in primary dentition in mainland China, 1988-2017: a systematic review and meta-analysis. Sci Rep. 2018;8(1):4716.
Ize-Iyamu IN, Isiekwe MC. Prevalence and factors associated with anterior open bite in 2 to 5 year old children in Benin city, Nigeria. Afr Health Sci. 2012;12(4):446-51.
Chevitarese AB, Della Valle D, Moreira TC. Prevalence of malocclusion in 4-6 year old Brazilian children. J Clin Pediatr Dent. 2002;27(1):81-5.
Vinay S, Keshav V, Sankalecha S. Prevalence of spaced and closed dentition and its relation to malocclusion in primary and permanent dentition. Int J Clin Pediatr Dent. 2012 May;5(2):98-100.
Sun KT, Li YF, Hsu JT, Tu MG, Hung CJ, Hsueh YH, et al. Prevalence of primate and interdental spaces for primary dentition in 3- to 6-year-old children in Taiwan. J Formos Med Assoc. 2018 Jul;117(7):598-604.
Cho VY, King NM, Anthonappa RP. Correlating spacing in the primary dentition and caries experience in preschool children. Eur Arch Paediatr Dent. 2021 Jun;22(3):393-397.
Srinivasan D, Loganathan D, Kumar SS, Louis CJ, Eagappan S, Natarajan D. An Evaluation of Occlusal Relationship and Primate Space in Deciduous Dentition in Kancheepuram District, Tamil Nadu, India. J Pharm Bioallied Sci. 2017 Nov;9(Suppl 1):S45-S49.
Malandris M, Mahoney EK. Aetiology, diagnosis andtreatment of posterior cross-bites in the primary dentition.Int J Paediatr Dent 2004;14(3):155-166.
Vegesna M, Chandrasekhar R, Chandrappa V. Occlusal Characteristics and Spacing in Primary Dentition: A Gender Comparative Cross-Sectional Study. Int Sch Res Notices. 2014 Oct 29;2014:512680.
Bishara SE, Hoppens BJ, Jakobsen JR, Kohout FJ. Changes in the molar relationship between the deciduous and permanent dentitions: a longitudinal study. Am J Orthod Dentofacial Orthop. 1988 Jan;93(1):19-28.
Cândido IR, De Figueiredo AC, Cysne SS, SantiagoBM, Valença AM. Characteristics of Primary Tooth Oc-clusion in 2-5-year-old Children in João Pessoa, PB,Brazil. Pesquisa Brasileira em Odontopediatria e ClínicaIntegrada. 2010 Mar 17;10(1):15-22.
Bhat SS, Rao HA, Hegde KS, Kumar BK. Characteristics of primary dentition occlusion in preschool children: an epidemiological study. Int J Clin Pediatr Dent. 2012 May;5(2):93-7.
Khan R, Singh N, Govil S, Tandon S. Occlusion and occlusal characteristics of primary dentition in North Indian children of East Lucknow region. Eur Arch Paediatr Dent. 2014 Oct;15(5):293-9.
Trottman A, Elsbach HG. Comparison Of Malocclusion In Pre-school Black And White Children. Am J Orthod. 1996;110:69–72.
Brunelle JA, Bhat M, Lipton JA. Prevalence and distribution of selected occlusal characteristics in the US population, 1988–1991. J Dent Res. 1996;75:706–13.
Fernandes S, Gordhanbhai Patel D, Ranadheer E, Kalgudi J, Santokì J, Chaudhary S. Occlusal Traits of Primary Dentition among Pre-School Children of Mehsana District, North Gujarat, India. J Clin Diagn Res. 2017 Jan;11(1):ZC92-ZC96.
Alsughier Z. The Primary Canine – Molar Occlusal Relationship in 5 to 6 Years Old Boys in Rass City, Qassim Region of Saudi Arabia. International Journal of Dental Sciences and Research. 2019; 7(1):1-4.
Kumar D, Gurunathan D. Primary Canine and Molar Relationships in Centric Occlusion in 3- to 6-year-old Children: A Cross-sectional Survey. Int J Clin Pediatr Dent. 2019 May-Jun;12(3):201-204.
Otuyemi OD, Sote EO, Isiekwe MC, Jones SP. Occlusal relationships and spacing or crowding of teeth in the dentitions of 3-4-year-old Nigerian children. Int J Paediatr Dent. 1997 Sep;7(3):155-60.
Hegde S, Panwar S, Bolar DR, Sanghavi MB. Characteristics of occlusion in primary dentition of preschool children of Udaipur, India. Eur J Dent. 2012 Jan;6(1):51-5.
Warren JJ , Slayton RL, Yonezu T, Kanellis MJ, Levy SM. Interdental spacing and caries in the primary dentition Pediatr Dent 2003; 25: 109- 113.
Boyko DJ. The incidence of primate spaces in fifty 3-year-old children of the Burlington study. Am J Orthod. 1968 Jun;54(6):462-5.
Janiszewska-Olszowska J, Stepien P, Syrynska M. Spacing in deciduous dentition of Polish children in relation to tooth size and dental arch dimensions. Arch Oral Biol. 2009 May;54(5):397-402.
Shavi GR, Hiremath NV, Shukla R, Bali PK, Jain SK, Ajagannanavar SL. Prevalence of Spaced and Non-Spaced Dentition and Occlusal Relationship of Primary Dentition and its Relation to Malocclusion in School Children of Davangere. J Int Oral Health. 2015 Sep;7(9):75-8.
Bogovska-Gigova R, Kabaktchieva R. Mothers’ Knowledge towards Oral Health of Children aged up to 3 years before and after Educational Program. J of IMAB. 2021 Oct-Dec;27(4):4052-4059.
