What is it about?
Occlusion is the way in which the dental arches are related to each other and depends on craniofacial growth and development. It is affected in patients with Osteogenesis Imperfecta (OI) who present altered craniofacial development. The malocclusion present in 49 patients diagnosed with different types of OI aged between 4 and 18 was studied. The control group of healthy people was matched for age, sex, and molar class. To study the mixed and permanent dentition, the American Board of Orthodontics (ABO) discrepancy Index was applied. The primary dentition was evaluated with a Temporary Dentition Occlusion Analysis proposed for this study. The OI group obtained higher scores in the Discrepancy Index than the control group, indicating a high difficulty of treatment. The most significant differences were found in types III and IV of the disease. Regarding the variables studied, the greatest differences were found in the presence of lateral open bite in patients with OI, and in the variable “others” (agenesis and ectopic eruption). The analysis of primary dentition did not show significant differences between the OI and control groups. Patients with OI have more severe malocclusions than their healthy peers. Malocclusion is related to the severity of the disease and may progress with age
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Why is it important?
The study on the evaluation of the severity of malocclusion in children with osteogenesis imperfecta (OI) is important for several reasons. OI affects bone strength and can lead to various dental issues, including malocclusion. Understanding the severity of these dental problems is crucial for developing effective orthodontic treatment plans tailored to the unique needs of these children. Additionally, this research helps identify specific challenges faced by children with OI, allowing for early intervention and improved oral function and aesthetics. The findings also inform parents about potential dental complications, underscoring the importance of regular dental check-ups. Overall, this study enhances our understanding of how OI impacts dental health and guides clinicians in providing better care for affected children.
Perspectives
I believe this research is vital for understanding the dental challenges faced by children with OI. Since OI affects bone density, it often leads to significant malocclusion, impacting oral function and quality of life. This study provides important insights into the severity of malocclusion, enabling better treatment planning tailored to the needs of these children. Additionally, it raises awareness among healthcare providers and parents about potential dental complications associated with OI. By facilitating early intervention and multidisciplinary care, we can improve health outcomes and enhance the quality of life for affected children.
Prof. Rosa Mourelle
Universidad Complutense de Madrid
Read the Original
This page is a summary of: Evaluation of the Severity of Malocclusion in Children with Osteogenesis Imperfecta, Journal of Clinical Medicine, August 2022, MDPI AG,
DOI: 10.3390/jcm11164862.
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