Анкетування як важливий інструмент для виявлення факторів впливу на затримку прорізування зубів

Abstract

Aim. To identify risk factors for delayed eruption of permanent anterior teeth in children aged 7 to 14 years, based on clinical examination, radiological examination, parental/caregiver questioning. Materials and Methods. The study included Ukrainian children aged 7-14 years who had delayed eruption of permanent teeth. They were divided into two groups. Group I was composed of 56 (40.0%) children aged 7-9 years with early mixed dentition; Group II was made of 84 (60.0%) individuals aged 10-14 years who had the final stage of mixed dentition. After careful history taking and physical examination, a clinical examination was performed to identify abnormal positions of incisors or canines and to determine the condition of the oral cavity and the bite; a radiological examination included CBCT; and the children’s parents /caregivers were surveyed with the use of the questionnaire we had developed. Results. It has been established that the main risk factors for delayed eruption of permanent teeth are arch-length deficiency, recurrent colds, respiratory disorders, delay in chewing food, pathology in the first trimester of pregnancy, premature extraction of primary teeth, use of a pacifier, delayed loss of deciduous teeth, bad habits, allergies, formula and mixed feeding, orthodontic treatment in the parents’ history, ectopic teething, and injuries to the maxillofacial area in children. Conclusions. A comprehensive history taking, an appropriate determination of the stages of dental development and an assessment of the potential risks of delayed teething are of paramount importance in the diagnosis of pathology, as they allow for the prediction of future orthodontic complications. Key words: delayed eruption of permanent teeth, questionnaire, X-ray examination, dental trauma, ENT pathology, bad habits, CBCT, early loss of primary teeth, allergy, burdened family history, stressor.