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Abstract：
BACKGROUND: Craniosynostosis (CS), premature fusion of one or more cranial sutures, leads to abnormal skull development, impacting both facial esthetics and oral function. This study aimed to evaluate the specific orofacial and oral health characteristics, including masticatory performance, in Thai patients with CS.
METHODS: A comparative study was conducted with Thai CS patients aged 6-17 years and a control group of healthy individuals with similar age distribution. Assessments included craniofacial morphology, oral health status, and masticatory performance. Intergroup comparisons utilized appropriate statistical tests.
RESULTS: The study included 24 CS patients with a mean age of 10.11 ± 2.98 years and 30 controls. CS patients exhibited a significantly higher prevalence of various oral conditions compared to controls: cleft palate (20.8%), anterior open bite (41.7%), anterior crossbite (54.2%), posterior crossbite (50%), combined anterior-posterior crossbite (45.8%), dental crowding in both maxilla and mandible (50% and 45.8% respectively), congenitally missing teeth (50%), supernumerary teeth (12.5%), and eruption failure (54.2%). Furthermore, CS patients exhibited significantly higher caries prevalence and susceptibility, alongside poorer oral hygiene, compared to controls. Regarding jaw relationships, CS patients exhibited a significantly higher proportion of Angle\'s Class III malocclusion (50%) compared to the control group, where Class I malocclusion was predominant (50%). Masticatory performance, assessed using the two-color gum mixing ability test, showed significantly higher hue variance in CS patients (0.12 ± 0.07) compared to the control group, indicating reduced chewing performance.
CONCLUSIONS: This study underscores the significant orofacial and oral health challenges faced by children with CS, including a high prevalence of malocclusions, dental anomalies, elevated caries experience, and compromised masticatory function. These findings emphasize the importance of tailored interventions and comprehensive oral healthcare strategies to address the unique needs of this population and improve their overall quality of life.
METHODS: A comparative study was conducted with Thai CS patients aged 6-17 years and a control group of healthy individuals with similar age distribution. Assessments included craniofacial morphology, oral health status, and masticatory performance. Intergroup comparisons utilized appropriate statistical tests.
RESULTS: The study included 24 CS patients with a mean age of 10.11 ± 2.98 years and 30 controls. CS patients exhibited a significantly higher prevalence of various oral conditions compared to controls: cleft palate (20.8%), anterior open bite (41.7%), anterior crossbite (54.2%), posterior crossbite (50%), combined anterior-posterior crossbite (45.8%), dental crowding in both maxilla and mandible (50% and 45.8% respectively), congenitally missing teeth (50%), supernumerary teeth (12.5%), and eruption failure (54.2%). Furthermore, CS patients exhibited significantly higher caries prevalence and susceptibility, alongside poorer oral hygiene, compared to controls. Regarding jaw relationships, CS patients exhibited a significantly higher proportion of Angle\'s Class III malocclusion (50%) compared to the control group, where Class I malocclusion was predominant (50%). Masticatory performance, assessed using the two-color gum mixing ability test, showed significantly higher hue variance in CS patients (0.12 ± 0.07) compared to the control group, indicating reduced chewing performance.
CONCLUSIONS: This study underscores the significant orofacial and oral health challenges faced by children with CS, including a high prevalence of malocclusions, dental anomalies, elevated caries experience, and compromised masticatory function. These findings emphasize the importance of tailored interventions and comprehensive oral healthcare strategies to address the unique needs of this population and improve their overall quality of life.
摘要：
背景：颅骨融合症（CS），一个或多个颅骨缝线过早融合，导致颅骨发育异常,影响面部美学和口腔功能。本研究旨在评估特定的口面和口腔健康特征，包括咀嚼表演，泰国CS患者。
方法：对6-17岁的泰国CS患者和年龄分布相似的健康个体的对照组进行了比较研究。评估包括颅面形态学，口腔健康状况,和咀嚼表演。组间比较采用适当的统计检验。
结果：该研究包括24名平均年龄为10.11±2.98岁的CS患者和30名对照。与对照组相比，CS患者表现出各种口腔疾病的患病率明显更高：left裂（20.8％），前开口咬伤（41.7％），前牙交叉(54.2%),后牙合(50%),前后联合咬合（45.8％），上颌骨和下颌骨的牙齿拥挤（分别为50％和45.8％），先天性牙齿缺失（50%），多余牙齿(12.5%),和喷发失败(54.2%)。此外，CS患者表现出较高的龋齿患病率和易感性，除了较差的口腔卫生，与对照组相比。关于下巴关系，与对照组相比，CS患者表现出明显更高的Angle’sIII类错牙合畸形比例（50%），以I类错牙合为主（50%）。咀嚼性能，使用双色口香糖混合能力测试进行评估，与对照组相比，CS患者的色调方差明显更高（0.12±0.07），表明咀嚼性能降低。
结论：这项研究强调了CS患儿面临的显著口面和口腔健康挑战，包括畸形的高患病率，牙齿异常,升高的龋齿经验，咀嚼功能受损。这些发现强调了量身定制的干预措施和全面的口腔保健策略的重要性，以满足这一人群的独特需求并提高他们的整体生活质量。
方法：对6-17岁的泰国CS患者和年龄分布相似的健康个体的对照组进行了比较研究。评估包括颅面形态学，口腔健康状况,和咀嚼表演。组间比较采用适当的统计检验。
结果：该研究包括24名平均年龄为10.11±2.98岁的CS患者和30名对照。与对照组相比，CS患者表现出各种口腔疾病的患病率明显更高：left裂（20.8％），前开口咬伤（41.7％），前牙交叉(54.2%),后牙合(50%),前后联合咬合（45.8％），上颌骨和下颌骨的牙齿拥挤（分别为50％和45.8％），先天性牙齿缺失（50%），多余牙齿(12.5%),和喷发失败(54.2%)。此外，CS患者表现出较高的龋齿患病率和易感性，除了较差的口腔卫生，与对照组相比。关于下巴关系，与对照组相比，CS患者表现出明显更高的Angle’sIII类错牙合畸形比例（50%），以I类错牙合为主（50%）。咀嚼性能，使用双色口香糖混合能力测试进行评估，与对照组相比，CS患者的色调方差明显更高（0.12±0.07），表明咀嚼性能降低。
结论：这项研究强调了CS患儿面临的显著口面和口腔健康挑战，包括畸形的高患病率，牙齿异常,升高的龋齿经验，咀嚼功能受损。这些发现强调了量身定制的干预措施和全面的口腔保健策略的重要性，以满足这一人群的独特需求并提高他们的整体生活质量。
