Severity of Occlusal Disharmonies in Down Syndrome

Objective. To quantify the severity of malocclusion and dental esthetic problems in untreated Down syndrome (DS) and untreated non-Down syndrome children age 8–14 years old using the PAR and ICON Indices. Materials and Methods. This retrospective study evaluated pretreatment study models, intraoral...

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Main Authors: Danielle Bauer, Carla A. Evans, Ellen A. BeGole, Larry Salzmann
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2012/872367
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author Danielle Bauer
Carla A. Evans
Ellen A. BeGole
Larry Salzmann
author_facet Danielle Bauer
Carla A. Evans
Ellen A. BeGole
Larry Salzmann
author_sort Danielle Bauer
collection DOAJ
description Objective. To quantify the severity of malocclusion and dental esthetic problems in untreated Down syndrome (DS) and untreated non-Down syndrome children age 8–14 years old using the PAR and ICON Indices. Materials and Methods. This retrospective study evaluated pretreatment study models, intraoral photographs, and panoramic radiographs of 30 Down syndrome and two groups of 30 non-Down syndrome patients (private practice and university clinic) age 8–14 years. The models were scored via PAR and ICON Indices, and descriptive characteristics such as Angle classification, missing or impacted teeth, crossbites, open bites, and other dental anomalies were recorded. Results. The DS group had significantly greater PAR and ICON scores, as well as 10 times more missing teeth than the non-DS group. The DS group possessed predominantly Class III malocclusions, with the presence of both anterior and posterior crossbites in a majority of the patients. The non-DS group had mostly Class I or II malocclusion with markedly fewer missing teeth and crossbites. The DS group also had more severe malocclusions based upon occlusal traits such as open bite and type of malocclusion. Conclusion. The DS group had very severe malocclusions, while the control group from the university clinic had more severe malocclusions than a control group from a private practice.
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series International Journal of Dentistry
spelling doaj-art-a0f881fa1b9a48ffa1eaa7405e6901c02025-08-20T03:38:34ZengWileyInternational Journal of Dentistry1687-87281687-87362012-01-01201210.1155/2012/872367872367Severity of Occlusal Disharmonies in Down SyndromeDanielle Bauer0Carla A. Evans1Ellen A. BeGole2Larry Salzmann3Private Practice, Wheaton, IL, USADepartment of Orthodontics, University of Illinois at Chicago, 801 South Paulina Street, MC 841, Chicago, IL 60612-7211, USADepartment of Orthodontics, University of Illinois at Chicago, 801 South Paulina Street, MC 841, Chicago, IL 60612-7211, USADepartment of Pediatric Dentistry, UIC College of Dentistry, 801 South Paulina Street, MC 850, Chicago, IL 60612, USAObjective. To quantify the severity of malocclusion and dental esthetic problems in untreated Down syndrome (DS) and untreated non-Down syndrome children age 8–14 years old using the PAR and ICON Indices. Materials and Methods. This retrospective study evaluated pretreatment study models, intraoral photographs, and panoramic radiographs of 30 Down syndrome and two groups of 30 non-Down syndrome patients (private practice and university clinic) age 8–14 years. The models were scored via PAR and ICON Indices, and descriptive characteristics such as Angle classification, missing or impacted teeth, crossbites, open bites, and other dental anomalies were recorded. Results. The DS group had significantly greater PAR and ICON scores, as well as 10 times more missing teeth than the non-DS group. The DS group possessed predominantly Class III malocclusions, with the presence of both anterior and posterior crossbites in a majority of the patients. The non-DS group had mostly Class I or II malocclusion with markedly fewer missing teeth and crossbites. The DS group also had more severe malocclusions based upon occlusal traits such as open bite and type of malocclusion. Conclusion. The DS group had very severe malocclusions, while the control group from the university clinic had more severe malocclusions than a control group from a private practice.http://dx.doi.org/10.1155/2012/872367
spellingShingle Danielle Bauer
Carla A. Evans
Ellen A. BeGole
Larry Salzmann
Severity of Occlusal Disharmonies in Down Syndrome
International Journal of Dentistry
title Severity of Occlusal Disharmonies in Down Syndrome
title_full Severity of Occlusal Disharmonies in Down Syndrome
title_fullStr Severity of Occlusal Disharmonies in Down Syndrome
title_full_unstemmed Severity of Occlusal Disharmonies in Down Syndrome
title_short Severity of Occlusal Disharmonies in Down Syndrome
title_sort severity of occlusal disharmonies in down syndrome
url http://dx.doi.org/10.1155/2012/872367
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AT carlaaevans severityofocclusaldisharmoniesindownsyndrome
AT ellenabegole severityofocclusaldisharmoniesindownsyndrome
AT larrysalzmann severityofocclusaldisharmoniesindownsyndrome