Study on Developmental Anomalies of Anterior Deciduous Teeth in 3-6-year-old Children
Objective:To investigate the occurrence of developmental anomalies of anterior deciduous teeth in 3-6-year-old children.Methods:A total of 9432 panoramic radiographs of 3-6-year-old children with deciduous dentition were collected from January 2023 to December 2023.The incidence of anterior deciduous and inherited dental devel-opmental anomalies was observed and analyzed.Results:The incidence of anterior deciduous developmental anoma-lies was 3.9%,and the difference between the genders was not statistically significant(P=0.483).Congenital anterior deciduous teeth absence was the most common,with an incidence of 2.15%.There was no statistical difference between genders(P=0.887).The differences between unilateral and bilateral,maxillary and mandibu-lar,right and left were statistically significant(P=0.000).Four types of congenital deciduous anterior teeth absence with inherited permanent teeth were observed(absent teeth 70.85%,visible teeth 25.83%,fused teeth 1.85%,and supernumerary teeth 1.48%).The incidence of anterior deciduous tooth fusion was 1.84%,and there was no statistical difference between genders(P=0.110).The differences between unilateral and bilateral,maxil-lary and mandibular were statistically significant(P=0.000).Tooth fusion in right was more than left(P=0.012).Three types of deciduous anterior fused teeth with inherited permanent teeth were observed(absent teeth 52.33%,visible teeth 43.52%,and fused teeth 4.15%).The incidence of supernumerary teeth in deciduous anteri-or teeth was 0.13%,and two types of inherited permanent teeth were observed(33.33%with supernumerary teeth and 66.67%without supernumerary teeth).The incidence of freakish lingual cusp in deciduous anterior teeth was 0.42‰,bi-rooted in deciduous anterior teeth was 0.21‰,and impacted in deciduous anterior teeth was 0.11‰.Conclusion:The anterior deciduous developmental anomalies partly affects deciduous teeth and deciduous dentition,and even complicates with permanent teeth and permanent denti-tion abnormalities.The application of imaging examination can detect inherited permanent teeth abnormalities so as to adopt reasonable treatment plans.