Prevalence and Associated Factors of Malocclusion among Preschool Children in Huizhou, China: A Cross-Sectional Study

This survey examined the prevalence of malocclusion and its associated factors in 3- to 5-year-old children in Huizhou, China. Children were recruited from 21 kindergartens using a multistage sampling method. Two examiners performed oral examinations on the children, assessing occlusal traits, inclu...

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Main Authors: Lude Lin, Wanting Chen, Dejun Zhong, Xiayuan Cai, Jieyi Chen, Fang Huang
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/7/1050
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author Lude Lin
Wanting Chen
Dejun Zhong
Xiayuan Cai
Jieyi Chen
Fang Huang
author_facet Lude Lin
Wanting Chen
Dejun Zhong
Xiayuan Cai
Jieyi Chen
Fang Huang
author_sort Lude Lin
collection DOAJ
description This survey examined the prevalence of malocclusion and its associated factors in 3- to 5-year-old children in Huizhou, China. Children were recruited from 21 kindergartens using a multistage sampling method. Two examiners performed oral examinations on the children, assessing occlusal traits, including primary molar and canine relationship, overjet, crossbite, overbite, anterior open bite, scissor bite, midline deviation, crowding, and spacing. Caries experience was recorded. Self-administered questionnaires were distributed to collect background information and oral health-related habits. Chi-square test, Mann–Whitney U test, and binary logistic regression were conducted. The study invited 1485 children and eventually recruited 1454 (52.9% boys; response rate: 97.9%). The prevalence of malocclusion was 68.3%, and deep overbite was found in 48.6% of the children. Children who had lip-biting habits had a higher prevalence of deep overbite than those who did not (OR = 2.36, <i>p</i> < 0.05). Children who had digit-sucking habits and dental caries in anterior maxillary teeth had a lower prevalence of deep overbite than those who did not (OR = 0.73 and 0.70, respectively, <i>p</i> < 0.05). In conclusion, over half of the children in Huizhou who participated in the study had malocclusion. Dental caries in anterior maxillary teeth, digit-sucking, and lip-biting were the associated factors of deep overbite.
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spelling doaj.art-5e3533f4ba774a1799fb9ad7a064fbeb2023-11-17T16:44:41ZengMDPI AGHealthcare2227-90322023-04-01117105010.3390/healthcare11071050Prevalence and Associated Factors of Malocclusion among Preschool Children in Huizhou, China: A Cross-Sectional StudyLude Lin0Wanting Chen1Dejun Zhong2Xiayuan Cai3Jieyi Chen4Fang Huang5Hospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, ChinaHospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, ChinaHuizhou Second Maternal and Child Healthcare Hospital, Guangdong Medical University, Huizhou 516001, ChinaHuizhou Second Maternal and Child Healthcare Hospital, Guangdong Medical University, Huizhou 516001, ChinaHospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, ChinaHospital of Stomatology, Sun Yat-sen University, Guangzhou 510055, ChinaThis survey examined the prevalence of malocclusion and its associated factors in 3- to 5-year-old children in Huizhou, China. Children were recruited from 21 kindergartens using a multistage sampling method. Two examiners performed oral examinations on the children, assessing occlusal traits, including primary molar and canine relationship, overjet, crossbite, overbite, anterior open bite, scissor bite, midline deviation, crowding, and spacing. Caries experience was recorded. Self-administered questionnaires were distributed to collect background information and oral health-related habits. Chi-square test, Mann–Whitney U test, and binary logistic regression were conducted. The study invited 1485 children and eventually recruited 1454 (52.9% boys; response rate: 97.9%). The prevalence of malocclusion was 68.3%, and deep overbite was found in 48.6% of the children. Children who had lip-biting habits had a higher prevalence of deep overbite than those who did not (OR = 2.36, <i>p</i> < 0.05). Children who had digit-sucking habits and dental caries in anterior maxillary teeth had a lower prevalence of deep overbite than those who did not (OR = 0.73 and 0.70, respectively, <i>p</i> < 0.05). In conclusion, over half of the children in Huizhou who participated in the study had malocclusion. Dental caries in anterior maxillary teeth, digit-sucking, and lip-biting were the associated factors of deep overbite.https://www.mdpi.com/2227-9032/11/7/1050malocclusionocclusal traitsdental careprimary dentitionchild
spellingShingle Lude Lin
Wanting Chen
Dejun Zhong
Xiayuan Cai
Jieyi Chen
Fang Huang
Prevalence and Associated Factors of Malocclusion among Preschool Children in Huizhou, China: A Cross-Sectional Study
Healthcare
malocclusion
occlusal traits
dental care
primary dentition
child
title Prevalence and Associated Factors of Malocclusion among Preschool Children in Huizhou, China: A Cross-Sectional Study
title_full Prevalence and Associated Factors of Malocclusion among Preschool Children in Huizhou, China: A Cross-Sectional Study
title_fullStr Prevalence and Associated Factors of Malocclusion among Preschool Children in Huizhou, China: A Cross-Sectional Study
title_full_unstemmed Prevalence and Associated Factors of Malocclusion among Preschool Children in Huizhou, China: A Cross-Sectional Study
title_short Prevalence and Associated Factors of Malocclusion among Preschool Children in Huizhou, China: A Cross-Sectional Study
title_sort prevalence and associated factors of malocclusion among preschool children in huizhou china a cross sectional study
topic malocclusion
occlusal traits
dental care
primary dentition
child
url https://www.mdpi.com/2227-9032/11/7/1050
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