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Idiopathic scoliosis and anomalies in orofacial skeleton

Olga Lulić-Dukić ; Zavod za dječju i preevntivnu stomatologiju, Stomatološki fakultet Zagreb, Zagreb, Hrvatska
Marko Pećina ; Klinika za ortopediju, Medicinski fakultet, Zagreb, Hrvatska
Ančica Pećina-Hrnčević ; Klinika za ortopediju, Medicinski fakultet, Zagreb, Hrvatska

Puni tekst: hrvatski pdf 8.919 Kb

str. 215-223

preuzimanja: 776



Inorder to investigate the link between the occurrence of idiopathic
scoliosis and anomalies of the orofacial skeleton, studies have been carried out on 202 subjects (29 boys and 173 girls) aged 7 to 17 and presenting idiopathic »scoliosis of 20 to 60 degrees (Cobbs). The control group included 640 subjects, of the matching age and sex,
without any signs of spine deviation or poor posture. All clinically indicated cases were tested radiologically; the selected girl sample was also tested anthropometrically and by cephalometric roentgenograms. In subjects with idiophatic scoliosis a pathological oral finding was established in 78,7% of cases; the rate in the control group was 45%. Acquired oral anomalies presented the same incidence in both groups of subjects; conversely, hereditary oral anomalies such as hypodontia, delayed dentition, prognathism, enamel hypoplasia, primary compression, close bite and dystopia were found to be considerably (and statistically significant) more frequent in children with idiopathic scoliosis as compared with children
having a normal spine. Thus, hypodontia was established in 10% of scoliotic children an in only 0,8% of children without scoliosis of the spine. There is obviously a common genetic predisposition to the development of orofacial skeleton anomalies and idiopathic skoliosis. Cephalometric roentgenograms have shown that asymmetries of the orofacial skeleton, when present in children affected by idiopathic scoliosis, always occur on the side of the scoliotic deviation. The studies have, shown that every child with detected hereditary anomalies of the orofacial skeleton requires particular attention focused on the discovery of possible spine deformities. Similarly, all chidren presenting spline deformities would require orthodontic supervision. Joint preventive action by specialists and orthopedists on the one hand, and pedodontists and orthodontists on the other, will contribute to early, i.e., timely treatment of orofacial skeleon anomalies and idiopathic scoliosis in school children.

Ključne riječi

Idiopathic scoliosis; orofacial anomalies

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