Maxillofacial Plastic and Reconstructive Surgery

  • Volume 42
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  • Pages.30.1-30.7
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  • 2020
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Association of maxillary dental developmental abnormality with precocious puberty: a case-control study

  • Kim, Yesel (Department of Preventive Dentistry and Public Oral Health, Yonsei University) ;
  • Lee, Nam-Ki (Department of Orthodontics, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Kim, Jae Hyun (Department of Pediatrics, Seoul National University Bundang Hospital) ;
  • Ku, Jeong-Kui (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Armed Forces Medical Command, Armed Forces Capital Dental Hospital) ;
  • Lee, Bu-Kyu (Department of Oral and Maxillofacial Surgery, Seoul Asan Medical Center) ;
  • Jung, Hoi-In (Department of Preventive Dentistry and Public Oral Health, Yonsei University) ;
  • Choi, Sun-Kyu (Department of Biostatistics, Korea University College of Medicine)
  • Received : 2020.06.10
  • Accepted : 2020.08.12
  • Published : 2020.12.31
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Abstract

Background: Dental studies of precocious puberty have focused on examination of jaw and dentition growth. The aim of the study was to analyze the relationship between precocious puberty and maxillary dental developmental abnormalities (DDAs). Methods: This retrospective study was conducted on the Korean patients in whom dental panoramic and hand-wrist radiographs had been taken before they were 15 years of age. The maxillary DDAs were assessed as mesiodens, congenital missing teeth, peg-shape lateral incisors, or impacted teeth. The chronological ages of the control group members were within the normal range of the hand-wrist bone age. Others with a peak luteinizing hormone of ≥ 5 and < 5 IU/L were allocated to central precocious puberty (CPP) and peripheral precocious puberty (PPP), respectively. Results: Of the enrolled 270 patients, 195, 52, and 23 were allocated to the control, CPP, and PPP groups, respectively. The maxillary DDAs were significantly more prevalent in the CPP group than in the other groups. Among those with maxillary DDA, the mesiodens predominated. Age- and sex-adjusted multivariate analysis revealed maxillary DDA (odds ratio, 3.36; 95% CI, 1.60-7.05) and especially mesiodens (odds ratio, 5.52; CI, 2.29-13.28) to be significantly associated with CPP. Conclusions: Maxillary DDAs were significantly more prevalent in the CPP group than in the PPP or control groups. Among the many types of maxillary DDAs, mesiodens was significantly associated with CPP and may be considered a predictor of the development of CPP.

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References

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