scholarly journals Prevalence of Malocclusions and Associated Factors inBrazilian Children and Adolescents with CerebralPalsy: A Multi-Institutional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Andreia Medeiros Rodrigues Cardoso ◽  
Clara Regina Duarte Silva ◽  
Lays Nóbrega Gomes ◽  
Mariana Marinho Davino de Medeiros ◽  
Wilton Wilney Nascimento Padilha ◽  
...  

Background. To assess the prevalence and factors associated with malocclusions in children and adolescents with cerebral palsy (CP). Methods. The study included 134 subjects with CP aged 2–18 years enrolled in six rehabilitation institutions and their caregivers, which provided demographic, systemic, and behavioral data. A calibrated researcher held oral examinations with record of the following malocclusion indexes, DAI and DMFT. Poisson regression analysis was used (α < 0.05). Results. About 85.8% (n = 115) of patients had malocclusion. In deciduous and mixed dentition (n = 99), increased overjet (75.8%), open bite (51.5%), posterior cross bite (19.2%), and anterior cross bite (3.0%) were identified. Increased overjet was associated with the age group of 2–5 years and mild communication impairment. Anterior open bite was more common in children who underwent tongue interposition, lip interposition, and pacifier sucking. Communication skills, mouth breathing, and tongue interposition were associated with posterior cross bite. Severe malocclusions (DAI > 30) were observed in 88.6% of patients with permanent dentition (n = 35) and were associated with liquid diet consistency and finger sucking. Conclusion. The prevalence of malocclusion in individuals with CP was high and associated with demographic, behavioral, and systemic factors.

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Juliana Feltrin de Souza ◽  
Camila Maria Bullio Fragelli ◽  
Marco Aurélio Benini Paschoal ◽  
Edson Alves Campos ◽  
Leonardo Fernandes Cunha ◽  
...  

Case Report. An 8-year-old girl with amelogenesis imperfecta (AI) reported unsatisfactory aesthetics, difficulty in mastication, and dental hypersensitivity. The intraoral examination observed mixed dentition, malocclusion in anteroposterior relationships, anterior open bite, and dental asymmetry. A hypoplastic form of AI was diagnosed in the permanent dentition. A multidisciplinary planning was performed and divided into preventive, orthopedic, and rehabilitation stages. Initially, preventive treatment was implemented, with fluoride varnish applications, in order to protect the fragile enamel and reduce the dental sensitivity. In the second stage, the patient received an interceptive orthopedic treatment to improve cross-relationship of the arches during six months. Finally, the rehabilitation treatment was executed to establish the vertical dimension. In the posterior teeth, indirect composite resin crowns were performed with minimally invasive dental preparation. Direct composite resin restorations were used to improve the appearance of anterior teeth.Follow-Up. The follow-up was carried out after 3, 6, 12, and 18 months. After 18 months of follow-up, The restoration of integrity, oral hygiene, and patient satisfaction were observed .Conclusion. Successful reduction of the dental hypersensitivity and improvement of the aesthetic and functional aspects as well as quality of life were observed.


2015 ◽  
Vol 86 (5) ◽  
pp. 734-739 ◽  
Author(s):  
Juliana S. Leite ◽  
Luciano B. Matiussi ◽  
Anne C. Salem ◽  
Maria G. A. Provenzano ◽  
Adilson L. Ramos

ABSTRACT Objective:  To evaluate the overbite correction of fixed palatal crib (FPC) and bonded lingual spur (BLS) in the early treatment of anterior open bite (AOB) in mixed dentition (primary outcome) as well as its influence on dental and skeletal cephalometric measurements (secondary outcome). Materials and Methods:  The selected patients had AOB and a mean age of 8.23 years. They were divided into the following three groups by casting lots: control (n  =  13), palatal crib (n  =  13), and spur (n  =  13). Data from the lateral teleradiography was obtained at the beginning, at 6 months, and after 1 year. The cephalometric analysis was performed by Cef-X program, recording the values of SNA, SNB, ANB, SnG oGn, 1.PP, IMPA, nasolabial angle, overbite, and overjet. Intergroup and intragroup comparisons were obtained via one-way analysis of variance. Results:  The degree of AOB was similar at baseline (P &gt; .05). At 6 months and then after 1 year all groups showed improvement in the overbite. However, only the crib and spur groups showed positive overbite. No cephalometric measurements changed significantly over the period analyzed. Conclusions:  We conclude that the FPC and BLS are simple and effective for the treatment of anterior open bite, with the advantage given to the FPC.


2021 ◽  
Vol 2 (3) ◽  
pp. 151-157
Author(s):  
Julio Carlos Garnica-Palazuelos ◽  
Mercedes Bermúdez ◽  
Juan Luis Cota-Quintero ◽  
Gerardo Bueno-Acuña ◽  
Sandra Santana-Delgado ◽  
...  

Open bite can be defined as an absence of occlusion, most frequently located in the anterior region of dental arches and its etiology is multifactorial. We present a clinical case of an 8 years and 10 months child presenting an anterior open bite (AOB) with transverse maxillary deficiency caused by tongue thrust during mixed dentition. The malocclusion was corrected by means of a McNamara expander with a palatal crib jointly with the association of speech therapy for tongue repositioning, and otolaryngology to treat adenoid hypertrophy due to its correlation with AOB. The multidisciplinary approach was effective in correcting the malocclusion with stable results after 2 years post-treatment.


Author(s):  
Fábio Lourenço Romano ◽  
Maria Beatriz Borges de Araújo Magnani ◽  
José Tarcísio Lima Ferreira ◽  
Denise De Souza Matos ◽  
Rodrigo Alexandre Valério ◽  
...  

Introduction: The aim of this study is to evaluate the prevalence of Class I, Class II and Class III Angle’s malocclusions and the associated problems open bite, cross-bite, anterior and posterior crowding, in schoolchildren of the public schools of Piracicaba’s city – São Paulo’s state. Methods: Four hundred and sixteen children were examined, 7 to 12 years of age, boys and girls, independent of the ethnic group and the socioeconomic condition. The children were examined in their own school by a professional graduated in Dentistry, are properly gagged. In the clinical exam wood spatulas were used to move away the check to facilitate the view of patient’s occlusal characteristics. Results: The examined scholars (86,6%) showed occlusal problems: 55,7% with Class I malocclusion, 19,7% with Class II-1ª division, 5,2% with Class II-2ª division and 6,0% with Class III. In relation to the associated problems, 16,5% showed anterior open bite, 3,3% anterior cross-bite , 15,8% posterior cross-bite, 3,6% anterior and posterior cross-bite and 52,6% anterior and inferior crowding.


2012 ◽  
Vol 17 (6) ◽  
pp. 89-96 ◽  
Author(s):  
Claudiane Tibolla ◽  
Lilian Rigo ◽  
Lincoln Issamu Nojima ◽  
Anamaria Estacia ◽  
Eduardo Gianoni Frizzo ◽  
...  

OBJECTIVE: The objective of this study was to verify from a school-based epidemiological survey, the prevalence of anterior open bite, analyzing the influence of pacifier habit in the school. METHODS: The first step was a questionnaire for the parents, and later clinical examinations in 237 school children, 3-14 years old, in the city of Santo Expedito do Sul/RS, Brazil. RESULTS: The population gender distribution was 50.3% boys and 49.4% girls with a mean age of 8.63 years, and 16% had primary dentition, 50.2% mixed dentition and 33.8 % permanent dentition. There was a 22.8% prevalence of anterior open bite, obtaining a significant association between anterior open bite and the pacifier sucking habit on the three dentitions. CONCLUSION: The duration and frequency of the habit were strongly associated with anterior open bite malocclusion in the deciduous and mixed dentitions.


2018 ◽  
Vol 69 (3) ◽  
pp. 707-709
Author(s):  
Gheorghe Raftu ◽  
Cristina Nicolae ◽  
Earar Kamel ◽  
Aureliana Caraiane

Worldwide, with the economic growth malocclusions recorded a significant increase, which has led to their ranking as the third most widespread oral health problem after dental caries and periodontal disease being considered the third priority among oral problems by the World Health Organization. The aim of this study consisted of an evaluation of the socio-environmental factors associated with dental malocclusion. The clinical characteristics of 125 children (from 5 to 12 years old, with no previous orthodontic treatment), were evaluated by means of a visual examination . Information about the socio - environmental characteristics of the children�s families were collected by means of a questionnaire addressed to their parents/guardian. The prevalence of malocclusions was 67.5% (84). Regarding the types of malocclusions included in this study and the most prevalent were: increased overjet 33.33% (28), deep overbite 21.42% (18), posterior crossbite 9.52% (8) and anterior open bite 2.38% (2). The results underline the need to reduce social disparities in oral health among children. In conclusion, it was observed that the socio-environmental factors influence the curative dental needs of children. Some associations were found between malocclusion and societal/behavioral parameters.


Author(s):  
Clara Fontinha ◽  
Monica Engvall ◽  
Lotta Sjögreen ◽  
Åsa Mårtensson ◽  
Anne-Berit Ekström ◽  
...  

Summary Background/objectives This research aimed to study the malocclusions of children and adolescents with myotonic dystrophy type 1 (DM1), in respect to healthy individuals, and trace the occlusal changes that occurred in these individuals during growth. Materials/methods Thirty-six dental casts, from children and adolescents with DM1 living in western and southern Sweden, were compared with a control group of 50 healthy individuals. To identify potential changes in occlusal traits, 26 casts were assessed and followed-up over a median time of 9 years. Independent samples t-tests were used to compare the two groups and their changes over time. Paired samples t-tests tested changes over time within each group (P &lt; 0.05). Results DM1 patients had a higher prevalence of anterior open bite, posterior crossbite, and Class III malocclusions. When compared to controls, patients presented smaller upper and lower intermolar as well as intercanine widths. In both groups, the individuals revealed longitudinal changes with a decrease in both upper and lower arch lengths and an increase on the palatal vault height. During the follow-up period, the prevalence of malocclusions remained almost the same, only significantly differing regarding the changes that occurred between groups referred to the upper intermolar width, which decreased among DM1 patients. Conclusions/implications In comparison to healthy controls, children and adolescents with DM1 have shown already at an early age a higher prevalence of both anterior open bite and posterior crossbite. These occlusal traits did not change with time apart from the upper narrow intermolar width, which further decreased with time.


2005 ◽  
Vol 29 (3) ◽  
pp. 205-210
Author(s):  
N. Al-Sulaiti ◽  
G. White

The patient presented with it skeletal class II malocclusion characterized by an anterior open bite and maxillary midline deviation. This mixed dentition case was treated orthopedically with MRI appliance to rotate and impact the maxilla. A Bionator was used advance the mandible. The case was completed using Occlus-O-Guide. The result showed that the facial bones and teeth appear in the correct position.


2016 ◽  
Vol 40 (3) ◽  
pp. 247-250 ◽  
Author(s):  
Mauro Henrique Andrade Nascimento ◽  
Telma Martins de Araújo ◽  
Andre Wilson Machado

Deleterious oral habits, such as non-nutritive sucking or tongue thrusting, if not intercepted at an early stage can cause complex malocclusions. This manuscript describes a clinical case report of a successful interception of a severe anterior dental open bite caused by thumb sucking and tongue thrusting habits. The case involved a six-year-old female patient treated with the use of palatal spurs and maxillary removable crib followed by monitoring the development of dental occlusion. At the end of the interceptive phase acceptable results were achieved, showing the efficacy of the treatment undertaken as well the importance of an early intervention to remove harmful oral habits.


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