scholarly journals Three-dimensional ultrasound evaluation of tongue posture and its impact on articulation disorders in preschool children with anterior open bite

2018 ◽  
Vol 52 (3) ◽  
pp. 250-256
Author(s):  
Sanda Lah Kravanja ◽  
Irena Hocevar-Boltezar ◽  
Maja Marolt Music ◽  
Ana Jarc ◽  
Ivan Verdenik ◽  
...  
Keyword(s):  
Preschool Children ◽  
Clinical Assessment ◽  
Three Dimensional ◽  
Open Bite ◽  
Control Group ◽  
Odds Ratios ◽  
Functional Diagnostics ◽  
Anterior Open Bite ◽  
Significant Difference ◽  
Articulation Disorders

Abstract Background Tongue posture plays an important role in the etiology of anterior open bite (AOB) and articulation disorders, and is crucial for AOB treatment planning and posttreatment stability. Clinical assessment of tongue posture in children is unreliable due to anatomical limitations. The aim of the study was to present functional diagnostics using three-dimensional ultrasound (3DUS) assessment of resting tongue posture in comparison to clinical assessment, and the associations between the improper tongue posture, otorhinolaryngological characteristics, and articulation disorders in preschool children with AOB. Patients and methods A cross-sectional study included 446 children, aged 3–7 years, 236 boys and 210 girls, examined by an orthodontist to detect the prevalence of AOB. The AOB was present in 32 children. The control group consisted of 43 children randomly selected from the participants with normocclusion. An orthodontist, an ear, nose and throat (ENT) specialist and a speech therapist assessed orofacial and ENT conditions, oral habits, and articulation disorders in the AOB group and control group. Tongue posture was also assessed by an experienced radiologist, using 3DUS. The 3DUS assessment of tongue posture was compared to the clinical assessment of orthodontist and ENT specialist. Results The prevalence of AOB was 7.2%. The AOB group and the control group significantly differed regarding improper tongue posture (p < 0.001), and articulation disorders (p < 0.001). In children without articulation disorders from both groups, the improper tongue posture occured less frequently than in children with articulation disorders (p < 0.001). After age adjustment, a statistical regression model showed that the children with the improper tongue posture had higher odds ratios for the presence of AOB (OR 14.63; p < 0.001) than the others. When articulation disorders were included in the model, these odds ratios for the AOB became insignificant (p = 0.177). There was a strong association between the improper tongue posture and articulation disorders (p = 0.002). The 3DUS detected the highest number of children with improper resting tongue posture, though there was no significant difference between the 3DUS and clinical assessments done by orthodontist and ENT specialist. Conclusions The 3DUS has proved to be an objective, non-invasive, radiation free method for the assessment of tongue posture and could become an important tool in functional diagnostics and early rehabilitation in preschool children with speech irregularities and irregular tongue posture and malocclusion in order to enable optimal conditions for articulation development.

scholarly journals Relationship between malocclusion and deleterious oral habits in preschool children in Campina Grande, PB, Brazil

2008 ◽  
Vol 55 (3) ◽  
pp. 154-162 ◽  
Author(s):  
Leite Cavalcanti ◽  
Medeiros Bezerra ◽  
Cristiano Moura ◽  
Medeiros Bezerra ◽  
Flávia Granville-Gracia
Keyword(s):  
Preschool Children ◽  
Pediatric Population ◽  
Age Groups ◽  
Positive Association ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Significance Level ◽  
Oral Habits ◽  
Posterior Crossbite ◽  
Significant Difference

Purpose: To evaluate the prevalence of malocclusions in preschool children in the city of Campina Grande, PB, Brazil, and verify the existence of associations between malocclusions and deleterious oral habits, gender and age. Methods: 342 children (3-5-year-old; 196 boys and 146 girls) with complete primary dentition and no previous orthodontic treatment were randomly selected from children regularly attending municipal day care centers. The occurrence of the following malocclusions was evaluated: accentuated overjet and overbite, anterior open bite and posterior crossbite. A calibrated experienced examiner (Kappa = 0.86) performed all clinical examinations under natural lightening after drying the teeth and soft tissue with gauze. Yates' chi-square and Fisher's exact tests verified the association between the variables and odds ratio. Significance level was set at 5%. Results: Malocclusions and deleterious oral habits were observed in 74% and 73.4% of the children, respectively. The prevalence of malocclusion was 68.9% in boys and 80.9% in girls. Accentuated overjet (45%) and anterior open bite (42.4%) were the most prevalent malocclusions. There was statistically significant difference (P = .008) between genders. However, no statistically significant differences (P = .47) were found among the age groups. Accentuated overjet, anterior open bite and posterior crossbite showed a positive association with the presence of deleterious oral habits. Conclusions: The high prevalence of malocclusions and deleterious oral habits observed in this pediatric population is supportive to the fact that oral health professionals that treat patients in these age groups should be aware of the importance of an early and accurate diagnosis in order to avoid the aggravation of occlusal alterations in the future.

scholarly journals Anterior Open Bite and Speech Disorders in Children with Down Syndrome

2008 ◽  
Vol 78 (2) ◽  
pp. 221-227 ◽  
Author(s):  
Rubén López-Pérez ◽  
S. Aida Borges-Yáñez ◽  
Patricia López-Morales
Keyword(s):  
Down Syndrome ◽  
Speech Disorders ◽  
Open Bite ◽  
Control Group ◽  
Anterior Open Bite ◽  
Chi Square ◽  
Children With Down Syndrome ◽  
Mexican Children ◽  
Significant Difference ◽  
Chi Square Test

Abstract Objective: To estimate the prevalence and to determine if there is an association between anterior open bite and the presence of speech disorders in a group of Mexican children with Down syndrome (DS). Materials and Methods: The subjects were a group of Mexican children with Down syndrome (DG) and a control group (CG) of Mexican pediatric patients without disabilities matched by age. The children in both groups came from families having children with anterior open bite and children without it. A parental questionnaire, dental study casts, and a speech test were used to measure the studied variables. Data were analyzed using the chi-square test (χ2 test), and one-way analyses of variance (ANOVA), followed by the Tukey post hoc test. Results: Prevalence of anterior open bite was 31.6% in the DG and 22.8% in the CG. The total speech errors by omissions, substitutions, distortions, and additions indicated that there were significant differences between both groups (F = 31.68, P &lt; .001). In general, no significant difference in speech disorders was observed between the DG and the CG regardless of the presence of anterior open bite. Conclusions: No association existed between speech disorders and anterior open bite in the samples studied.

scholarly journals Influence of non-nutritive sucking habits on anterior open bite

2020 ◽  
Vol 19 ◽  
pp. e207468
Author(s):  
Ana de Lourdes Sá de Lira ◽  
Alice Rodrigues Santos
Keyword(s):  
Bottle Feeding ◽  
Open Bite ◽  
Control Group ◽  
Deciduous Dentition ◽  
Anterior Open Bite ◽  
Cross Sectional ◽  
Nonnutritive Sucking ◽  
Anterior Teeth ◽  
Nutritive Sucking ◽  
Significant Difference

Aim: To evaluate the clinical behavior of sucking habits in children between 2 to 6 years old in a private (A1) and a public school (A2) in the state of Piauí. Methods: It was cross-sectional and quantitative study in 340 participants, 169 in A1 and 171 in A2. The researchers asked the children evaluated to keep their teeth occluded while analyzing whether there was no contact between the anterior teeth and no lip sealing, characterizing the anterior openbite for G1 or if there was contact between the incisors, with lip sealing, characterizing the control group (G2). Results: There was no statistically significant difference between groups regarding bottle feeding at main meals (χ2 = 3.03; p = 0.08). However, regarding the use of a pacifier, there was a statistically significant association (χ2 = 17.99; p <0.01) between pacifier use and the presence of anterior openbite. Such association was also observed between digital sucking habit and malocclusion (χ2 = 8.99; p = 0.01). Only the parents of the children with anterior openbite noticed the disharmony in the occlusion. It can be deduced that there was an awareness of parents /guardians about the disharmony generated by non-nutritive sucking habits. Conclusion: Nonnutritive sucking habits influenced the appearance of the anterior open bite in children with deciduous dentition. Nonnutritive sucking habits, such as digital sucking and pacifiers, are significantly associated with the presence of anterior open bite. Breastfeeding is important in preventing this malocclusion.

Oral Myofunctional and Articulation Disorders in Children with Malocclusions: A Systematic Review

2021 ◽  
pp. 1-16
Author(s):  
Zoë Thijs ◽  
Laura Bruneel ◽  
Guy De Pauw ◽  
Kristiane M. Van Lierde
Keyword(s):  
Systematic Review ◽  
Risk Of Bias ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Eligibility Criteria ◽  
High Prevalence ◽  
Tongue Position ◽  
Articulation Disorders ◽  
Level 2 ◽  
Unclear Risk

<b><i>Background:</i></b> Relationships between malocclusion and orofacial myofunctional disorders (OMD), as well as malocclusions and articulation disorders (AD) have been described, though the exact relationships remain unclear. Given the high prevalence of these disorders in children, more clarity is needed. <b><i>Summary:</i></b> The purpose of this study was to determine the association between OMD (specifically, bruxism, deviate swallowing, caudal resting tongue posture, and biting habits), AD, and malocclusions in children and adolescents aged between 3 and 18 years. To conduct a systematic review, 4 databases were searched (MEDLINE, Embase, Web of Science, and Scopus). The identified articles were screened for the eligibility criteria. Data were extracted from the selected articles and quality assessment was performed using the tool of Munn et al. [Int J Health Policy Manag. 2014;3:123–81] in consensus. Using the search strategy, the authors identified 2,652 articles after the removal of duplicates. After reviewing the eligibility criteria, 17 articles were included in this study. One of the included articles was deemed to have an unclear risk of bias, whereas all other articles were considered to have a low risk of bias. The articles showed a relationship between anterior open bite and apico-alveolar articulatory distortions, as well as between anterior open bite and deviate swallowing. For the biting habits, bruxism, and low tongue position no clear conclusions could be drawn. <b><i>Key Messages:</i></b> The current review suggests a link between specific types of malocclusion and OMD and AD. However, more high-quality evidence (level 1 and level 2, Oxford Levels of Evidence) is needed to clarify the cooccurrence of other OMD, AD, and malocclusions.

scholarly journals Anterior open bite: cephalometric evaluation of the dental pattern

2006 ◽  
Vol 17 (1) ◽  
pp. 68-70 ◽  
Author(s):  
Adriana Sasso Stuani ◽  
Andréa Sasso Stuani ◽  
Maria Bernadete Sasso Stuani ◽  
Maria da Conceição Pereira Saraiva ◽  
Mírian Aiko Nakane Matsumoto
Keyword(s):  
Open Bite ◽  
Occlusal Plane ◽  
Anterior Open Bite ◽  
Panoramic Radiographs ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Dental Origin ◽  
Dental Pattern ◽  
Mandibular Incisors

The purpose of this study was to compare the dental pattern of patients with anterior open bite malocclusion to that of individuals with normal overbite by utilization of lateral cephalograms, panoramic radiographs and study casts. The findings showed that there was no significant difference in the inclination of the occlusal plane (SN.PlO) and position of the maxillary and mandibular incisors (1-NA, 1-NB) between both groups of individuals; but the angles of inclination of the maxillary and mandibular incisors (1.1, 1.NA and 1.NB) differed statistically between patients with anterior open bite of the individuals that presented normal overbite, which suggests that the anterior open bite may be of dental origin.

scholarly journals Assessment of the quality of life of orthodontic and surgical patients. Analysis of the factors that motivate the initiation of treatment within the masticatory system

2021 ◽  
Vol 11 (6) ◽  
pp. 120-136
Author(s):  
Justyna Oliwia Szpyt ◽  
Magdalena Gębska
Keyword(s):  
Quality Of Life ◽  
Open Bite ◽  
Surgical Patients ◽  
Control Group ◽  
Self Confidence ◽  
Lower Canine ◽  
Significant Difference ◽  
The Face ◽  
Masticatory System

IntroductionAccording to Angle's classification, a correct bite should have, inter alia, the following regularities: the median line of the face should coincide with the line between the central incisors of the upper and lower arches, the lower incisors should be overlapped by the incisal edges of the upper incisors, the top of the canine in the upper arch is inserted between the lower canine and the tangent premolar, each tooth is in contact with two opposing teeth, adjacent teeth both in the upper and lower arch are in contact with each other. Any deviation from these rules may indicate the presence of a malocclusion. We can distinguish here, for example: posteroclusion, open bite, retrusive occlusion, protrusive occlusion, supraclusion bite. They seem to be important not only in terms of functionality, but also psychology. Research shows that the correction of mandibular prognathism increases the level of self-confidence and self-acceptance, which may improve the quality of life of patients.Purpose of researchThe aim of the study was to check the quality of life of orthodontic and surgical patients as well as what factors motivate these people to start treatment in the area of the masticatory system.Material and methods208 people aged 18 to 55 participated in the survey. They were both people with malocclusion and no malocclusion, who constituted the control group. The questionnaire was created on the basis of standardized OQLQ and OHIP-14 questionnaires. It also included questions about the factors that motivate to start treatment in the masticatory system.ResultsThe most common malocclusion among the respondents was progenia (58.8%), followed by retrogenia (34.3%), then open bite (4%) and posteroclusion (2.9%). According to the OHIP-14 form, statistically significant (p <.0001) higher quality of life was seen in people without a masticatory organ defect, compared to people with the malocclusion. A statistically significant difference (p <.0001) between people with present or recent malocclusion (M = 54.29, SD = 16.71) and people without malocclusion (M = 31.93, SD = 18.31) was also visible in the study with using the OQLQ questionnaire.ConclusionsA malocclusion worsens the comfort and quality of life.Incorrect bite, face and smile aesthetics as well as psychological aspects are the most important factors motivating to undertake surgical and orthodontic treatment.Bruxism and facial pain are not factors prompting the initiation of treatment of malocclusion.

scholarly journals The Effect of Play-Based Math Activities on Different Areas of Development in Children 48 to 60 Months of Age

SAGE Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 215824402091953
Author(s):  
Meral Taner Derman ◽  
Elvan Şahin Zeteroğlu ◽  
Arzu Ergişi Birgül
Keyword(s):  
Preschool Children ◽  
Motor Development ◽  
Fine Motor ◽  
Control Group ◽  
Gross Motor ◽  
Physically Active ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Language Areas ◽  
Experimental Group

There are previous studies in the literature conducted on the effect of play-based math activities on the mathematical skills, language, and cognitive development of preschool children. However, the number of studies conducted to determine the effect of play-based math activities on different areas of development in preschool children was too few. The purpose of this study is to investigate the effect of play-based math activities on different developmental areas (personal-social, fine motor, language, and gross motor development) of children 48 to 60 months of age. The pretest/posttest quasi-experimental research design with control and experimental groups was employed in this study. The research group of this study is composed of 45 children 22 of whom (10 girls and 12 boys) were in the experimental group and 23 (10 girls and 13 boys) in the control group. Denver II Developmental Screening Test was used as the data collection tool. As a result, it was determined that there was a significant difference between the subscales and pretest-posttest total scores concerning personal-social, fine motor, and language areas in the experimental group, while there was no statistically significant difference in the gross motor subscale. In addition, it was observed that there was statistically no significant difference between pretest–posttest scores concerning personal-social, fine motor, language, gross motor subscales and total scores of the control group. The result revealed that play-based math activities have a positive effect on personal-social, fine motor, language, and gross motor developments of children. Further studies can be planned to investigate the effects of play-based mathematics education integrated with different activities where children can have fun and be physically active on children’s developmental areas.

scholarly journals 1187 Evaluation of left and right ventricular functions with 3D speckle tracking in patients with mitral stenosis

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
O Seckin ◽  
S Unlu ◽  
G Tacoy
Keyword(s):  
Right Ventricular ◽  
Mitral Stenosis ◽  
Speckle Tracking ◽  
Longitudinal Strain ◽  
Global Longitudinal Strain ◽  
Three Dimensional ◽  
Left Ventricular ◽  
Control Group ◽  
Free Wall ◽  
Significant Difference

Abstract Background The function of both ventricles have been suggested to be affected in patients with mitral stenosis. In this study, it was aimed to investigate deformation properties of right (RV) and left ventricles (LV) in mild and moderate rheumatic mitral stenosis (MS) patients with three-dimensional speckle tracking echocardiography (3D-STE). Methods A total of 60 patients were included in the study (20 patients with mild MS diagnosis, 20 patients with moderate MS diagnosis and 20 healthy volunteers). Three-dimensional echocardiography datasets were obtained for both ventricles in all patients. An example for RV assessment is shown in Figure 1. LV global longitudinal strain (GLS), LV torsion, RV free wall (FW) LS and interventricular septal (IVS) LS measurements were analyzed. Results The LV ejection fraction (EF), RV fractional area change and tricuspid annular plane systolic excursion values were statistically similar and in the normal range. The LV GLS measurements were significantly different among the groups by being highest in the control group and least in the moderate stenosis group (ANOVA,p &lt; 0.001) (Table 1). Patients with MS showed higher torsional values, correlated with MS severity (ANOVA,p &lt; 0.001) (Table 1). IVS LS, RVFW LS values obtained by RV analysis also differed significantly among groups. The FW-GLS values only showed significant difference between the control group and moderate MS group (Table 1). Conclusion Patients with mitral stenosis showed lower LV-GLS and higher LV torsion values. Although the LV GLS is affected; the LV EF was detected to be normal due to increase in LV torsion. RV deformation indices showed signıficant decrease in correlation with the severity of the mitral stenosis. In conclusion, our data suggest that subclinical LV and RV systolic dysfunction is present in mild-moderate MS patients and this dysfunction can be detected by 3D-STE. Table 1 Parameters Control group Mild MS Moderate MS P LV GLS (%) 23.3 ± 2.08 18.9 ± 1.3 17.5 ± 1.8 &lt;0.001 LV torsion 1.5 ± 0.6 2.1 ± 0.6 2.6 ± 0.5 &lt;0.001 IVS LS (%) 23 ± 3.0% 20 ± 2.6 17.1 ± 2.9 &lt;0.001 RV FW LS (%) 25.4 ± 5 22.7 ± 3.2 21.1 ± 4.8 &lt;0.001 FW; free-wall, GLS; global longitudinal strain, IVS; interventricular septum, LV; left ventricular, RV; right ventricular Abstract 1187 Figure 1

scholarly journals Association between anterior open bite and impact on quality of life of preschool children

2015 ◽  
Vol 29 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Joana RAMOS-JORGE ◽  
Thiago MOTTA ◽  
Leandro Silva MARQUES ◽  
Saul Martins PAIVA ◽  
Maria Letícia RAMOS-JORGE
Keyword(s):  
Quality Of Life ◽  
Preschool Children ◽  
Open Bite ◽  
Anterior Open Bite

Craniofacial Morphology in an Unusual Case with Nasal Aplasia Studied by Roentgencephalometry and Three-Dimensional CT Scanning

2004 ◽  
Vol 41 (2) ◽  
pp. 208-213 ◽  
Author(s):  
Noriyuki Kitai ◽  
Yoshitaka Iguchi ◽  
Mariko Takashima ◽  
Shumei Murakami ◽  
Sven Kreiborg ◽  
...  
Keyword(s):  
Unusual Case ◽  
Three Dimensional ◽  
Ct Scanning ◽  
Septal Cartilage ◽  
Open Bite ◽  
Craniofacial Morphology ◽  
Permanent Teeth ◽  
Class Iii ◽  
Anterior Open Bite ◽  
Mandibular Plane

Objective To examine the three-dimensional morphology of internal structures of the craniofacial region and present the orthodontic problems in an unusual case with nasal aplasia. Patient The patient was an 11.5-year-old boy with aplasia of the nose and nasal cavity with extremely constricted nasopharyngeal airway. He did not have mental or somatic retardation. The patient had dacryostenosis. The morphology of the craniofacial structures was characterized by absence of septal structures, including cribriform plate, perpendicular plate of ethmoid bone, vomer, and septal cartilage; bony hypotelorism; midface hypoplasia; short and retrognathic maxilla with Class III jaw relationship; average mandibular plane angle; high arched palate; severe anterior open bite with bilateral posterior crossbites; and dental anomalies (agenesis of four maxillary permanent teeth, microdontia, taurodontism, and short roots). Thus, the patient had characteristic dentofacial phenotype, which might be caused by a combination of the primary anomaly and the functional disturbances secondary to the nasal obstruction.

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