scholarly journals Impact of two non-nutritive sucking patterns on the development of anterior open bite in children of two kindergartens in Baghdad city

2020 ◽  
Vol 32 (4) ◽  
pp. 12-16
Author(s):  
Munad J Al Duliamy

Background: Non-nutritive sucking habit (NNSH) is the main environmental causative factor that disturbs normal orofacial development. In spite of the harmful effect of pacifier as a NNSH, mothers aware from the other types of NNSH like thumb sucking far more than pacifier use. Open bite is one of the most challenging malocclusions in orthodontics due to the high prevalence of relapse after treatment, so preventing the causative factor of its occurrence is essential at early age of child life. This study aims to assess the impact of two non-nutritive patterns on the development of anterior open bite in primary dentition and to compare which of these habits mostly affect open bite development. Materials and Methods: The sample consisted of 313 Iraqi children (135 boys, 178 girls), aged 3-5 years, enrolled at two public kindergartens in Baghdad city, the Capital of Iraq. A pre-tested questionnaire with clinical examination were used to obtain data regarding thumb sucking, pacifier and the presence of open bite. Excel sheets were used for data processing, and Chi square test was used in data analysis. Results: There was a significant association between NNSH and the development of open bite (p value = 0.01). No gender differences in open bite prevalence were observed. The prevalence of non-nutritive sucking habits and open bite was 63.11% and 52.9% respectively with no gender difference. There was no significant differences between the effect of pacifier and thumb sucking habits on the development of an anterior open bite. Conclusion: Both pacifier and thumb sucking at preschool age are significant causative factors that lead to development of open bite in primary dentition. Encouraging mothers to ban and discontinue pacifier and thumb sucking habits as early as possible in the child's life is a crucial factor to prevent open bite development. On the other hand if general health of the child indicates the use of pacifier, mothers should use an orthodontic pacifier and for short time

2014 ◽  
Vol 19 (3) ◽  
pp. 108-113 ◽  
Author(s):  
Melissa Proença Nogueira Fialho ◽  
Célia Regina Maio Pinzan-Vercelino ◽  
Rodrigo Proença Nogueira ◽  
Júlio de Araújo Gurgel

INTRODUCTION: Non-nutritive sucking habits (NNSHs) can cause occlusal alterations, including anterior open bite (AOB). However, not all patients develop this malocclusion. Therefore, the emergence of AOB does not depend on deleterious habits, only. OBJECTIVE: Investigate a potential association between non-nutritive sucking habits (NNSHs), anterior open bite (AOB) and facial morphology (FM). METHODS: 176 children in the primary dentition stage were selected. Intra and extraoral clinical examinations were performed and the children's legal guardians were asked to respond to a questionnaire comprising issues related to non-nutritive sucking habits (NNSHs). RESULTS: A statistically significant relationship was found between non-nutritive sucking habits (NNSHs) and anterior open bite (AOB). However, no association was found between these factors and children's facial morphology (FM). CONCLUSIONS: Non-nutritive sucking habits (NNSHs) during the primary dentition stage play a key role in determining anterior open bite (AOB) malocclusion regardless of patient's morphological facial pattern (FM).


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.


2019 ◽  
Vol 31 (3) ◽  
pp. 44-49
Author(s):  
Saba M Al-kinane ◽  
Zainab A. Al-Dahan

Background: habit is any purposeless action repeated unconsciously. It is a sign of lack of harmony between the subject and the surrounding environment. Deleterious oral habits such as finger sucking could be one of the etiological factors for altered oro-facial growth development. This study conducted to explore the association between finger sucking habit and malocclusion in deciduous dentition. Materials and method: Totally 40 chronic thumb sucker and 40 controls matching in age and gender were enrolled in the study. A study conducted by verifying different occlusal trait through the intra-oral examination. Thumb sucking habit diagnosed using data gathered from parents. Results: The statistical analysis showed a highly significant difference (p>0.01) in the occurrence of anterior open bite, increased over jet between study and controls, in addition to that thumb sucking habit increased the likelihood of development of anterior open bite, increased overjet and posterior cross bite by 39 folds, 40 folds and 3 folds respectively. Conclusions: Thumb sucking habit found to be a risk factor for the development of anterior open bite and increased overjet.


2021 ◽  
Vol 15 (1) ◽  
pp. 457-463
Author(s):  
Elene Golovachova ◽  
Tinatin Mikadze ◽  
Otar Darjania

Background: Primary dentition is a determinant for future permanent occlusion. Objective: This aimed to evaluate the prevalence of malocclusion and associated variables in the primary dentition among preschoolers in the city of Tbilisi, Georgia. Methods: A cross-sectional survey was conducted among kindergarten children aged 3–5 years. Orthodontic characteristics were assessed by one calibrated clinician (E.G). Questionnaires were given to parents to record associated variables like general health problems, functional changes, and the presence of non-nutritive sucking habits. Results: A total of 396 participants aged 3-5 were included in the study. The prevalence of malocclusion was 49.8%, without significant differences among genders. The prevalence of Class II malocclusion was 21.2%(±4.091), followed by a deep overbite, i.e, 10.7% (±3.14), crossbite, i.e, 7% (±2.561), anterior open bite, i.e, 6.9%, and Class III malocclusion, i.e, 1.6% (±1.513). A total of 41.5% of children with breathing problems had Class II and 13% had crossbite. Speech disorder in 46.8% of cases was associated with anterior open bite. Pacifier users had Class II in 22.5%, deep overbite in 12.2%, and open bite in 9.2% of cases. There was a high prevalence of anterior open bite (25.2%) in children with a thumb-sucking habit (RR=4.90). These data sets are statistically reliable (p < 0.05). Conclusion: Almost half of the evaluated preschoolers had malocclusion. The most frequent disorder was Class II. Malocclusion is associated with non-nutritive sucking habits and mouth breathing.


2014 ◽  
Vol 25 (4) ◽  
pp. 336-342 ◽  
Author(s):  
Raulison Vieira de Sousa ◽  
Gabriella Lima Arrais Ribeiro ◽  
Ramon Targino Firmino ◽  
Carolina Castro Martins ◽  
Ana Flávia Granville-Garcia ◽  
...  

The aim of the study was to verify the prevalence of anterior open bite (AOB) and posterior cross-bite (PC) in the primary dentition and the association with sociodemographic factors, presence and duration of nutritive and non-nutritive habits. A cross-sectional study was carried out with 732 preschoolers in Campina Grande, PB, Brazil. Clinical exams were performed by three calibrated examiners (Kappa: 0.85-0.90). A questionnaire addressing sociodemographic data as well as nutritive and non-nutritive sucking habits was administered to parents/caregivers. Data analysis involved descriptive statistics and Poisson regression analysis (α=5%). The prevalence of AOB and PC was 21.0% and 11.6%, respectively. AOB was significantly associated with the three-year-old age group (PR: 1.37; 95%CI: 1.24-1.52), enrollment in public school (PR: 1.09; 95%CI: 1.01-1.17) and duration of pacifier sucking ≥36 months (PR: 1.41; 95%CI: 1.30-1.53). PC was associated with pacifier use (PR: 1.11; 95%CI: 1.05-1.17) and duration of breastfeeding <12 months (PR: 1.05; 95%CI: 1.00-1.10). Socioeconomic factors appear not to be related to AOB or PC in the primary dentition, except type of preschool. Breastfeeding should be encouraged for longer periods and the use of pacifier beyond 3 years of age represents a predisposing factor for both types of malocclusion, especially AOB.


2011 ◽  
Vol 19 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Camila Campos Romero ◽  
Helio Scavone-Junior ◽  
Daniela Gamba Garib ◽  
Flávio Augusto Cotrim-Ferreira ◽  
Rívea Inês Ferreira

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
María E. Solís - Espinoza

El propósito del presente artículo es hacer una revisión actualizada de como la succión digital patológica puede alterar el normal desarrollode la cavidad bucal y presentar alternativas para su interceptación o corrección. La succión digital suele considerarse una reacciónautomática que puede presentarse en momentos de estrés, frustración, falta de atención de los padres y principalmente la falta de unaadecuada lactancia materna ya que conlleva al uso del biberón, que es considerado por varios autores como el agente etiológico principal delhábito de succión no nutritiva. Dentro de las principales características tenemos: Mordida abierta anterior, mordida cruzada posterior unilateral o bilateral, paladar profundo y estrecho, posición lingual baja, dedo con callosidades y de aspecto muy limpio entre otros. El tratamiento debe ser interdisciplinario por lo tanto el equipo deberá estar constituido por el médico pediatra, odontopediatra, fonoaudiólogo, psicólogo, ortodoncista y padres. No se recomienda realizar intervenciones activas en niños menores de tres años por falta de desarrollo cognitivo y emocional. Se realizará primero un tratamiento persuasivo que está basada en comunicación y refuerzo positivo, en caso de no obtener resultados se pasará tratamiento conductual con aditamentos como guantes y si éstos no tienen resultados se utilizara dispositivos ortodónticos que bloquearán el ingreso del dedo y dependiendo de la severidad o dificultad del caso se complementaran con tratamiento miofuncional. Palabras clave: Hábitos orales, succión digital, tratamiento. AbstractThe purpose of this article is to date as pathological thumb sucking can alter the normal development of the oral cavity and present alternatives for revision or correction interception. The finger sucking is often considered an automatic reaction that can occur in times of stress, frustration, lack of attention from parents and mainly the lack of proper breastfeeding and involved the use of the bottle, which is considered by many authors as the agent main etiological habit of non-nutritive sucking. Among the main features we are: anterior open bite, posterior crossbite unilateral or bilateral, deep and narrow palate, low tongue position, finger calluses and very clean appearance among others. Treatment should be interdisciplinary so the team should be constituted by the pediatrician, dentist, speech therapist, psychologist,orthodontist and parents. It is not recommended active intervention in children under three years for lack of cognitive and emotional development. A persuasive treatment is based on communication and positive reinforcement, if not get results behavioral treatment will happen with attachments such as gloves and if they do not have results orthodontic devices that block the entry of the finger, depending on the severity will be used will be made first or difficulty of the case be supplemented with myofunctional therapy. Keywords: Oral habits, finger sucking, thumb sucking, treatment. 


PEDIATRICS ◽  
1986 ◽  
Vol 78 (1) ◽  
pp. 174-176
Author(s):  
PATRICK C. FRIMAN ◽  
VINCENT J. BARONE ◽  
EDWARD R. CHRISTOPHERSEN

Thumb sucking is common and adaptive in infancy and early childhood. But when sucking occurs beyond 4 years of age, a common result can be an anterior, open bite that requires expensive orthodontic correction.1 Prolonged sucking may also be a factor in class II malocclusion, narrowing of the dental arches, mucosal trauma, and digital malformation.1-4 In addition to the physical sequelae of sucking, the habit, because it is not socially approved, can generate persistent negative feedback which can adversely affect a child's self-esteem.5 Thumb sucking is a frequently reported child behavior problem that, in some children, can be associated with broader behavior disorders that require treatment.


2007 ◽  
Vol 32 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Omar Gabriel da Silva Filho ◽  
Milton Santamaria Jr. ◽  
Leopoldino Capelozza Filho

This epidemiological survey was conducted on 2,016 children from 8 private and 12 public preschools at the city of Bauru, São Paulo, Brazil. The sample was composed of 1,032 males and 984 females in the primary dentition stage, aged 3 to 6 years. Normal occlusion was observed in 26.74% of the sample; thus, 73.26% of children presented some type of malocclusion. Among the malocclusions, the following transverse problems were diagnosed: unilateral posterior crossbite (11.65%), anterior open bite associated with posterior crossbite (6.99%), bilateral posterior crossbite (1.19%), unilateral posterior crossbite associate with anterior crossbite (0.79%) and full crossbite (0.19%) totalizing 20.81% of the transverse problems. Mandibular functional deviation was observed in 91.91% of children with unilateral posterior crossbite, characterizing the functional unilateral posterior crossbite. The results demonstrated that the prevalence of posterior crossbite was compatible with previous data in the literature, with predominance of functional unilateral posterior crossbite.


2012 ◽  
Vol 37 (1) ◽  
pp. 103-108 ◽  
Author(s):  
PA Martins-Júnior ◽  
LS Marques ◽  
ML Ramos-Jorge ML

Objectives: To determine the association between types of malocclusion and quality of life in children between 8-10 years of age and establish correlations between the severity of the malocclusion and particular bio-psychosocial variables. Study design: The sample was made up of 102 schoolchildren aged 8-10 years. Clinical exams were performed using the criteria of the Dental Aesthetic Index (DAI) to determine the presence and severity of malocclusions. The impact on quality of life was assessed using the Child Perceptions Questionnaire (CPQ8-10). Statistical analysis involved the chi-square test, Fisher's exact test and Spearman's correlation analysis. Results: Malocclusions affected 61% of the children examined. There was a positive correlation between total CPQ8-10 and DAI scores (P = 0.034). The following types of malocclusion had a significant effect on the quality of life of the children: upper anterior irregularity ≥ 2 mm, anterior open bite ≥ 2mm and diastema ≥ 2mm. Children with malocclusion experienced a greater negative impact on quality of life in comparison to those without malocclusion. Conclusions: Malocclusions had a negative influence over the quality of life of children between 8-10 years of age. More severe malocclusions had a greater impact with regard to social, emotional and functional aspects.


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