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Postexpansion intraoral photographs, radiographs, and cephalometric superimposition. Black, initial; blue, final.
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The anterior open bite (AOB) and posterior cross bite are the most frequent malocclusions associated with prolonged sucking habits. This clinical case illustrates and discusses the use of a Haas-type palatal expander for stopping a thumb sucking habit. The improvement in closing the open bite with discontinuation of the habit was observed. But with...
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Background:
This study aimed to investigate the prevalence and associated factors of malocclusion among children with primary dentition in Xi'an, China.
Methods:
A total of 2,974 subjects were selected from local schools in Xi'an city using a stratified cluster sampling method from January to September 2015. After screening samples according to...
Objective: this study aims to evaluate the prevalence of anterior open bite and its association with deleterious oral habits, such as use of pacifier, finger-sucking habit and baby bottle in preschool children. Material and Methods: a cross-sectional study was carried out with 142 children, aged three to five years old, from 9 schools in the city o...
Objectives:
To assess the morphological shape variations of the palatal vault in Open Bite (OB) growing subjects when compared with a Control Group (CG) by means of Geometric Morphometric Method (GMM).
Materials and methods:
The OB Group (OBG) consisted of 75 subjects (39 females, 36 males; mean age: 8.5 ± 0.8 years) who were collected retrospec...
Aim:
To investigate factors associated with anterior open bite in individuals aged from 2 to 33 years with developmental disabilities.
Design:
This is a cross-sectional study. A total of 271 dental records were examined. The anterior open bite analyzed was determined based on clinic exam. These variables were also analyzed: gender, age, educatio...
This study investigated risk factors for tooth injuries in individuals from a dental clinical reference service for patients with special needs in Belo Horizonte, MG, Brazil. This is a retrospective cohort study that evaluated 493 dental charts of individuals with or without tooth injuries at their first dental appointment. The dependent variable w...
Citations
... Besides being a physical barrier, this method serves as a reminder therapy. For a better prognosis, however, consent and cooperation should be obtained from the child [46]. ...
Objective
To identify online recommendations from pediatric and pediatric dentistry associations of the Americas regarding the pacifier habit.
Material and Methods
A search was conducted on the associations' website (November/2021 to March/2023) to the questions: (1) Recommend using a pacifier?, (2) What care?, (3) Advantages and (4) disadvantages, (5) Ideal age, and (6) methods for habit removal.
Results
Among the 36 American countries, 21 were represented on websites, social media, and official guides. The most significant portion of pediatric dentistry associations (23.81%) does not recommend the use of a pacifier if the infant is exclusively breastfeeding, and recommends avoiding the offer of a pacifier in the first days of life to facilitate the establishment of breastfeeding. Some pediatric (29.63%) associations suggested that use reduces the risk of sudden infant death syndrome. Most pediatric dentistry associations (85.71%) and some pediatric associations (22.22%) linked pacifier use to breastfeeding difficulties and the occurrence of orthodontics. Most of the 20 pediatric dentistry associations stated that the habit should be removed by a maximum of three years of age (90.48%). The most reported recommendations were behavior modification techniques and positive reinforcement.
Conclusion
Most pediatric dentistry associations recommend the care and disadvantages of pacifiers and the ideal age to remove them. The few pediatric associations that provide information address indications, care, advantages and disadvantages of pacifiers, age, and methods for removing them.
Keywords:
Pediatric Dentistry; Child; Sucking Behavior; Pacifiers; Counseling
... Deleterious oral habits such as thumb/digit sucking cause malocclusion in mixed and permanent dentition. Various modalities have been used to manage thumb-sucking, such as a direct interview with the child, encouragement, a reward system, reminder therapy, and orthodontic appliances (Tanaka et al. 2016;Moda et al. 2023). Both fixed and removable appliances and habit breakers available to make this habit difficult or unpleasant for the child (AlEmran 2000) have several disadvantages (Silva and Manton 2014;Majorana et al. 2015). ...
Digit sucking is a common oral habit among many children, which involves placing the thumb/finger into the mouth, which can cause malocclusion in mixed and permanent dentition.
To evaluate the efficacy of the RURS elbow guard in the management of thumb-sucking habits in children with intellectual disabilities and those without in terms of the mean duration of appliance therapy. The secondary objective was to compare the RURS elbow guard with an intraoral crib in healthy children (without intellectual disabilities) to manage the habit of thumb-sucking.
Children with intellectual disabilities and those without between the age of 4 and 16 years were included in the study and categorised into three groups, namely group I (50 normal children; intraoral crib appliance), group II (50 normal children; RURS elbow guard) and group III (50 children with intellectual disabilities; RURS elbow guard).
The mean duration of appliance therapy for groups I, II and III were 200.20 ± 20.43 days, 204.34 ± 20.56 days, and 218.43 ± 15.66 days, respectively (p < 0.001). The differences in the mean duration between group I and group II were statistically non-significant, with statistically significant differences between group I and group III (p < 0.001) and between group II and group III (p < 0.05).
The RURS elbow guard was found to be an efficient appliance in treating thumb-sucking among children who had mild to moderate intellectual disabilities. RURS elbow guard was equally efficient as an intraoral crib appliance in managing thumb-sucking habits in children without intellectual disabilities.
... Bad habits that are done repeatedly and continuously during the development of the jaw will result in malocclusion. Bad habits such as finger/nipple sucking, nail biting, lip biting, mouth breath, and tongue sticking have an impact on the prevalence of malocclusion, especially in children [26][27][28] . Examples of bad habits such as finger sucking are likely to interfere with the position of the teeth, this habit can lead to malocclusion, namely an anterior open bite due to disruption of the growth pattern of the cranofacial bones. ...
Background: Bad oral habits are common in children aged less than six years and can stop spontaneously. If these bad habits continue after the age of six years, it can cause malocclusion. In the world of pediatric dentistry, one of the treatments for malocclusion is Oral Myofunctional Therapy (OMT). One of the myofunctional tools that can be used to correct malocclusion as well as bad habits in children is the Myobrace Appliance - an intraoral device system used in interceptive orthodontics. The purpose of this systematic review is to explore the management of malocclusion in children using the Myobrace Appliance. Methods: The data was collected by a literature search on Google Scholar, including articles published from 2016 to 2020. The data search was carried out systematically using the keywords Malocclusion in Children and Myobrace Appliance . After eliminating duplicate articles, the titles and abstracts of each article were analyzed across 108 articles, resulting in 51 articles. There were 36 articles not in line with topic and 6 articles which could not be freely accessed, so that 42 articles were excluded. The full text articles in the other nine articles were reanalyzed; three articles were excluded with reason and six articles were produced which were then included in the analysis.
Results: There are six articles that discuss the management of malocclusion in children using the Myobrace appliance. All of these explain that Myobrace appliance is effective in handling cases of malocclusion especially to correct class II malocclusion and class III malocclusion.
Conclusion: Myobrace appliance can be used as an alternative treatment for malocclusion in children, especially to correct class II and III malocclusion (mandibular prognathy and maxillary retrognathy). Additionally, this tool is capable of correcting overbite, overjet, crowding of upper and lower anterior teeth, sagittal molar relationships, lip seals, and facial asymmetry.
... Также вы явлены такие нарушения, как инфекционные заболевания, искривление носовой перего родки, гипертрофия нижних носовых раковин, аденоиды на задней стенке глотки. Установ лено, что частичная или полная обструкция верхних дыхательных путей сопровождается развитием ротового типа дыхания с формиро ванием высокого готического неба, сужением апикального базиса верхней челюсти, разви тием перекрестной окклюзии в боковом отде ле, протрузией верхних резцов, удлинением переднего отдела верхнего зубного ряда [11]. ...
Relevance. Distoclusion is the most common anomaly of occlusion in childhood. Genetic predisposition, bad habits, premature loss of teeth, somatic pathologies are predisposing factors for impaired growth and development of the maxillofacial region. Pupils of general educational organizations of the Russian Ministry of Defense serve as a personnel reserve for law enforcement agencies and services, and their health, including dental health, is a priority for its preservation and strengthening Intention – To assess effects of distoclusion on the child’s social and psychological adaptation.
Methodology. 50 children of 11–12 years with distoclusion (К07.20 by ICD-10) who were enrolled in the 1st year of study underwent survey along with their legal representatives to identify complaints and somatic pathology, as well as an assessment of the psychological status using the Children’s Form of Manifest Anxiety Scale (CMAS); clinical examination; photo protocol; calculation of 3D control and diagnostic models by the method of Pont, Ton, Korkhaus.
Results and Discussion. When being taken anamnesis, children and their parents complained of aesthetic and functional disorders. A significant correlation was found between the narrowing of the upper jaw in the area of the premolars by (5.4 ± 0.)7 mm, in the area of the molars by (5.7 ± 1.3) mm; narrowing of the lower jaw in the area of premolars by (6.0 ± 0.3) mm and molars by (4.1 ± 0.7) mm and the psychological state of the examined children. The average CMAS level was (7.3 ± 2.3), which indicates increased anxiety in the children. 8 (16 %) pupils had a high level of anxiety and required measures of psychological correction and psychoprophylaxis.
Conclusion. In pupils with distoclusion, there is a pronounced narrowing of the dentition in the area of premolars and molars, significant overjet, protrusion of the anterior group of teeth, which affects the aesthetic perception by others and is reflected in the psychological state of the examined children.
... If the habits continue into the mixed dentition period, appliance therapy with reminder appliance is eventually needed. [39,40] Mouth breathing is an abnormal respiration through the oral cavity instead of nose. Anatomical deviation in nasal passage, nasal obstruction due to some pathologies or learned habits cause mouth breathing. ...
Oral diseases pose a major health burden, especially in children, causing pain, discomfort, disfigurement and also affecting the quality of life. Most of the oral diseases are preventable by early diagnosis, thereby achieving standard oral and dental healthcare in children. The paediatricians due to the unique position, they occupy in child care, are invaluable in diagnosing the early changes in dental and facial structures. Oral health awareness among paediatricians and implementation of their oral health-related knowledge in their practice can have a significant impact on prevention of oral disease in children. This review discusses the common oral conditions in children such as early childhood caries, childhood oral habits and dentofacial abnormalities in children and the role of the paediatrician.
... From 1999-2003 to 2013-2018, there was an approximately 10% decrease and a corresponding increase in paronychia cases in patients ages 0-19 and 20-39, respectively. During this time period, much of the decrease in pediatric paronychia cases was in the 0-4 age group, which may be due to better parental education on prevention of trauma and thumb-sucking behavior [26,27]. Paronychias due to manicuring tools were approximately three times more common in patients over 21 and older (74.2%) versus those under 21 years old (25.8%) and nearly doubled (19.7%-37.2%) in incidence between 1999-2003 and 2013-2018. ...
Introduction:
Paronychia is the most common hand infection. Prior paronychia studies were limited by small patient numbers. We conducted a national-level analysis over two decades, analyzing demographics, etiologies, and trends in paronychia cases.
Methods:
We conducted a retrospective analysis of paronychia cases in the 1999-2018 National Electronic Injury Surveillance System database. Sex, race, age, and cause were recorded and compared using χ2, ANOVA, and t tests. Multivariable linear regression analysis assessed changes in age, weight, and sex over time.
Results:
We analyzed a total of 2,512 cases, with an average age of 27.6 ± 20.6 years, 45.5% females, and 25.6% white and 28.6% black patients. In multivariable linear regression, both age and weight significantly increased over time. Manicuring was the most common etiology (30.9%), increasing in incidence over time and with a higher frequency in adults (p < 0.0001) and females (p < 0.0001). There was a significant decrease in pediatric paronychia cases over time, particularly in 0- to 4-year-olds. Possible limitations include missed paronychia cases or additional non-paronychia cases due to improper coding, infrequent race reporting, and inability to analyze treatments or distinguish between paronychia subtypes.
Conclusions:
Paronychia cases were associated with increased age and weight over time with different presentations by age. Manicuring represents the largest growing paronychia etiology.
... Private health practitioners claimed this opinion in a higher percentage than public health practitioners. A study done by Tanaka et al. showed that inadequate techniques for elimination of bad oral habits can prolong removal, worsen malocclusion, and waste time that can be used to initiate therapy [18]. Orthodontists are specially educated for treating bad oral habits, including their elimination. ...
Objectives:
The aim of this study was to examine the knowledge and attitudes towards orthodontic treatment among non-orthodontic specialists.
Methods:
A web-based survey was formulated for non-orthodontic dental specialists to respond to statements regarding an orthodontic treatment. It contained 20 multiple-choice questions with three or more possible answers. Two hundred and fifty questionnaires were sent via email, with explanatory letters, to randomly selected non-orthodontic Croatian dental specialists. Data were assessed using IBAM SPSS 23.0. and p < 0.01 was considered significant.
Results:
The results indicate that the majority of respondents were well informed about principles and practices in orthodontics. All the respondents (100%) were aware that malocclusions can affect a patient's facial aesthetic and masticatory function. The results also showed statistically significant differences in answers about contraindications for orthodontics therapy among different non-orthodontic specialists (p < 0.01). Private health practitioners were better informed about the ideal time for the first orthodontic appointment (74.2%) and that implants and periodontal problems are not contraindications for orthodontic treatment (over 70%), in comparison with public health practitioners.
Conclusion:
Non-orthodontic specialists in this sample exhibit encouraging awareness and knowledge of the principals and practices of orthodontic treatment. Additional improving of practitioners' knowledge and awareness can help patients with malocclusion to decide upon orthodontic treatment at earlier stages and avoid later complications in the future.
... 71 With the arrival of the permanent incisors at age six, this is a key developmental age to address various oral habits such as thumb-sucking, finger-biting and tongue-thrusting to prevent the destructive effects these can have on the dentoalveolar structures. 75,76 Dental changes due to thumb-or finger-sucking do not normally require active intervention if the habit is stopped before the age of six, as habit cessation can see spontaneous correction. 77,78 Breaking entrenched, addictive habits is hard, however cessation of digit-or thumb-sucking habits prior to eruption of the permanent incisors, can decrease the risk of anterior open bite formation, increased overjet and risk of trauma. ...
... Compensatory tongue-thrusts can also be reduced as well as decreasing the risk of speech related issues. [75][76][77][78]79 Parental education and early intervention is key. ...
Children are not miniature adults, yet when a child celebrates their sixth birthday, little do they know that, with the arrival of their first ‘adult’ tooth, they are about to gain their first real experience of being a ‘grown-up’. The age of six is a key milestone in the mental, physical and emotional wellbeing of children, with most children in the UK having commenced primary school education by their fifth birthday. Six-year-olds are about to enter the most critical period in their dental development, the mixed-dentition phase, where their mouths are in a near continuous state of flux. This pivotal age in their dental development should not be undervalued; the dental decisions we make at this age means childhood lasts a lifetime. Caries is the most prevalent, preventable global disease, and with one in four children suffering from dental caries in the primary dentition by the time they start school, the foundations we lay down at the age of six translate into lifelong benefits for the permanent dentition. In this paper, the aim is to demonstrate that at the age of six we get a second chance to get things right. From caries risk factors and tailoring the five pillars of prevention by educating parents on the developing dentition, to reinforcing the importance of habit-breaking, developmental anomalies of enamel and early orthodontic intervention, this paper describes the importance of the age of six, never before so exclusively expressed in a dental sense.
... Digit-sucking is proven to cause adverse effects on occlusion and dentition, with most common effects being: anterior open bite, maxillary bone and dentition narrowing, protraction of anterior teeth and premaxilla, and crowding of mandibular incisors. Teeth deformation and the alveolar processes exhibit a configuration that is a negative impression of the thumb [58]. Muscular activity is also abnormal, with hyperactivity of the buccinators muscles that contribute to the narrowing of the palate [59,60]. ...
Background:
Specific dentofacial characteristics in wind instrumentalists should be taken in consideration when analyzing physiological and anatomical issues regarding the musician's embouchure, posture, and biomechanics during musical performance.
Objectives:
To compare tooth cephalometric characteristics between wind instrument players and string players (overjet, overbite, lower facial height, facial convexity, lower incisor inclination, and interincisal angle).
Methods:
In total, 48 wind instrumentalists (67%) and 24 string instrumentalists (33%). These musicians performed lateral tele-radiography and the correspondent linear and angular measurements of the dentofacial cephalometric analysis. Statistical comparison of wind and string instrumentalists was made by using an independent t-test.
Results:
Small variations on the analyzed parameters were found between the wind and string instrument groups. Based on the cephalometric analysis the variable interincisal angle was statistically significant (p < 0.05), when comparing the wind and string instrument group.
Conclusions:
Knowledge of the overjet and overbite value permits a substantial analysis on the tooth position of wind instrument players, where both of these parameters are increased and greater than the norm value. The cephalometry was an added value on the interpretation of possible factors that lead to the position of the central incisors of wind instruments. Till some extent in this group of musicians the applied forces during the embouchure mechanism on the anterior teeth and the existing perioral forces promote an equilibrium on the vector of forces. This study findings demonstrate that when evaluating the two samples, wind and string instruments there are different dentofacial configurations, however the only statistically significant differences that were found are related to the interincisal angle (p < 0.05).
... Em alguns casos, se não tratados, os HSNN podem necessitar de manobras ortodônticas extremamente evasivas e desconfortáveis [9] que podem não ser suficientes para sua correção [15]. Dessa maneira, nota-se a importância do conhecimento dos pais, avós, responsáveis, cuidadores, professores e afins acerca dos efeitos da maloclusão nos jovens, que, por sua vez, é carente, desencadeando em um tratamento negligenciado até que se constate necessidade [18]. ...
Recebido em 25 de março (2020) | Aceito em 06 de maio (2020) RESUMO Os hábitos deletérios orais podem ser definidos como há-bitos parafuncionais que não se incluem nas principais funções do aparelho estomatognático, e se fazem presentes inicialmente apenas com o intuito do infante satisfazer-se. O presente estudo tem como objetivo realizar uma revisão bibliográfica a fim de evidenciar a associação entre ama-mentação, hábitos deletérios da criança e comprometi-mento oclusal dentário. Os 18 artigos selecionados foram extraídos por meio de uma pesquisa nos bancos de dados PubMed, Portal Regional da BVS e Scielo, publicados entre os anos de 2015 a 2019. Os resultados obtidos evidenciaram uma relação significativa entre amamentação, hábitos de-letérios orais e comprometimento oclusal, sendo o tipo, o tempo total de duração e o tempo diário de aleitamento variáveis influentes nessa associação. Os hábitos deleté-rios orais mais encontrados foram o uso de mamadeira e a prática de chupar chupeta. Quanto ao comprometimento oclusal, os tipos de má oclusão de maior prevalência foram a mordida aberta e a mordida cruzada posterior. Conclui-se que as práticas de amamentação inadequadas e os hábitos deletérios orais são potencializadores do desenvolvimento de disfunções oclusais. Ademais, nota-se a necessidade de um programa educacional eficaz para os pais, responsáveis, cuidadores e afins, para que possuam conhecimento ade-quado para prevenir tais complicações. Palavras-chave: Amamentação, hábitos deletérios, má oclusão, odontopediatria ABSTRACT Oral deleterious habits can be defined as parafunctional habits that are not included in the main functions of the stomatognathic apparatus, and are initially present only with the intention of the infant being satisfied. The present study aims to perform a bibliographic review in order to show the association between breastfeeding, deleterious habits of the child and dental occlusal impairment. The 18 selected articles were extracted through a search in the PubMed, VHL Regional Portal and Scielo databases, published between the years 2015 to 2019. The results obtained showed a significant relationship between breastfeeding, harmful oral habits and occlusal involvement, the type, total duration and daily breastfeeding variables being influential in this association. The most harmful oral habits found were the use of a bottle and the practice of sucking a pacifier. As for occlusal involvement, the most prevalent types of malocclusion were open bite and posterior crossbite. It is concluded that inadequate breastfeeding practices and harmful oral habits are potentiators in the development of occlusal dysfunctions. In addition, there is a need for an effective educational program for parents, guardians, caregivers and the like, so that they have adequate knowledge to prevent such complications.
