Association of breastfeeding, pacifier use, breathing pattern and malocclusions in preschoolers
Dental press j. orthod. (Impr.)
;
18(1): 30e1-30e6, Jan.-Feb. 2013. tab
Article
in English
| LILACS
| ID: lil-674256
ABSTRACT
OBJECTIVE:
To evaluate the association of breastfeeding duration, pacifier use and nasal air flow with occlusal disorders among children.METHODS:
This cross-sectional observational study included 138 children aged 4 and 5 years selected in all the daycare centers of the city of Campo Limpo Paulista, Brazil. Questionnaires were applied to mothers to identify total duration of exclusive breastfeeding and non-nutritive sucking. The independent variables were Sucking (pacifier, bottle, finger), breastfeeding duration and nasal air flow. The dependent variables were Open bite, crossbite, overjet, overbite, diastema and maxillary deficiency. Frequency distribution calculations were performed, a chi-square test, the Fisher exact test and, after that, stepwise logistic regression were used for statistical analysis, and the level of significance was set at 5%.RESULTS:
The use of a pacifier was the most deleterious factor and increased chances of having open bite in 33.3 times, marked overjet in 2.77 times and posterior crossbite in 5.26 times.CONCLUSION:
There was a significant association between non-nutritive sucking, particularly the use of a pacifier, and occlusal disorders. These findings are important to plan the treatment of preschoolers.RESUMO
OBJETIVO:
avaliar a associação do tempo de amamentação natural, tempo de uso de chupeta e aeração nasal em relação a problemas oclusais em crianças.MÉTODOS:
foi realizado um estudo observacional transversal com universo de 138 crianças entre 4 e 5 anos, de creches de Campo Limpo Paulista/SP. Foram aplicados questionários às mães com o intuito de identificar o tempo de amamentação natural total e exclusiva e hábitos deletérios. Utilizaram-se as variáveis independentes hábitos deletérios (chupeta, mamadeira e dedo), tempo de amamentação natural e aeração nasal; e as variáveis dependentes mordida aberta, mordida cruzada, overjet, sobremordida, presença de diastema e atresia. Foram realizados cálculos das distribuições das frequências, teste de associação do qui-quadrado, exato de Fisher e, em seguida, regressão logística pelo método de stepwise, utilizando nível de significância de 5%.RESULTADOS:
o uso de chupeta foi considerado o mais prejudicial dos hábitos deletérios, aumentando em 33,3 vezes a chance de mordida aberta; 2,77 vezes a chance de apresentar overjet acentuado e 5,26 vezes as chances de apresentar mordida cruzada posterior.CONCLUSÃO:
houve uma forte associação entre hábitos deletérios (especialmente o tempo de uso de chupeta) e problemas oclusais, sendo esse fato importante no planejamento do tratamento de pacientes pré-escolares.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Sucking Behavior
/
Breast Feeding
/
Respiratory Mechanics
/
Pacifiers
/
Fingersucking
/
Malocclusion
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Dental press j. orthod. (Impr.)
Journal subject:
Orthodontics
Year:
2013
Type:
Article
Affiliation country:
Brazil
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