ABSTRACT
(1) Introduction. An analysis was made of posterior crossbites in deciduous dentition and their relation to the type of feeding received by the child, with the objective of determining the influence of the way in which the child is fed in the early stages of life on the development of posterior crossbites. (2) Material and methods. A total of 1401 preschool children between 3 and 6 years of age from Seville (Spain) were included in the study. An intraoral exploration was carried out to assess the presence of crossbites (uni- or bilateral, and functional or not). The study was completed with a parent or legal guardian questionnaire exploring the type of feeding received by the child in the first stages of life, as well as the presence of bad oral habits and their duration. (3) Results. A total of 276 children (19.7%) presented posterior crossbite in occlusion. Uponn centering the midlines, 197 were maintained, indicating that 79 were due to premature contacts (functional crossbites). There were no significant differences in crossbites among the children who had received breastfeeding, though bottle-feeding was seen to favor crossbite. (4) Conclusions. No statistically significant relationship was found between posterior crossbites and breastfeeding, though an association between posterior crossbites and bottle-feeding was observed, with the number of crossbites increasing with the duration of bottle-feeding.
ABSTRACT
Con cierta frecuencia los niños VIH(+) presentan lesiones bucodentales que requieren un adecuado tratamiento odontológico. Tratamiento que mejora su afección sistémica, su patología local, su estado psicológico y de relación y su calidad de vida. La mayoría de estos niños casi nunca son tratados; unasveces por falta de motivación en los familiares (lo más frecuente) y otras por la actual carencia de Servicios de Odontología Infantil en los hospitales a los que acuden para revisión. Por ello, nosotros presentamos dos casos de niños VIH(+) nacidos de madres VIH(+), en los que gracias a la relaciónpediatra-odontólogo pudo realizarse, sin que ello representara mayores problemas, un tratamiento dental por múltiples caries y candidiasis, y el diagnóstico anatomopatológico de una lesiónde carácter inflamatorio a nivel gingival, la cual estaba sobreinfectada por Candida albicans. El tratamiento incluyó exodoncias, pulpotomías, pulpectomías y prótesis. Se constata la necesidad de una relación interprofesional y la gran dificultad para concienciar a este colectivo de pacientes sobre la necesidad y el beneficio del tratamiento dental (AU)
