Aleitamento e hábitos orais deletérios em respiradores orais e nasais

Abstract

Aim: Breast-feeding promotes several benefits in childhood, among them favoring the nasal breathing. In the present study, the relationship between breathing pattern and the history of breast-feeding and of deleterious oral habits was determined. Study design: clinical with transversal cohort. Material and Method: The study population consisted of 62 children ranging in age from 3 years and 3 months to 6 years and 11 months who were submitted to otorhinolaryngologic evaluation to determine nasal and mouth breathers and to a speech language pathologic interview. The otorhinolaryngologic evaluation involved the following exams: anterior rhinoscopy, oroscopy and radiologic examination. The parents of the children were questioned about the form of feeding (natural and/or artificial), the duration of breast-feeding and the presence of deleterious oral habits (suction and biting). The Fisher exact test was used to compare groups regarding the presence and absence of habits and the different periods of breast-feeding. Results: The breast-feeding period was longer among nasal breathers and was concentrated in the period between 3 and 6 months of age. Regarding the use of bottle, the results showed that most of the children in both groups used this type of feeding during the first years of life, with no significant difference between groups (p=0.58). There was a marked presence of deleterious oral habits among mouth breathers, with a statistically significant difference between groups regarding suction (p=0.004) and biting habits (p=0.0002). Conclusion: Mouth breathing children were breast-fed for a shorter period of time and had a history of deleterious oral habits compared to nose breathers.

O lúdico na remoção de hábitos de sucção de dedo e chupeta

“…The authors mention also the importance of clarifying the parents about the risks and the need to eliminate these habits, minimizing the dental changes. Other authors (2,9,22) have shown that the malocclusion depends primarily on the intensity, strength and daily duration of the habit, position of the finger in the mouth, number of fingers and pacifiers involved in the act.…”

Aleitamento materno como fator de proteção contra a instalação de hábitos bucais deletérios

“…Prolonged oral phase is not physiological and everlasting sucking habits may become harmful. Such habits must contribute as a risk factor for malocclusions and can be considered a deleterious habit according to frequency, intensity and movement duration 7,10 , individual susceptibility, age, nutrition conditions and consequent general health 10 . Most common deleterious oral habits or non nutritive sucking habits are pacifier and digital sucking; persistence of these may affect normal development of stomatognathic system 8 .…”

“…Although early weaning exert an indirect role on malocclusion development in primary dentition 7,10 , longitudinal studies are necessary to appreciate the benefits of exclusive breastfeeding as a protection factor against deleterious oral habits set up, which are considered risk factors on the etiology of malocclusion.…”

Factors Related to the Practice of Exclusive Breastfeeding in Different Cities of the States Minas Gerais and Bahia, Brazil

“…EBF may have a protective effect against childhood obesity [2], prevents diarrhea and acute respiratory infections, promotes correct orofacial development, and prevents the introduction of deleterious oral habits and oral breathing [3]. EBF can reduce hospital admissions due to pneumonia [4], and helps prevent anemia [5].…”