Malocclusion prevention through the usage of an orthodontic pacifier compared to a conventional pacifier: a systematic review

Medeiros, Raquel Bueno; Ximenes, Marcos; Massignan, Carla; Flores-Mir, Carlos; Vieira, Rodrigo de Souza; Porporatti, André Luís; Canto, Graziela De Luca

doi:10.1007/s40368-018-0359-3

Cited by 14 publications

(14 citation statements)

References 24 publications

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“…Another recent systematic review [12] including five trials about the comparison between orthodontic and conventional pacifiers [6, 7, 10, 13, 14] concludes that a proper definition for a functional or orthodontic pacifier is missing, and that functional orthodontic pacifiers seem to cause less anterior open bite than conventional ones, while the no statistical difference implies the absence of an association between the prevalence of posterior crossbite and the use of orthodontic pacifiers [6, 10]. Thus, the main conclusion stated the insufficiency of currently available evidence to support this hypothesis that the usage of orthodontic pacifiers is able to prevent malocclusion traits when compared to conventional ones, and that new data on orthodontic pacifiers effects are necessary in literature to substantiate the argument [8].…”

Section: Introductionmentioning

confidence: 99%

Poor oral habits and malocclusions after usage of orthodontic pacifiers: an observational study on 3–5 years old children

et al. 2019

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Background Pacifier sucking habit has been associated in the literature with alterations of dental occlusion, and it could be a predisposing factor for other poor oral habits among children. Orthodontic pacifiers have been introduced in the market aiming to reduce these disadvantages caused by the conventional type of pacifiers. The aim of this study was to evaluate the prevalence of poor oral habits and malocclusions, after usage of orthodontic pacifiers in children with primary dentition. Methods A sample of 198 pre-school children, aged 3–5 years, (96 males and 102 females) who had exclusively used an orthodontic pacifier were included in order to assess the level of poor oral habits and the absence/presence of dental malocclusion. Firstly, children’s parents/legal guardians were given a validated questionnaire, then the children were clinically examined at a dental clinic. Results Most of the children (79.79%) had started using the orthodontic pacifier within the first 3 months of life, and the 43.49% of them continued using it over a period of 2 years. The recorded percentage for those who had used it throughout sleep was 89.39%. Mouth breathing during the night was reported for 36.04% of the children. Tongue thrust swallow affected 16.16% of the sample. The 5.56% of the data indicated the presence of fingersucking/thumbsucking habit. The noted percentages for children with lip biting, lingual interposition between teeth at rest and those with nail biting, were 5.56, 12.63 and 15.15%, respectively. The regression revealed a significant contribution between early start of using an orthodontic pacifier with the prevalence of fingersucking/thumbsucking (OR 0.13, 95% CI 0.04–0.47, p = 0.0004). This also reported a noticeable increase of the malocclusion prevalence among the female gender (OR 2.74, 95% CI 1.42–5.31), as well as those who were not exclusively breastfed (OR 2.26, 95% CI 1.17–4.37). Conclusions Orthodontic pacifiers does not favor the development of poor oral habits, even if it has been used for a period of 2 years in children with primary dentition. Children who begin to use orthodontic pacifier between 0 and 3 months, are less likely to acquire fingersucking/thumbsucking habit. The use of an orthodontic pacifier appears not to be correlated with the prevalence of malocclusion in primary dentition, differently from what stated in literature about the conventional type of pacifier.

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Section: Introductionmentioning

confidence: 99%

Poor oral habits and malocclusions after usage of orthodontic pacifiers: an observational study on 3–5 years old children

et al. 2019

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“…Malocclusion and sucking habits in children Massignan et al Malocclusion and sucking habits in children Massignan et al review observed that irrespective of the pacifier shape, children that had the habit of sucking pacifier experienced higher prevalence of malocclusion traits when compared to those that did not had the habit. 21 Auto correction of AOB is reported to occur if the habit is abandoned up to 4-6 years of age, 22 although the American Academy of Pediatric Dentistry recommends children stopping sucking habits up to 36 months old or younger. 23 Nevertheless it is important to address that breastfeeding could reduce the risk of developing maloclusion, 11 although in the present study this association was not found.…”

Section: Discussionmentioning

confidence: 99%

Malocclusion traits and sucking habits in preschool children: a cross-sectional study

Massignan

Santos²,

Ximenes

et al. 2018

CRORJ

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O objetivo foi estimar a prevalência de maloclusões avaliadas em conjunto e separadamente em mordida aberta anterior, sobressaliência acentuada e mordida cruzada posterior, e a possível associação entre elas e os hábitos de sucção e amamentação. Métodos: Estudo transversal foi realizado com 472 préescolares de 24 a 60 meses e seus pais (taxa de resposta de 86,6%). Três dentistas treinados (Kappa > 0,70) examinaram as crianças para mordida aberta anterior, sobressaliência acentuada e mordida cruzada posterior e os pais responderam a um questionário indicando a presença de amamentação, uso de mamadeira, uso de chupeta, sucção de dedo e tempo de hábito. Resultados: A prevalência de maloclusões foi de 38,8%. A sobressaliência acentuada foi o mais prevalente (30,3%), seguido da mordida cruzada posterior (8,9%) e da mordida aberta anterior (7,4%). A regressão de Poisson não ajustada mostrou que as crianças que não foram amamentadas apresentaram 63,0% maior prevalência de maloclusão quando comparadas com aquelas que foram amamentadas (RP 1,63, IC95% 1,06-2,50). A duração do uso de chupeta em meses foi o único hábito que permaneceu no modelo ajustado associado à mordida aberta anterior (RP 1,10, IC 95% 1,05-1,14, p < 0,000) e sobressaliência acentuada (RP 1,03, IC 95% 1,01-1,05, p = 0,004). Para mordida cruzada posterior nenhum hábito mostrou associação no modelo ajustado. Todos os modelos foram ajustados por idade e sexo. Conclusão: A sobressaliência acentuada é a maloclusão mais prevalente. O tempo do uso de chupeta está associado à presença de maloclusão, mordida aberta anterior e sobressaliência acentuada. Nenhum dos hábitos investigados está associado à mordida cruzada posterior.

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Section: Methodsmentioning

confidence: 99%

“…The ideal time for usage is when the infant is asleep. 16 The characteristic features that accompany the extended use of pacifiers are constriction of the superior dental arch, especially at the area of the canine teeth, along with the enlargement of the inferior dental arch. 17 Due to the constant sucking action, the tongue is in a lower position in the oral cavity 15 .…”

Section: Use Of Pacifiers and Bottle Feeding And Its Role In Malocclusionmentioning

confidence: 99%

“…In addition to the skeletal and dental deformities, the continuous use of pacifier can lead to several myofunctional impairments, such as labial incompetence, lip entrapment, and decreased muscular tonicity. [15][16][17] It has been suggested that a pacifier may decrease oral sugar clearance, in a similar way as removable dentures do, which would prolong conditions of low pH in plaque and favor the selection of aciduric microorganisms. It also aids to increase the available surface for microbial adhesion.…”

Section: Use Of Pacifiers and Bottle Feeding And Its Role In Malocclusionmentioning

confidence: 99%

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Ineffective Feeding Practices and Their Effect on Malocclusion: A Narrative Review

Mokashi

Bhandary

2021

Journal of Health and Allied Sciences NU

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Objective The aim of this narrative review is to highlight the association of ineffective feeding practices with the development of malocclusion in children and the role of a pediatric dentist in identifying the cues and signs of improper feeds, and encourage effective breastfeeding practices. Introduction There has been an ongoing debate on the role of effective breastfeeding in the prevention of malocclusion. Although no specific claim supports the positive impact of the same, a detailed reviewing of the literature helps to identify the method of feeding to be chosen considering health benefits and personal preference. Materials and Methods A broad search of all resources linked to the topic was performed in PubMed, Medline, World Health Organization web site, government web sites, and Google Scholar search engine. Keywords used in the search included breastfeeding, ineffective breastfeeding, bottle feeding, pacifier, and malocclusion. A total of 60 articles published in the period from 2000 to 2019 were segregated. Selected articles comprised original research, meta-analysis, and systematic reviews. Results Parameters such as duration, posture, and non-nutritive sucking habits had an impact on effective breastfeeding. Discussion Effective breastfeeding and maintaining appropriate posture and duration helps to positively impact the normal growth and development of the jaws, muscular functioning, and speech. Thereby, the risk of developing malocclusion in primary dentition can be prevented. Conclusion An understanding of the role of breastfeeding and malocclusion will help in the early intervention and prevention of malocclusion and deviated muscular function. Highlighting the role of counseling and effective feeding practices is also an area that should be focused upon by budding clinicians.

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Malocclusion prevention through the usage of an orthodontic pacifier compared to a conventional pacifier: a systematic review

Abstract: The currently available evidence is insufficient to support the concept that the usage of orthodontic pacifiers is able to prevent malocclusion traits when compared to the usage of conventional pacifiers.

Cited by 14 publications

References 24 publications

Poor oral habits and malocclusions after usage of orthodontic pacifiers: an observational study on 3–5 years old children

Poor oral habits and malocclusions after usage of orthodontic pacifiers: an observational study on 3–5 years old children

Malocclusion traits and sucking habits in preschool children: a cross-sectional study

Ineffective Feeding Practices and Their Effect on Malocclusion: A Narrative Review

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