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Published on: February 5, 2019
Nonnutritive sucking habits and anterior open bite in Brazilian children: a longitudinal study
Cintia Regina Tornisiello Katz1, Aronita Rosenblatt
1Department Preventive and Social Dentistry, Faculty of Dentistry, Pernambuco State University, Recife, Brazil. cintiakatz@uol.com.br
Insights
Nonnutritive sucking habits in young children were linked to anterior open bite, but the bite often corrected itself when habits ceased. Early intervention may be important despite natural habit reduction.
Area of Science:
- Pediatric Dentistry
- Public Health
- Child Development
Background:
- Nonnutritive sucking habits (NNSH) are common in preschool children.
- Anterior open bite (AOB) is a malocclusion that can be influenced by oral habits.
- Understanding the relationship between NNSH and AOB is crucial for early intervention strategies.
Purpose of the Study:
- To investigate the longitudinal association between nonnutritive sucking habits and anterior open bite in preschool children.
- To evaluate changes in the prevalence of NNSH and AOB over a one-year period.
- To determine if cessation of sucking habits influences the self-correction of anterior open bite.
Main Methods:
- Longitudinal study of 305 children aged 4-5 years in Recife, Brazil.
- Data collected via maternal interviews and clinical examinations by a calibrated examiner.
- Statistical analysis included bivariate tests (Pearson chi-square, McNemar, Stuart-Maxwell).
Main Results:
- Prevalence of nonnutritive sucking habits was low and decreased over the one-year follow-up.
- Anterior open bite prevalence decreased from 33% to 29% after one year.
- A significant association was found between anterior open bite and sucking habits; habit cessation correlated with open bite self-correction.
Conclusions:
- The natural reduction in nonnutritive sucking habits suggests a developmental tendency in preschoolers.
- Despite a slight decrease, the high prevalence of anterior open bite highlights the need for evidence-based early clinical interventions.
- Longitudinal data supports the importance of monitoring and addressing oral habits for preventing persistent malocclusions.
Purpose:
The purpose of this longitudinal study was to assess the relationship between nonnutritive sucking habits and anterior open bite in 305 4- to 5-year-old children attending state schools in the city of Recife, Brazil.
Methods:
The data were collected by interviewing the children's mothers or guardians and through clinical examinations carried out by 1 calibrated examiner (K = 1). Bivariate analyses (Pearson chi-square, McNemar, and Stuart-Maxwell tests) were used for the statistical analysis.
Results:
The prevalence of sucking habits was low, and the sample showed reductions after 1 year of follow-up. The prevalence of anterior open bite decreased from 33% to 29% after 1 year. A significant association was found between anterior open bite and sucking habits. Open bite self-correction was associated with the abandoning of deleterious habits.
Conclusions:
The low prevalence of nonnutritive sucking habits and its reduction during the period studied seem to reflect a natural tendency in preschool children. Even presenting a slight reduction, the high prevalence of anterior open bite draws attention to the importance of longitudinal studies to support scientific evidences for early clinical intervention.
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