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Association between allergic rhinitis, bottle feeding, non-nutritive sucking habits, and malocclusion in the primary
F Vázquez-Nava1, J A Quezada-Castillo, S Oviedo-Treviño
1Research Department, Tampico Faculty of Medicine, Autonomous University of Tamaulipas, Tampico-Madero City, Tamp, Mexico. fvazqueznava@yahoo.com.mx
Insights
Allergic rhinitis and non-nutritive sucking habits are linked to anterior open bites in young children. Combined, these factors significantly increase the risk of posterior cross-bites, impacting primary dentition development.
Area of Science:
- Pediatric Dentistry
- Allergology
- Epidemiology
Background:
- Malocclusion affects primary dentition in young children.
- Environmental factors like allergic rhinitis and feeding habits may influence oral development.
Purpose of the Study:
- To investigate the association between allergic rhinitis, bottle feeding, non-nutritive sucking habits, and malocclusion in primary dentition.
Main Methods:
- Longitudinal study of 1160 children aged 4-5 years, followed since 4 months old.
- Data collected via physical examinations and parental questionnaires.
- Analysis included adjusted odds ratios to determine associations.
Main Results:
- Malocclusion detected in 51.03% (anterior open bite) and 7.5% (posterior cross-bite).
- Allergic rhinitis and non-nutritive sucking habits independently and combinedly associated with anterior open bite.
- Bottle feeding and allergic rhinitis associated with posterior cross-bite; highest prevalence (10.4%) in children with both allergic rhinitis and non-nutritive sucking habits.
Conclusions:
- Allergic rhinitis, with or without non-nutritive sucking habits, is linked to anterior open bite.
- Non-nutritive sucking habits combined with allergic rhinitis appear to be a key factor in developing posterior cross-bite in children under five.
Aim:
To determine the association between allergic rhinitis, bottle feeding, non-nutritive sucking habits, and malocclusion in the primary dentition.
Methods:
Data were collected on 1160 children aged 4-5 years, who had been longitudinally followed since the age of 4 months, when they were admitted to nurseries in a suburban area of Tampico-Madero, Mexico. Periodically, physical examinations were conducted and a questionnaire was given to their parents or tutors.
Results:
Malocclusion was detected in 640 of the children (51.03% had anterior open bite and 7.5% had posterior cross-bite). Allergic rhinitis alone (adjusted odds ratio = 2.87; 95% CI 1.57 to 5.25) or together with non-nutritive sucking habits (adjusted odds ratio = 3.31; 95% CI 1.55 to 7.09) had an effect on anterior open bite. Bottle feeding alone (adjusted odds ratio = 1.95; 95% CI 1.07 to 3.54) or together with allergic rhinitis (adjusted odds ratio = 3.96; 95% CI 1.80 to 8.74) had an effect on posterior cross-bite. Posterior cross-bite was more frequent in children with allergic rhinitis and non-nutritive sucking habits (10.4%).
Conclusions:
Allergic rhinitis alone or together with non-nutritive sucking habits is related to anterior open bite. Non-nutritive sucking habits together with allergic rhinitis seem to be the most important factor for development of posterior open bite in children under the age of 5 years.
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