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Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
Published on: April 19, 2024
Relationship of early weaning and non-nutritive sucking habits with facial development
Erum Behroz Khan1, Ayesha Bibi1, 1
1Department of Orthodontics, Sindh Institute of Oral Health Sciences, Jinnah Sindh Medical University, Karachi, Pakistan.
Insights
Early weaning is linked to non-nutritive sucking habits and malocclusion in children. Shorter breastfeeding duration may also contribute to dental issues like anterior crossbite.
Area of Science:
- Pediatric Dentistry
- Child Oral Health
- Developmental Pediatrics
Background:
- Early weaning practices and non-nutritive sucking habits are prevalent in pediatric populations.
- Understanding their impact on dentofacial development is crucial for early intervention.
Purpose of the Study:
- To investigate the association between early weaning and malocclusion features.
- To determine the frequency of non-nutritive sucking habits in relation to weaning practices.
Main Methods:
- A cross-sectional study involving 180 children aged 3-6 years.
- Clinical examination for malocclusion and data collection on feeding habits (lactation, bottle, pacifier use).
- Statistical analysis using SPSS to assess associations.
Main Results:
- Early weaning showed a significant association with non-nutritive sucking habits, absent primate spaces, deviated midlines, and complete overbite.
- Breastfeeding for less than 2 years was linked to anterior crossbite.
- No association was found between early weaning and convex facial profile, distoclusion, or increased overjet.
Conclusions:
- Early weaning contributes to non-nutritive sucking habits, crowding, disturbed incisor overlap, and decreased facial height.
- Insufficient breastfeeding duration may predispose children to anterior crossbite.
- Non-nutritive sucking habits are related to deviated dental midlines.
Objective:
To determine the frequency of malocclusion features, convex facial profile and non-nutritive sucking habits among children with and without early weaning.
Methods:
The cross-sectional study was conducted at the National Institute of Child Health, Karachi, from June to December 2020, and comprised of either gender aged 3-6 years. The subjects were clinically examined, and details of lactation period, bottle feeding, thumb and pacifiers sucking were gathered from the parents to assess association with malocclusion. Data was analysed using SPSS 20.
Results:
Of the 180 subjects, 100(55.5%) were boys and 80(45.5%) were girls. There was significant association of early weaning with non-nutritive sucking habits, absent primate spaces, deviated midlines, and complete overbite (p<0.05). Breastfeeding <2 years was significantly associated with anterior crossbite (p<0.05). Early weaning had no association with convex facial profile, distoclusion, anterior and posterior crossbite and increased overjet (p>0.05). Non-nutritive sucking habits had significant relationship with deviated dental midlines (p>0.05).
Conclusion:
Early weaning was found to be a factor in establishing non-nutritive sucking habits, and was strongly associated with crowding, disturbed vertical overlapping of incisors and developing decreased facial height. Breastfeeding for less than the recommended duration had a tendency to lead to anterior cross-bite.
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