Prevalence of malocclusion in early childhood and its associated factors in a primary care service in Brazil
Natalia de Abreu Pegoraro; Camila Mello dos Santos; Beatriz Carriconde Colvara; Rafaela Soares Rech; Daniel Demétrio Faustino-Silva; Fernando Neves Hugo; Juliana Balbinot Hilgert
Abstract
Purpose: to evaluate the prevalence of malocclusion and its associated factors of children cared for by a PHC Service in Porto Alegre, Brazil. Methods: a cross-sectional study nested in a cohort, carried out in 12 Health Care Practices. Of the 414 children in the cohort examined, 268 were assessed for malocclusion. The presence of anterior open bite, posterior and anterior crossbite was evaluated by the criteria of Foster and Hamilton. Socioeconomic variables, breastfeeding habits and pacifier use information were collected through a standardized questionnaire. Data analysis was performed using a hierarchical approach by Poisson Regression with robust variance. Results: out of the total 268 evaluated, 135 (50.4%) were boys, and the average age was 28.6 (± 11.9) months. Out of the 143 (53.4%) cases of malocclusion, 113 were anterior open bite, 16 were anterior crossbite, 27 were posterior crossbite, and 38 had increased overjet. In the final analysis, it was observed that there was a higher prevalence of malocclusion in children who never breastfed (PR = 1.44; 95%CI 1.00-2.08) and who always used a pacifier to sleep (PR = 1.81; 95%CI 1.14-2.86). Conclusion: the prevalence of malocclusion in this population was high and was associated with behavioral habits, such as the use of pacifier and not breastfeeding.
Keywords
References
Tomita NE, Bijella VT, Franco LJ. Relação entre hábitos bucais e má oclusão em pré-escolares. Rev Saude Publica. 2000;34(3):299-303. http://dx.doi.org/10.1590/S0034-89102000000300014 PMid:10920454.
» http://dx.doi.org/10.1590/S0034-89102000000300014
Feldens CA, Martins RP, Maciel RR, Vargas-Ferreira F, Kramer PF. Factors associated with the occurrence of distoclusion in the primary dentition: a hierarchical analysis. J Clin Pediatr Dent. 2016;40(1):88-93. http://dx.doi.org/10.17796/1053-4628-40.1.88 PMid:26696113.
» http://dx.doi.org/10.17796/1053-4628-40.1.88
Dimberg L, Arnrup K, Bondemark L. The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod. 2015;37(3):238-47. http://dx.doi.org/10.1093/ejo/cju046 PMid:25214504.
» http://dx.doi.org/10.1093/ejo/cju046
Kragt L, Dhamo B, Wolvius EB, Ongkosuwito EM. The impact of malocclusion on oral health-related quality of life in children - a systematic review and meta-analysis. Clin Oral Investig. 2016;20(8):1881-94. http://dx.doi.org/10.1007/s00784-015-1681-3 PMid:26635095.
» http://dx.doi.org/10.1007/s00784-015-1681-3
Feres MFN, Abreu LG, Insabralde NM, Almeida MR, Flores-Mir C. Effectiveness of open bite correction when managing deleterious oral habits in growing children and adolescents: a systematic review and meta-analysis. Eur J Orthod. 2017;39(1):31-42. http://dx.doi.org/10.1093/ejo/cjw005 PMid:26846264.
» http://dx.doi.org/10.1093/ejo/cjw005
Brasil. Ministério da Saúde. SB Brasil 2010: Pesquisa nacional de saúde bucal - resultados principais. Editora MS; Brasília; 2012.
Campos MPMS, Valença PAM, Silva GM, Lima MC, Jamelli SR, Góes PSA. Influence of head and linear growth on the development of malocclusion at six years of age: a cohort study. Braz Oral Res. 2018;32:e98. http://dx.doi.org/10.1590/1807-3107bor-2018.vol32.0098 PMid:30328898.
» http://dx.doi.org/10.1590/1807-3107bor-2018.vol32.0098
Bauman JM, Souza JGS, Bauman CD, Flório FM. Padrão epidemiológico da má oclusão em pré-escolares brasileiros. Cien Saude Colet. 2018;23(11):3861-8. http://dx.doi.org/10.1590/1413-812320182311.24722016 PMid:30427456.
» http://dx.doi.org/10.1590/1413-812320182311.24722016
Thomaz EBAF, Alves CMC, Silva LFG, Almeida CCCR, Alves MTSSB, Hilgert JB, et al. Breastfeeding versus bottle feeding on malocclusion in children: a meta-analysis study. J Hum Lact. 2018;34(4):768-88. http://dx.doi.org/10.1177/0890334418755689 PMid:29596751.
» http://dx.doi.org/10.1177/0890334418755689
Boronat-Catalá M, Bellot-Arcís C, Montiel-Company J-M, Almerich-Silla J-M, Catalá-Pizarro M. Does breastfeeding have a long-term positive effect on dental occlusion? J Clin Exp Dent. 2019;11(10):e947-51. http://dx.doi.org/10.4317/jced.56312 PMid:31636865.
» http://dx.doi.org/10.4317/jced.56312
Mutlu E, Parlak B, Kuru S, Oztas E, Pinar-Erdem A, Sepet E. Evaluation of crossbits in relation with dental arch widhts, occlusion type, nutritive and non-nutritive sucking habits and respiratory factors in the early mixed dentition. Oral Health Prev Dent. 2019;17(5):447-55. PMid:31268046.
Feldens CA, Ardenghi TM, Cruz LN, Scalco GPC, Vítolo MR. Advising mothers about breastfeeding and weaning reduced pacifier use in the first year of life: a randomized trial. Community Dent Oral Epidemiol. 2013;41(4):317-26. http://dx.doi.org/10.1111/cdoe.12030 PMid:23240927.
» http://dx.doi.org/10.1111/cdoe.12030
Germa A, Clément C, Weissenbach M, Heude B, Forhan A, Martin-Marchand L, et al. Early risk factors for posterior crossbite and anterior open bite in the primary dentition. Angle Orthod. 2016;86(5):832-8. http://dx.doi.org/10.2319/102715-723.1 PMid:26998889.
» http://dx.doi.org/10.2319/102715-723.1
Lopes TSP, Lima CCB, Silva RNC, Moura LFAD, Lima MDM, Lima MCMP. Association between duration of breastfeeding and malocclusion in primary dentition in Brazil. J Dent Child. 2019;86(1):17-23. PMid:30992097.
Starfield B. Atenção Primária: equilíbrio entre necessidades de saúde, serviços e tecnologia. Brasília: Ministério da Saúde; 2002.
Faustino-Silva DD, Colvara BC, Meyer E, Hugo FN, Celeste RK, Hilgert JB. Motivational interviewing effects on caries prevention in children differ by income: a randomized cluster trial. Community Dent Oral Epidemiol. 2019;47(6):477 -484. http://dx.doi.org/10.1111/cdoe.12488 PMid:31385333.
» http://dx.doi.org/10.1111/cdoe.12488
Foster TD, Hamilton MD. Occlusion in the primary dentition. Study of children at 2 and one-half to 3 years of age. Br Dent J. 1969;126(2):76-9. PMid:5253447.
Alves JC, Silva RP, Cortellazzi KL, Vazquez FL, Marques RA, Pereira AC, et al. Oral cancer calibration and diagnosis among professional from the public health in São Paulo, Brazil. Stomatologija. 2013;15(3):78-83. PMid:24375310.
Brasil. Ministério da Saúde. SB Brasil 2010: Pesquisa nacional de saúde bucal. Ministério da Saúde; Brasília; 2009.
Ling HTB, Sum FHKMH, Zhang L, Yeung CPW, Li KY, Wong HM, et al. The association between nutritive, non-nutritive sucking habits and primary dental occlusion. BMC Oral Health. 2018;18(1):145. http://dx.doi.org/10.1186/s12903-018-0610-7 PMid:30134878.
» http://dx.doi.org/10.1186/s12903-018-0610-7
Bardal PAP, Olympio PK, Bastos JRM, Henriques JFC, Buzalaf MAR. Educação e motivação em saúde bucal - prevenindo doenças e promovendo saúde em pacientes sob tratamento ortodôntico. Dental Press J Orthod. 2011;16(3):95-102. http://dx.doi.org/10.1590/S2176-94512011000300012
» http://dx.doi.org/10.1590/S2176-94512011000300012
Schwendler A, Faustino-Silva DD, Rocha CF. Saúde bucal na ação programática da criança: indicadores e metas de um serviço de atenção primária à saúde. Cien Saude Colet. 2017;22(1):201-7. http://dx.doi.org/10.1590/1413-81232017221.07912015 PMid:28076543.
» http://dx.doi.org/10.1590/1413-81232017221.07912015
Corrêa-Faria P, Abreu MHNG, Jordão LMR, Freire MDCM, Costa LR. Association of breastfeeding and malocclusion in 5-year-old children: multilevel approach. Int J Paediatr Dent. 2018;28(6):602-7. http://dx.doi.org/10.1111/ipd.12417 PMid:30091192.
» http://dx.doi.org/10.1111/ipd.12417
Schmid KM, Kugler R, Nalabothu P, Bosch C, Verna C. The effect of pacifier sucking on orofacial structures: a systematic literature review. Prog Orthod. 2018;19(1):8. http://dx.doi.org/10.1186/s40510-018-0206-4 PMid:29532184.
» http://dx.doi.org/10.1186/s40510-018-0206-4
Peres KG, Cascaes AM, Peres MA, Demarco FF, Santos IS, Matijasevich A, et al. Exclusive breastfeeding and risk of dental malocclusion. Pediatrics. 2015;136(1):e60-7. http://dx.doi.org/10.1542/peds.2014-3276 PMid:26077480.
» http://dx.doi.org/10.1542/peds.2014-3276
Pinto RS, Matos DL, Loyola AI Fo. Características associadas ao uso de serviços odontológicos públicos pela população adulta brasileira. Cien Saude Colet. 2012;17(2):531-44. http://dx.doi.org/10.1590/S1413-81232012000200026 PMid:22267047.
» http://dx.doi.org/10.1590/S1413-81232012000200026
Rebouças AG, Zanin L, Ambrosano GMB, Florio FM. Individual factors associated to malocclusion in adolescents. Cien Saude Colet. 2017;22(11):3723-32. PMid:29211177.
Doğramacı EJ, Rossi-Fedele G, Dreyer CW. Malocclusion in young children does breastfeeding really reduce the risk? A systematic review and meta-analysis. J Am Dent Assoc. 2017;148(8):566-74.e6. PMid:28754184.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email