Association Between Malocclusion in the Mixed Dentition with Breastfeeding and Past Nonnutritive Sucking Habits in School-age Children

Overview

Journal Angle Orthod

Specialty Dentistry

Date 2022 Jun 27

PMID 35759270

Authors

Glauber S Belitz

Lara J N Furlan

Jessica K Knorst

Luana C Berwig

Thiago M Ardenghi

Vilmar A Ferrazzo

Mariana Marquezan

Affiliations

Soon will be listed here.

Abstract

Objectives: To evaluate the association between malocclusion characteristics in the mixed dentition stage, breastfeeding, and past nonnutritive sucking habits in school-age children.

Materials And Methods: A total of 547 school children in the mixed dentition, in the age range between 7 and 13 years, were evaluated by means of questionnaire and clinical examination. Binomial and multinomial logistic regression models were used to evaluate the associations between breastfeeding and finger and pacifier sucking habits, the malocclusion characteristics of posterior crossbite, and excessive or deficient overjet and overbite.

Results: Individuals who had nonnutritive sucking habits had 2.16 times greater chance of having anterior open bite (odds ratio [OR] 2.16; 95% confidence interval [CI], 1.07-4.33) and 2.39 times greater chance of having posterior crossbite (OR 2.39; 95% CI, 1.56-5.49). Children who were exclusively breastfed up to at least 6 months of age had a higher frequency of normality for overjet and overbite and the lowest posterior crossbite index. However, in adjusted analysis, breastfeeding showed no association with malocclusion characteristics in the mixed dentition stage.

Conclusions: Breastfeeding was not associated with the presence of malocclusion in the mixed dentition, whereas past nonnutritive sucking habits were associated with the occurrence of malocclusion.

Citing Articles

Prevalence of Malocclusion Traits in Primary Dentition, 2010-2024: A Systematic Review.

Chen H, Lin L, Chen J, Huang F Healthcare (Basel). 2024; 12(13).

PMID: 38998856 PMC: 11241413. DOI: 10.3390/healthcare12131321.

Oral Habits in Childhood and Occlusal Pathologies: A Cohort Study.

Santos Barrera M, Ribas-Perez D, Caleza Jimenez C, Cortes Lillo O, Mendoza-Mendoza A Clin Pract. 2024; 14(3):718-728.

PMID: 38804389 PMC: 11130930. DOI: 10.3390/clinpract14030057.

Influence of malocclusion on sleep bruxism and orofacial pain: data from a study in school children.

Caetano J, Goettems M, Nascimento G, Jansen K, da Silva R, Svensson P Clin Oral Investig. 2024; 28(2):142.

PMID: 38347236 DOI: 10.1007/s00784-024-05545-1.

Breastfeeding Protects from Overjet in Adolescence by Reducing Pacifier Use: A Birth Cohort Study.

Feldens C, Petracco L, Nascimento G, Li H, Vitolo M, Peres K Nutrients. 2023; 15(15).

PMID: 37571340 PMC: 10421320. DOI: 10.3390/nu15153403.

References

Traebert E, Zanini F, Nunes R, Traebert J . Nutritional and non-nutritional habits and occurrence of malocclusions in the mixed dentition. An Acad Bras Cienc. 2020; 92(1):e20190833. DOI: 10.1590/0001-3765202020190833. View

Berwig L, Marquezan M, Milanesi J, Knorst J, Ardenghi T, Silva A . Reference parameters for normality and associated factors to hard palate during mixed dentition phase. Codas. 2021; 34(1):e20200291. PMC: 9886104. DOI: 10.1590/2317-1782/20212020291. View

Karjalainen S, Ronning O, Lapinleimu H, Simell O . Association between early weaning, non-nutritive sucking habits and occlusal anomalies in 3-year-old Finnish children. Int J Paediatr Dent. 2000; 9(3):169-73. DOI: 10.1046/j.1365-263x.1999.00133.x. View

Tristao S, Magno M, Pintor A, Christovam I, Ferreira D, Maia L . Is there a relationship between malocclusion and bullying? A systematic review. Prog Orthod. 2020; 21(1):26. PMC: 7459069. DOI: 10.1186/s40510-020-00323-7. View

Peres K, Barros A, Peres M, Victora C . Effects of breastfeeding and sucking habits on malocclusion in a birth cohort study. Rev Saude Publica. 2007; 41(3):343-50. DOI: 10.1590/s0034-89102007000300004. View

Germa A, Clement C, Weissenbach M, Heude B, Forhan A, Martin-Marchand L . Early risk factors for posterior crossbite and anterior open bite in the primary dentition. Angle Orthod. 2016; 86(5):832-8. PMC: 8600852. DOI: 10.2319/102715-723.1. View

Ghafari M, Bahadivand-Chegini S, Nadi T, Doosti-Irani A . The global prevalence of dental healthcare needs and unmet dental needs among adolescents: a systematic review and meta-analysis. Epidemiol Health. 2019; 41:e2019046. PMC: 6883027. DOI: 10.4178/epih.e2019046. View

Zere E, Chaudhari P, Sharan J, Dhingra K, Tiwari N . Developing Class III malocclusions: challenges and solutions. Clin Cosmet Investig Dent. 2018; 10:99-116. PMC: 6016584. DOI: 10.2147/CCIDE.S134303. View

Peres K, Cascaes A, Peres M, Demarco F, Santos I, Matijasevich A . Exclusive Breastfeeding and Risk of Dental Malocclusion. Pediatrics. 2015; 136(1):e60-7. DOI: 10.1542/peds.2014-3276. View

10.

Abreu L, Martins Paiva S, Pordeus I, Martins C . Breastfeeding, bottle feeding and risk of malocclusion in mixed and permanent dentitions: a systematic review. Braz Oral Res. 2016; 30. DOI: 10.1590/1807-3107BOR-2016.vol30.0022. View

11.

Bueno S, Bittar T, Vazquez F, Meneghim M, Pereira A . Association of breastfeeding, pacifier use, breathing pattern and malocclusions in preschoolers. Dental Press J Orthod. 2013; 18(1):30.e1-6. DOI: 10.1590/s2176-94512013000100006. View

12.

Limeira A, Aguiar C, de Lima Bezerra N, Camara A . Association between breast-feeding duration and posterior crossbites. J Dent Child (Chic). 2014; 81(3):122-7. View

13.

Chen X, Xia B, Ge L . Effects of breast-feeding duration, bottle-feeding duration and non-nutritive sucking habits on the occlusal characteristics of primary dentition. BMC Pediatr. 2015; 15:46. PMC: 4422261. DOI: 10.1186/s12887-015-0364-1. View

14.

FOSTER T, Hamilton M . 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. View

15.

Botero-Mariaca P, Sierra-Alzate V, Rueda Z, Gonzalez D . Lingual function in children with anterior open bite: A case-control study. Int Orthod. 2018; 16(4):733-743. DOI: 10.1016/j.ortho.2018.09.009. View

16.

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. 2014; 37(3):238-47. DOI: 10.1093/ejo/cju046. View

17.

Assaf D, Knorst J, Busanello-Stella A, Ferrazzo V, Berwig L, Ardenghi T . Association between malocclusion, tongue position and speech distortion in mixed-dentition schoolchildren: an epidemiological study. J Appl Oral Sci. 2021; 29:e20201005. PMC: 8373205. DOI: 10.1590/1678-7757-2020-1005. View

18.

Brizon V, Cortellazzi K, Vazquez F, Ambrosano G, Pereira A, Gomes V . [Individual and contextual factors associated with malocclusion in Brazilian children]. Rev Saude Publica. 2014; 47 Suppl 3:118-28. DOI: 10.1590/s0034-8910.2013047004426. View

19.

Nihi V, Maciel S, Jarrus M, Nihi F, Salles C, Pascotto R . Pacifier-sucking habit duration and frequency on occlusal and myofunctional alterations in preschool children. Braz Oral Res. 2014; 29:1-7. DOI: 10.1590/1807-3107bor-2015.vol29.0013. View

20.

Heck K, Braveman P, Cubbin C, Chavez G, Kiely J . Socioeconomic status and breastfeeding initiation among California mothers. Public Health Rep. 2006; 121(1):51-9. PMC: 1497787. DOI: 10.1177/003335490612100111. View