Lia Silva de Castilho1, Mauro Henrique Nogueira Guimarães Abreu2, Luiz Gustavo de Almeida Pires E Souza3, Leiliane Teresinha de Almeida Romualdo3, Maria Elisa Souza E Silva4, Vera Lúcia Silva Resende4. 1. Professor Doctor of the Department of Restorative Dentistry of Dental School, Coordinator of the Extension Project "Dental Care for disabled", Federal University of Minas Gerais State, Brazil. Avenida Presidente Antônio Carlos, 6627, Campus Pampulha, CEP 31270-010, Belo Horizonte, Minas Gerais, Brazil. 2. Professor Doctor of the Department of Social and Preventive Dentistry, Dental School, Federal University of Minas Gerais State, Brazil. Avenida Presidente Antônio Carlos, 6627, Campus Pampulha, CEP 31270-010, Belo Horizonte, Minas Gerais, Brazil. 3. Undergraduate Student, Dental School, Federal University of Minas Gerais State, Brazil. Avenida Presidente Antônio Carlos, 6627, Campus Pampulha, CEP 31270-010, Belo Horizonte, Minas Gerais, Brazil. 4. Professor Doctor of the Department of Restorative Dentistry of Dental School, Federal University of Minas Gerais State, Brazil. Avenida Presidente Antônio Carlos, 6627, Campus Pampulha, CEP 31270-010, Belo Horizonte, Minas Gerais, Brazil.
Abstract
AIM: To investigate factors associated with anterior open bite in individuals aged from 2 to 33 years with developmental disabilities. DESIGN: This is a cross-sectional study. A total of 271 dental records were examined. The anterior open bite analyzed was determined based on clinic exam. These variables were also analyzed: gender, age, education level of mother, International Code of Diseases (ICD), mouth breathing, use of anticonvulsant drugs, hyperkinesis, pacifier use, thumb sucking, seizure, and involuntary movements. For the purposes of analysis, the individuals were categorized as being with and without anterior open bite. Variables with a p-value of < 0.25 in the bivariate analysis were incorporated into the logistic regression models. RESULTS: Mouth breathers had a 2.60-fold (95% CI: 1.35-5.01) greater chance of exhibiting anterior open bite than nasal breathers. Pacifier users are more likely to have an anterior open bite (3.32-fold, 95% CI: 1.62-6.77). Individuals with reported involuntary movements had a 2.66-fold (95% CI: 1.26-5.63) greater chance of exhibiting anterior open bite. Users of anticonvulsants drugs had a 3.05 (95% CI: 1.57-5.92) greater chance of showing anterior open bite. CONCLUSION: Involuntary movements, mouth breathing, using anticonvulsant drugs, and using pacifier are factors associated with anterior open bite in patients with developmental disabilities.
AIM: To investigate factors associated with anterior open bite in individuals aged from 2 to 33 years with developmental disabilities. DESIGN: This is a cross-sectional study. A total of 271 dental records were examined. The anterior open bite analyzed was determined based on clinic exam. These variables were also analyzed: gender, age, education level of mother, International Code of Diseases (ICD), mouth breathing, use of anticonvulsant drugs, hyperkinesis, pacifier use, thumb sucking, seizure, and involuntary movements. For the purposes of analysis, the individuals were categorized as being with and without anterior open bite. Variables with a p-value of < 0.25 in the bivariate analysis were incorporated into the logistic regression models. RESULTS: Mouth breathers had a 2.60-fold (95% CI: 1.35-5.01) greater chance of exhibiting anterior open bite than nasal breathers. Pacifier users are more likely to have an anterior open bite (3.32-fold, 95% CI: 1.62-6.77). Individuals with reported involuntary movements had a 2.66-fold (95% CI: 1.26-5.63) greater chance of exhibiting anterior open bite. Users of anticonvulsants drugs had a 3.05 (95% CI: 1.57-5.92) greater chance of showing anterior open bite. CONCLUSION:Involuntary movements, mouth breathing, using anticonvulsant drugs, and using pacifier are factors associated with anterior open bite in patients with developmental disabilities.
Authors: Yasser Alsayed Tolibah; Chaza Kouchaji; Thuraya Lazkani; Mohammad Tamer Abbara; Saffana Jbara; Ziad D Baghdadi Journal: Int J Environ Res Public Health Date: 2021-01-29 Impact factor: 3.390