Association Of Various Feeding Practices, Malocclusion And Non-Nutritive Sucking Habits In Indian Child Subjects Aged 3-6 Years
Keywords:
Breastfeeding, feeding practices, malocclusion, nonnutritive sucking habitsAbstract
Background: NNS (non-nutritive sucking) and nutritive sucking might affect craniofacial development differently in the affected child subjects. However, existing literature data is scarce concerning these factors in developing children.
Aim: The present study aimed to assess the association between non-nutritive sucking habits (NNSHs), various feeding practices, and malocclusion in child subjects aged 3-6 years.
Methods: The study assessed 700 child subjects aged 3-6 years from the preschool including 188 subjects with non-nutritive sucking habits and 512 subjects without non-nutritive sucking habits. Feeding practice, the outcome of non-nutritive sucking habits, and exposure to developing malocclusion were assessed.
Results: The study results showed a prevalence of 26.8% of NNHS in study subjects aged 3-6 years. Significant gender difference was seen with p=0.02. Overall malocclusion developing prevalence in study subjects was 34.01% where the most common malocclusion was open bite followed by spacing, increased overjet, crowding, rotation and posterior crossbite, and overbite with 12.57%, 8.5%, 6.8%, 2.2%, 1.4%, and 1.14% respectively. The most common feeding practice was breastfeeding with high chances of NNSH with p<0.0001 in subjects that did not breastfeed compared to breastfeeding infants. A significant association was seen in feeding practices to increased overjet, open bite, and spacing with p=0.001, 0.04, and 0.02 respectively.
Conclusions: The present study concludes that the prevalence of NNSH increases the chances of developing various kinds of malocclusions including spacing, open bite, and increased overjet. Also, breastfeeding plays a protective agent role against the development of non-nutritive sucking habits.
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Cacho NT, Lawrence RM. Innate immunity and breast milk. Front Immunol 2017;8:584
Sakalidis VS, McClellan HL, Hepworth AR, Kent JC, Lai CT, Hartmann PE, et al. Oxygen saturation and suck-swallow-breathe coordination of term infants during breastfeeding and feeding from a teat releasing milk only with a vacuum. Int J Pediatr 2012;2012:130769.
Cudziło D, Pałczyńska D, Bednarczyk M. Infant and baby feeding and the development of the maxillofacial complex based on own observations and the literature. Dev Period Med 2018;22:2559.
Agarwal SS, Nehra K, Sharma M, JayanB, PooniaA, Bhattal H. Association between breastfeeding duration, nonnutritive sucking habits and dental arch dimensions in deciduous dentition: A cross-sectional study. Prog Orthod 2014;15:59.
Chen X, Xia B, Ge L. Effects of breastfeeding duration, bottle-feeding duration, and nonnutritive sucking habits on the occlusal characteristics of primary dentition. BMC Pediatr 2015;15:46.
Mistry P, Moles DR, O’Neill J, Noar J. The occlusal effects of digit sucking habits amongst school children in Northamptonshire (UK). J Orthod 2010;37:8792.
Doğramacı EJ, RossiFedele G. Establishing the association between nonnutritive sucking behavior and malocclusions: A systematic review and meta-analysis. J Am Dent Assoc 2016;147:92634.e6.
Montaldo L, Montaldo P, Cuccaro P, Caramico N, Minervini G. Effects of feeding on nonnutritive sucking habits and implications on occlusion in mixed dentition. Int J Paediatr Dent 2011;21:6873.
Lopes TS, Moura Lde F, Lima MC. Breastfeeding and sucking habits in children enrolled in a mother-child health program. BMC Res Notes 2014;7:362.
Ling HT, Sum FH, Zhang L, Yeung CP, Li KY, Wong HM, et al. The association between nutritive, nonnutritive sucking habits and primary dental occlusion. BMC Oral Health 2018;18:145.
Paolantonio EG, Ludovici N, Saccomanno S, La Torre G, Grippaudo C. Association between oral habits, mouth breathing and malocclusion in Italian preschoolers. Eur J Paediatr Dent 2019;20:2048.
Luzzi V, Guaragna M, Ierardo G, Saccucci M, Consoli G, Vestri AR, et al. Malocclusions and nonnutritive sucking habits: A preliminary study. Prog Orthod 2011;12:1148.
Feştilă D, Ghergie M, Muntean A, Matiz D, Şerb Nescu A. Suckling, and nonnutritive sucking habit: What should we know? Clujul Med 2014;87:114.
Dhull KS, VermaT, DuttaB. Prevalence of deleterious oral habits among 3 to 5-year-old preschool children in Bhubaneswar, Odisha, India. Int J Clin Pediatr Dent 2018;11:2103
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