The Use of a Pacifier to Correct Malocclusions in Young Children
Study Details
Study Description
Brief Summary
The aim of the study is to investigate the effect of a pacifier (102 Medical Pacifier, Curaprox, Switzerland) on malocclusions like posterior crossbite, anterior open bite, larger overjet and tongue dysfunction in young children.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Functional pacifier Swap from the habitual pacifier to a functional pacifier |
Device: Functional Pacifier
Children swap from their habitual pacifier to the functional pacifier and stop baby bottle
|
| Active Comparator: Stop habit Stop the use of the habitual pacifier and or baby bottle |
Behavioral: Stop habit
Children stop the use of their pacifier and/or baby bottle
|
Outcome Measures
Primary Outcome Measures
- Posterior cross bite [1 year]
presence of posterior crossbite in which minium 1 tooth and/or edge to edge in the region deciduous canines and/or deciduous molars, with or without forced bite.
- Anterior open bite [1 year]
presence of anterior open bite in which the overbite has negative values or edge to edge (≤ 0), with or without tongue thrust.
Secondary Outcome Measures
- Facial movement [1 year]
Lip contraction during swallowing of a sip of water
- Lip competence [1 year]
Contact between the upper and the lower lips at rest
- Facial morphology [1 year]
3D measurements of facial proportions
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Children who are sucking the pacifier and / or baby bottle for the last 6 months in use.
-
Manifesting posterior crossbite in which minium 1 tooth and/or edge to edge in the region deciduous canines and/or deciduous molars, with or without forced bite.
AND / OR
- Manifesting anterior open bite in which the overbite has negative values or edge to edge (≤ 0), with or without tongue thrust.
Exclusion Criteria:
-
Children who are thumb- or fingersucking (or sucking other objects)
-
syndromic or cleft patients
-
patients with history of cranio-facial trauma, history of temporomandibular joint infection or musculo-skeletal asymmetry (e.g. scoliosis, torticollis)
-
patients with systematic diseases
-
patients currently under or after orthodontic Treatment
-
patients with ankylosed teeth (e.g. after dental trauma).
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University Hospital, Basel, Switzerland
Investigators
- Study Chair: Carlalberta Verna, DDS, PhD, University Center for Dental Medicine, Basel, Switzerland
Study Documents (Full-Text)
None provided.More Information
Publications
- Dimberg L, Bondemark L, Söderfeldt B, Lennartsson B. Prevalence of malocclusion traits and sucking habits among 3-year-old children. Swed Dent J. 2010;34(1):35-42.
- Filippi C, Filippi A, Verna C. Frühkindliche kieferorthopädische Therapie mittels Schnuller? Swiss Dent J. 2015;125(9):959-70. French, German.
- 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 Mar 13;19(1):8. doi: 10.1186/s40510-018-0206-4. Review.
- Sousa RV, Pinto-Monteiro AK, Martins CC, Granville-Garcia AF, Paiva SM. Malocclusion and socioeconomic indicators in primary dentition. Braz Oral Res. 2014;28:54-60.
- Warren JJ, Slayton RL, Bishara SE, Levy SM, Yonezu T, Kanellis MJ. Effects of nonnutritive sucking habits on occlusal characteristics in the mixed dentition. Pediatr Dent. 2005 Nov-Dec;27(6):445-50.
- UZB-Pacifier