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1.
J Indian Soc Pedod Prev Dent ; 38(3): 315-318, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33004732

RESUMEN

A 7-month-old female child born to nonconsanguineous parents with a history of global developmental delay, since early infancy had reported to the department with facial features of mild dysmorphism. History of finger sucking and finger biting was evident, as there was a massive scab tissue over the dorsal aspect of the index finger, above the finger nail bed. A huge ulcer was evident on the right side of the dorsal aspect of anterior two-thirds of the tongue. Genetic evaluation through targeted gene sequencing confirmed the diagnosis as hereditary sensory, autonomic neuropathy Type VIII (Online Mendelian Inheritance in Man - 616488). A homozygous missense variation in exon 3 of PRDM12 was detected. A multidisciplinary approach was planned for the management of the child. A soft splint on the maxilla was fabricated and stabilized with an adhesive. However, the final diagnosis was confirmed by a DNA genomic sequencing test, namely a multigene panel testing or comprehensive genomic sequencing.


Asunto(s)
Neuropatías Hereditarias Sensoriales y Autónomas/diagnóstico , Neuropatías Hereditarias Sensoriales y Autónomas/genética , Neuropatías Hereditarias Sensoriales y Autónomas/terapia , Proteínas Portadoras , Niño , Femenino , Succión del Dedo , Genómica , Humanos , Lactante , Proteínas del Tejido Nervioso , Lengua
2.
Braz Oral Res ; 34: e059, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32578802

RESUMEN

The aim of this study was to evaluate the association of malocclusion, nutritive and non-nutritive sucking habits and dental caries in the masticatory function of preschool children. A cross-sectional study was conducted with a sample of 384 children aged 3-5 years. A single examiner calibrated for oral clinical examinations performed all the evaluations (kappa > 0.82). Presence of malocclusion was recorded using Foster and Hamilton criteria. The number of masticatory units and of posterior teeth cavitated by dental caries was also recorded. The parents answered a questionnaire in the form of an interview, addressing questions about the child's nutritive and non-nutritive sucking habits. The masticatory function was evaluated using Optocal test material, and was based on the median particle size in the masticatory performance, on the swallowing threshold, and on the number of masticatory cycles during the swallowing threshold. Data analysis involved simple and multiple linear regression analyses, and the confidence level adopted was 95%. The sample consisted of 206 children in the malocclusion group and 178 in the non-malocclusion group. In the multiple regression analysis, the masticatory performance was associated with age (p = 0.025), bottle feeding (p = 0.004), presence of malocclusion (p = 0.048) and number of cavitated posterior teeth (p = 0.030). The swallowing threshold was associated with age (p = 0.025), bottle feeding (p = 0.001) and posterior malocclusion (p = 0.017). The number of masticatory cycles during the swallowing threshold was associated with the number of cavitated posterior teeth (p = 0.001). In conclusion, posterior malocclusion, bottle feeding and dental caries may interfere in the masticatory function of preschool children.


Asunto(s)
Deglución/fisiología , Caries Dental/fisiopatología , Maloclusión/fisiopatología , Masticación/fisiología , Conducta en la Lactancia/fisiología , Alimentación Artificial , Lactancia Materna , Preescolar , Estudios Transversales , Femenino , Succión del Dedo , Humanos , Modelos Lineales , Masculino , Tamaño de la Partícula , Valores de Referencia , Factores Sexuales , Estadísticas no Paramétricas
4.
Acta Odontol Scand ; 78(1): 52-56, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31401921

RESUMEN

Objective: To compare the prevalence of malocclusions in the primary and early mixed dentition of very preterm and full-term children.Material and methods: Study subjects consisted of 205 very preterm (90 girls and 115 boys), and 205 age- and gender-matched full-term children. Data were collected from the register of Turku University Hospital (children born before the 37th week of pregnancy with a birth weight of less than 1500 g, and all infants born before the 32nd week of pregnancy) and from public health centre dental registers.Results: In primary dentition, case children had a higher odds of dental crowding (OR = 2.94, 95% CI 1.17-7.35, p = .021), a tendency toward increased overbite (OR = 1.55, 95% CI 0.93-2.59, p = .096), and a lower odds of increased overjet (OR = 0.19, 95% CI 0.07-0.57, p = .003) compared to control children. In early mixed dentition, there were no statistically significant differences in occlusal traits; however, case children were significantly more likely to have received orthodontic treatment (OR = 2.80, 95% CI 1.50-5.23, p = .001) compared to controls.Conclusions: The results indicate that in primary dentition, the prevalence of malocclusion varies between very preterm and full-term children. In early mixed dentition, the distribution of occlusal traits is more similar.


Asunto(s)
Dentición Mixta , Succión del Dedo , Recien Nacido Extremadamente Prematuro , Maloclusión/epidemiología , Diente Primario , Estudios de Casos y Controles , Niño , Femenino , Finlandia/epidemiología , Humanos , Lactante , Recién Nacido , Masculino , Maloclusión de Angle Clase II , Mordida Abierta/epidemiología , Sobremordida/epidemiología , Prevalencia
5.
Laterality ; 25(1): 87-108, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31070091

RESUMEN

Handedness ontogenesis is still under debate in science. This systematic review analyzed articles regarding the theories and basis of handedness formation, highlighting the historical knowledge path that this literature underwent. Cochrane Library, LILACS, Web of Sciences, Science Direct and PubMed databases were searched. This review included review studies with handedness as the main topic. Only papers written in English with analyses exclusively in neurotypical humans (any age range) were included. Different approaches (genetic, neural, social, and behavioural) were reviewed in light of growing evidence, summarizing the current state of the art. Genetic and environmental/social impacts are common points in most of the reviews, each given more or less importance, depending on the author and theory proposed. Multifactorial, developmental approaches to handedness formation seem to be the most up to date view of the phenomenon. Different control mechanisms between hemisphere and neural asymmetries are also contributing factors to handedness formation.


Asunto(s)
Lateralidad Funcional , Adopción , Niño , Crianza del Niño , Cultura , Dominancia Cerebral/fisiología , Femenino , Sufrimiento Fetal/fisiopatología , Succión del Dedo , Lateralidad Funcional/genética , Lateralidad Funcional/fisiología , Interacción Gen-Ambiente , Humanos , Recién Nacido de Bajo Peso , Recién Nacido , Recien Nacido Prematuro , Metaanálisis como Asunto , Modelos Neurológicos , Embarazo/sangre , Efectos Tardíos de la Exposición Prenatal , Selección Genética , Testosterona/sangre
6.
J Indian Soc Pedod Prev Dent ; 37(3): 245-250, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31584023

RESUMEN

Background: Bruxism is a repetitive masticatory muscle activity with a multifactorial etiology , that can be associated to emotional factors. Aim: The aim of the study is to identify the presence of oral habits (OHs) and their association with the trait of anxiety (State-Trait Anxiety Inventory for Children [STAI-C]) in pediatric patients with possible sleep bruxism (PSB). Methods: Children between 3 and 12 years of age with PSB reported by their parents with complete deciduous or mixed dentition were included in the present study. Sociodemographic data (SD) as well as those on OHs such as only natural (ON), artificial breastfeeding (OA) or both (NA), finger sucking (FS), pacifier use (PC), and biting nails (BN) or objects (OB) were obtained through an interview with the parents/guardians answered the Brazilian version of the STAI-C questionnaire. Statistical Analysis Used: SD and OH as well as STAI-C findings were descriptively evaluated, while the associations between OH and STAI-C with PSB were evaluated using the Chi-square test (P < 0.05). Results: The final sample was 52 children (6.62 ± 1.8 years). Of these, 51.9% were males, 82.7% reported not living in social risk areas, and 21.2% were only children. Considering the OH, patients participated in ON (26.9%), OA (9.6%), and both (63.5%); 13.5% had an FS habit and 46.2% had related PC use; and 80.8% were reported to have OB biting behaviors, while 53.8% participated in BN. The STAI-C was present in 25 (48.1%) patients with PSB and was not associated with the presence of OH. Conclusion: There is no association between STAI-C and OH in pediatric patients with PSB.


Asunto(s)
Bruxismo del Sueño , Ansiedad , Brasil , Niño , Preescolar , Femenino , Succión del Dedo , Hábitos , Humanos , Masculino
7.
J Am Dent Assoc ; 150(11): 940-947, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31526484

RESUMEN

BACKGROUND: Studies suggest that when children do not achieve the emotional satiety and adequate stimulus provided by breast-feeding, they exhibit sucking behaviors. This study aimed to estimate the association from 4 through 6 months of exclusive breast-feeding (EB) postpartum and pacifier-sucking behavior at 12 months of life. METHODS: A cohort study was conducted with 1,037 infants, born alive and monitored up to 12 months. At 4 and 6 months after birth, the children were classified according to the type of breast-feeding they had received: exclusive, predominant, complementary, or none. The prevalence of pacifier-sucking behavior was calculated, and the association between the 2 events was estimated. Mothers' socioeconomic-demographic characteristics, delivery features, and prenatal care, as well as the biological characteristics of the children, were determined. Relative risk (RR) and 95% confidence intervals (95% CI) were calculated. RESULTS: In comparison with EB infants, the RR of pacifier-sucking behavior at 12 months of life was higher in children receiving complementary breast-feeding or no breast-feeding for both 4 months (RRadjusted, 1.68 [95% CI, 1.39 to 2.02] and RRadjusted, 2.67 [95% CI, 2.24 to 3.17], respectively) and 6 months (RRadjusted, 1.43 [95% CI, 1.03 to 2.00] and RRadjusted, 3.30 [95% CI, 2.40 to 4.54], respectively). CONCLUSIONS AND PRACTICAL IMPLICATIONS: EB for 6 months postpartum is associated with reduced pacifier-sucking behavior, adjusted for maternal color, number of prenatal consultations, and family income. Promotion of EB may reduce the use of pacifiers and their potential deleterious effects on oral health. Dental health care professionals should consider discussing the importance of breast-feeding with their patients with regard to the possible development of sucking habits in their children.


Asunto(s)
Succión del Dedo , Chupetes , Lactancia Materna , Niño , Estudios de Cohortes , Femenino , Hábitos , Humanos , Lactante
8.
Eur J Paediatr Dent ; 20(3): 204-208, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31489819

RESUMEN

AIM: This cross-sectional study was carried out to evaluate the prevalence of malocclusion and associated factors in preschoolers with the aim of assessing the existence of an association between bad habits and mouth breathing with the most severe malocclusions. MATERIALS AND METHODS: A sample of 1616 children aged 3-6 years was visited by applying the Baby ROMA index, an orthodontic treatment need index for preschool age. The following were searched: the prevalence of malocclusion, the association of bad habits and mouth breathing with malocclusion, how often are found in association and how this association is statistically significant. Chi-square and Fischer test were applied to verify the statistical significance of the association between the variables. RESULTS: The data show that 38% of the sample need orthodontic treatment and 46% have signs of malocclusion of less severe degree that require a close monitoring and the elimination of risk factors so that they can improve spontaneously with growth. Moreover the prevalence of bad habits and oral breathing increases with increasing severity of the malocclusion, and sucking habits and oral breathing are both closely related to anterior open bite, posterior crossbite and increased overjet. CONCLUSIONS: In the context of prevention and early treatment of disorders of the craniofacial growth, bad habits and mouth breathing, being risk factors of malocclusion, should be intercepted and corrected early on to prevent the development of malocclusion, or the worsening of existing ones. From this point of view it is important to follow the patients with a multidisciplinary approach.


Asunto(s)
Maloclusión , Respiración por la Boca , Niño , Preescolar , Estudios Transversales , Succión del Dedo , Hábitos , Humanos , Lactante , Italia , Prevalencia
9.
J Dent Child (Chic) ; 86(2): 88-92, 2019 05 15.
Artículo en Inglés | MEDLINE | ID: mdl-31395113

RESUMEN

Purpose: To determine the prevalence of oral habits in the mixed dentition of schoolchildren in Dharan, Nepal and compare this prevalence between sexes, races, and age.
Methods: A cross-sectional study was conducted among 830 schoolchildren of 10 randomly selected schools in Dharan. The presence or absence of oral habits was determined using a structured questionnaire, and an oral examination of the children was carried out under natural light. A chi-square test was used to compare the association of oral habits with age, sex and race.
Results: The most prevalent oral habit was tongue thrusting (39.6 percent), while the habit of biting objects was the least prevalent (0.8 percent). Mouth-breathing was statistically significant for sex (P = 0.010), whereas biting objects (P = 0.035) and self-inflicting habits (P = 0.005) were statistically significant for race. Lip sucking (P ≤0.001) and lip-biting habits (P = 0.001) were statistically significant for age.
Conclusion: These findings highlight the importance of periodic screenings and timely referral for the early detection of oral habits and its associated effect on the developing occlusion.


Asunto(s)
Dentición Mixta , Succión del Dedo , Niño , Estudios Transversales , Hábitos , Humanos , Nepal , Prevalencia , Hábitos Linguales
10.
BMC Pediatr ; 19(1): 294, 2019 08 22.
Artículo en Inglés | MEDLINE | ID: mdl-31438904

RESUMEN

BACKGROUND: Pacifier sucking habit has been associated in the literature with alterations of dental occlusion, and it could be a predisposing factor for other poor oral habits among children. Orthodontic pacifiers have been introduced in the market aiming to reduce these disadvantages caused by the conventional type of pacifiers. The aim of this study was to evaluate the prevalence of poor oral habits and malocclusions, after usage of orthodontic pacifiers in children with primary dentition. METHODS: A sample of 198 pre-school children, aged 3-5 years, (96 males and 102 females) who had exclusively used an orthodontic pacifier were included in order to assess the level of poor oral habits and the absence/presence of dental malocclusion. Firstly, children's parents/legal guardians were given a validated questionnaire, then the children were clinically examined at a dental clinic. RESULTS: Most of the children (79.79%) had started using the orthodontic pacifier within the first 3 months of life, and the 43.49% of them continued using it over a period of 2 years. The recorded percentage for those who had used it throughout sleep was 89.39%. Mouth breathing during the night was reported for 36.04% of the children. Tongue thrust swallow affected 16.16% of the sample. The 5.56% of the data indicated the presence of fingersucking/thumbsucking habit. The noted percentages for children with lip biting, lingual interposition between teeth at rest and those with nail biting, were 5.56, 12.63 and 15.15%, respectively. The regression revealed a significant contribution between early start of using an orthodontic pacifier with the prevalence of fingersucking/thumbsucking (OR 0.13, 95% CI 0.04-0.47, p = 0.0004). This also reported a noticeable increase of the malocclusion prevalence among the female gender (OR 2.74, 95% CI 1.42-5.31), as well as those who were not exclusively breastfed (OR 2.26, 95% CI 1.17-4.37). CONCLUSIONS: Orthodontic pacifiers does not favor the development of poor oral habits, even if it has been used for a period of 2 years in children with primary dentition. Children who begin to use orthodontic pacifier between 0 and 3 months, are less likely to acquire fingersucking/thumbsucking habit. The use of an orthodontic pacifier appears not to be correlated with the prevalence of malocclusion in primary dentition, differently from what stated in literature about the conventional type of pacifier.


Asunto(s)
Hábitos , Maloclusión/epidemiología , Aparatos Ortodóncicos , Chupetes , Diente Primario , Preescolar , Femenino , Succión del Dedo , Humanos , Lactante , Masculino , Maloclusión/etiología , Respiración por la Boca/epidemiología , Hábito de Comerse las Uñas , Aparatos Ortodóncicos/estadística & datos numéricos , Chupetes/efectos adversos , Chupetes/estadística & datos numéricos , Prevalencia , Análisis de Regresión , Conducta en la Lactancia , Hábitos Linguales
11.
Artículo en Portugués | LILACS, BBO - Odontología | ID: biblio-1009851

RESUMEN

A mordida aberta anterior é uma maloclusão caracterizada por um trespasse vertical negativo entre os dentes anteriores, quando os dentes posteriores estão em oclusão. Ela pode ser desenvolvida através de diversos fatores etiológicos, tais como os hábitos bucais deletérios (sucção de polegar ou chupeta), anquilose dentária, respiração bucal, amígdalas hipertróficas, interposição lingual e anormalidades no processo de erupção. Esses fatores interferem diretamente no crescimento e desenvolvimento normais das estruturas faciais. É uma das maloclusões de maior comprometimento estético-funcional, além das alterações dentárias e esqueléticas, e seu tratamento é constituído de diferentes abordagens, pois depende de suaclassificação e severidade. O objetivo deste trabalho é destacar a importância do diagnóstico e tratamento da mordida aberta anterior, bem como mostrar o que pode causá-la, interferindo no correto funcionamento do sistema estomatognático e bem-estar do paciente


The anterior open bite is a malocclusion characterized by a negative vertical overlap between the anterior teeth when the posterior teeth are in occlusion. It can be developed through several etiological factors, such as deleterious oral habits (thumb sucking or pacifiers), dental ankylosis, mouth breathing, hypertrophic tonsils, lingual interposition, and abnormalities in the eruption process. These factors directly interfere with the normal growth and development of facial structures. It is one of the malocclusions of greater aesthetic-functional impairment, besides the dental and skeletal alterations, and its treatment is constituted of different approaches, as it depends on its classification and severity. The objective of this study is to highlight the importance of diagnosis and treatment of anterior open bite, as well as to show what can cause it, interfering in the correct functioning of the stomatognathic system and the patient's well-being.


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Lactante , Preescolar , Niño , Mordida Abierta , Succión del Dedo , Maloclusión , Hábitos
12.
Oral Health Prev Dent ; 17(5): 447-455, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31268046

RESUMEN

PURPOSE: The purpose of this study was to analyse the connection between dental arch widths, malocclusion type, nutritive sucking habits and non-nutritive sucking habits, and respiratory factors with the presence of crossbites (CB) in the early mixed dentition. MATERIALS AND METHODS: Data were collected from 72 children with and without CB. A questionnaire was applied to parents/carers to obtain information about nutritive and non-nutritive sucking habits. The posterior and anterior crossbites were diagnosed in a centric relationship. Dental arch widths were measured directly from the models by two calibrated examiners. The data were analysed statistically using chi-square and Fisher's exact tests. RESULTS: The incidence of Class III malocclusion and the presence of ear, nose and throat problems in the study group were significantly higher than in the control subjects (p = 0.01, p = 0.047). The mean breastfeeding duration for children in the CB group was found significantly shorter than in the control subjects (p = 0.043). The number of children with mouth breathing in sleep was significantly higher in the CB group than the control subjects (p = 0.046). The children with CB demonstrated a statistically significant increase in mandibular intercanine width (ICW) than the control group (p = 0.044). CONCLUSION: The results demonstrated that an insufficient duration of breastfeeding, mouth breathing, ear-nose-throat problems and Class III malocclusion were associated with the presence of CB in the early mixed dentition.


Asunto(s)
Dentición Mixta , Maloclusión , Niño , Arco Dental , Succión del Dedo , Hábitos , Humanos , Chupetes , Diente Primario
13.
Rev. cuba. estomatol ; 56(2): e1395, abr.-jun. 2019.
Artículo en Español | LILACS | ID: biblio-1093220

RESUMEN

RESUMEN Introducción: La ruptura del equilibrio de las fuerzas extrabucales e intrabucales debido a una función anómala, desencadena maloclusión. Estas funciones musculares anómalas se conocen como hábitos bucales lesivos. Objetivo: Actualizar conocimientos y analizar los factores relacionados con las maloclusiones dentarias como los hábitos bucales lesivos en niños, en función de la frecuencia y duración de la succión nutritiva y no nutritiva, respiración por la boca y el empuje lingual atípico. Métodos: se realizó una revisión bibliográfica en cuatro bases de datos digitales Pubmed, Lilacs, Ibecs y Cumed correspondiente a los últimos 5 años. Se usó tesauro para el idioma inglés malocclusion, habits, finger sucking, pacifiers, bottle feeding, tongue habit, mouth breathing y en español maloclusión, hábitos, succión del dedo, chupete, biberones, hábitos linguales, respiración por la boca. La búsqueda reveló 65 artículos, de estos solo 19 cumplieron los criterios de inclusión. Análisis e integración de la información: El 89,5 por ciento de los artículos pertenecen a estudios de hábitos de succión no nutritivos solo o en conjunto con otros hábitos; y el 10,5 por ciento realizan investigaciones en niños respiradores bucales. Teniendo en cuenta la duración y frecuencia de los hábitos solo el 26,31 por ciento de las pesquisas seleccionadas tomaron en cuenta estas variables. En hábitos de succión nutritivos presentaron resalte horizontal aumentado, mordida cruzada posterior y escalón distal. Existe una asociación entre períodos cortos de amamantamiento y prevalencia de hábitos de succión no nutritivos; presentan además de maloclusiones anteriormente citadas, mordida abierta anterior. En respiración por la boca citaron clase II, mandíbula corta y retruida y disminución del tercio inferior de la cara. Conclusiones: Numerosas investigaciones se han realizado para asociar la duración de los hábitos de succión nutritivos y no nutritivos con maloclusiones, sin considerar la frecuencia de estos, además existe una reducida información científica en las bases electrónicas exploradas en lo que refiere a estudios de respiración por la boca y empuje lingual atípico en los niños(AU)


ABSTRACT Introduction: Malocclusion is triggered by rupture of the balance between extraoral and intraoral forces as a result of an anomalous function. Such anomalous muscular functions are known as harmful oral habits. Objective: Update knowledge and analyze factors related to dental malocclusions, such as harmful oral habits in children, in terms of the frequency and duration of nutritive and non-nutritive sucking, mouth breathing and atypical tongue thrust. Methods: A bibliographic review was conducted of papers published in the last five years in the digital databases Pubmed, Lilacs, Ibecs and Cumed. The search terms used were malocclusion, habits, finger sucking, pacifiers, bottle feeding, tongue habit and mouth breathing in English, and maloclusión, hábitos, succión del dedo, chupete, biberones, hábitos linguales and respiración por la boca in Spanish. 65 papers were obtained, of which only 39 met the inclusion criteria. Data analysis and integration: 89.5 percent of the papers corresponded to studies about non-nutritive sucking habits alone or in combination with other habits, whereas 10.5 percent dealt with studies about mouth breathing children. Only 26.31 percent of the studies selected took into account the variables duration and frequency of the habits. Nutritive sucking habits were found to be associated with overjet, posterior crossbite and distal step. A relationship was also found between a short breastfeeding period and the prevalence of non-nutritive sucking habits, with the presence of anterior open bite alongside the aforementioned malocclusions. Mouth breathing was related to class II, small retrognathic jaw and a decreased lower third of the face. Conclusions: Numerous studies have been conducted to determine the relationship between malocclusions and the duration of nutritive and non-nutritive sucking habits, without considering the frequency of such habits. On the other hand, the electronic databases consulted contain few studies about mouth breathing and atypical tongue thrust in children(AU)


Asunto(s)
Humanos , Preescolar , Niño , Hábitos Linguales/psicología , Maloclusión/epidemiología , Respiración por la Boca/etiología , Literatura de Revisión como Asunto , Bases de Datos Bibliográficas , Succión del Dedo/efectos adversos
14.
J Orthod ; 46(1): 68-73, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-31056074

RESUMEN

Anterior open bite (AOB) is a malocclusion that generates aesthetic, speech, feeding and psychological issues, a fact that emphasises the importance of conducting early treatments to fix the disorder. Finger-sucking, pacifiers and oral habits are the main aetiological factors of AOB; thus, it is necessary to apply interceptive treatments focused on correcting and improving bite stability during childhood in order prevent the need of undergoing advanced therapy. The aim of this article is to present the early diagnosis of aetiological factors causing severe AOB and the interceptive treatment based on the use of bonded lingual spurs for one year. Results showed excellent bite stability after two years of follow-up; in other words, the proper treatment applied for the recommended growth and developmental periods enabled case stability.


Asunto(s)
Maloclusión , Mordida Abierta , Diente , Niño , Succión del Dedo , Humanos , Chupetes
15.
BMC Pediatr ; 19(1): 168, 2019 05 27.
Artículo en Inglés | MEDLINE | ID: mdl-31133007

RESUMEN

BACKGROUND: Onychomycosis is extremely rare in neonates, infrequently reported in children and is considered to be exclusively a disease of adults. CASE PRESENTATION: We, herein report a case of fingernail onychomycosis in a 28-day-old, healthy, male neonate. The child presented with a history of yellowish discoloration of the fingernail of the left hand for one week. The etiological agent was demonstrated both by microscopic examination and culture of nail clippings. The isolate grown on culture was identified as Candida albicans by phenotypic characteristics and by matrix-assisted laser desorption ionization-time of flight mass spectrometry. Antifungal sensitivity testing was performed by broth dilution method as per the Clinical & Laboratory Standards Institute guidelines. An oral swab culture of the child also yielded C. albicans with the same antibiogram as the nail isolate. The case was diagnosed as distal and lateral subungual candida onychomycosis of severity index score 22 (severe) and was treated with syrup fluconazole 6 mg/kg body weight/week and 5% amorolfine nail lacquer once/week for three months. After three months of therapy, the patient completely recovered with the development of a healthy nail plate. CONCLUSIONS: The case is presented due to its rarity in neonates which, we suppose is the first case report of onychomycosis from Nepal in a 28-day-old neonate. Oral colonization with pathogenic yeasts and finger suckling could be risk factors for neonatal onychomycosis.


Asunto(s)
Candida albicans , Candidiasis , Dermatosis de la Mano , Onicomicosis , Antifúngicos/uso terapéutico , Candida albicans/aislamiento & purificación , Candidiasis/tratamiento farmacológico , Candidiasis/patología , Succión del Dedo/efectos adversos , Dermatosis de la Mano/tratamiento farmacológico , Dermatosis de la Mano/microbiología , Dermatosis de la Mano/patología , Humanos , Recién Nacido , Masculino , Uñas/microbiología , Uñas/patología , Onicomicosis/tratamiento farmacológico , Onicomicosis/microbiología , Onicomicosis/patología , Índice de Severidad de la Enfermedad
16.
Early Hum Dev ; 132: 18-23, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30928831

RESUMEN

BACKGROUND: The current literature does not provide accurate information about the association between use of artificial nipples and sucking patterns in infants. AIMS: We aimed to investigate whether pacifier use and/or bottle-feeding were associated with nutritive sucking (NS) and non-nutritive sucking (NNS) patterns. STUDY DESIGN: Cross-sectional study. SUBJECTS: 429 full-term infants/mothers. OUTCOME MEASURES: Data were collected through a questionnaire and observations of NS during breastfeeding and NNS (finger sucking). Multivariate logistic regression was used to analyze the adjusted associations between artificial nipple use and between NS and NNS changes. RESULTS: There were higher frequencies of changes in the NNS and NS patterns in the group that used artificial nipples. Regarding the type of artificial nipple, pacifier use had a greater influence on changes in the NNS pattern whereas the use of a baby bottle presented a greater number of associations with changes in the NS pattern. CONCLUSION: The findings suggest that the use of artificial nipples may be associated with changes in the sucking patterns of infants, demonstrating the possible existence of nipple confusion and its effect on breastfeeding.


Asunto(s)
Alimentación Artificial/efectos adversos , Succión del Dedo , Chupetes/efectos adversos , Conducta en la Lactancia , Adulto , Alimentación Artificial/estadística & datos numéricos , Femenino , Humanos , Recién Nacido , Masculino , Chupetes/estadística & datos numéricos , Clase Social
17.
Folia Phoniatr Logop ; 71(4): 191-196, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30999309

RESUMEN

BACKGROUND/AIMS: This pilot study aimed to evaluate the occurrence of oral habits and non-nutritive sucking habits in children with cleft (lip and) palate (CL/P) between 0-12 years, compared to peers without CL/P. METHODS: Children with CL/P (mean age 6.0 years, SD 2.80) were recruited from the Ghent University Hospital and compared to gender- and age-matched children without CL/P (mean age 5.8 years, SD 3.09). A self-report questionnaire was developed and given to the caregivers. To compare the occurrence of oral habits and non-nutritive sucking habits in children with and without CL/P, χ2 tests or Fisher's exact tests were used. RESULTS: The present study revealed a significantly lower occurrence of non-nutritive sucking habits in children with CL/P. These children showed significantly less pacifier sucking; no significant difference was found regarding thumb or finger sucking nor regarding sucking on other objects. Additionally, the results showed that the occurrence of snoring was statistically significantly higher in children with CL/P. CONCLUSION: Children with CL/P show less non-nutritive sucking habits, but more snoring compared to a control group without CL/P. Although further research regarding the oral habits in children with CL/P is necessary, cleft teams should give attention to the occurrence of oral habits.


Asunto(s)
Conducta Infantil , Labio Leporino/psicología , Fisura del Paladar/psicología , Hábitos , Encuestas y Cuestionarios , Bruxismo/epidemiología , Cuidadores , Niño , Preescolar , Femenino , Succión del Dedo , Humanos , Lactante , Recién Nacido , Masculino , Chupetes , Proyectos Piloto , Autoinforme , Sialorrea/epidemiología , Ronquido/epidemiología , Conducta en la Lactancia
18.
Orthod Fr ; 90(1): 29-36, 2019 Mar.
Artículo en Francés | MEDLINE | ID: mdl-30994447

RESUMEN

INTRODUCTION: After being discarded from hospitals due to its lack of scientific evidence, medical hypnosis is once more in the spotlight thanks to neuroscience and medical imaging, which have proven its specificity. Medical hypnosis is currently enjoying real enthusiasm, and now the doors are opening not only to medical and surgical units but also to our orthodontic clinics. MATERIALS AND METHODS: This article defines hypnosis and its different levels of application and the required techniques. It also explores all the different fields in which it can be used in orthodontic treatment. DISCUSSION: Hypnosis can be applied from the very first contact with the patient and can be useful and therapeutic at every step of the process. It is useful to think of it in our discipline as a treatment in its own right contributing to heal parafunctions and tongue disorders more efficiently.


Asunto(s)
Atención Odontológica/métodos , Hipnosis/métodos , Ortodoncia/métodos , Adolescente , Ansiedad/terapia , Concienciación/fisiología , Comunicación , Atención Odontológica/psicología , Femenino , Succión del Dedo/psicología , Succión del Dedo/terapia , Humanos , Masculino , Relaciones Médico-Paciente , Sueño/fisiología , Fases del Sueño/fisiología , Estrés Psicológico/terapia , Trastornos de Tic/psicología , Trastornos de Tic/terapia , Hábitos Linguales/psicología , Hábitos Linguales/terapia
19.
J Indian Soc Pedod Prev Dent ; 37(1): 18-24, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30804303

RESUMEN

Background: Finger sucking and prolonged dummy sucking are the most prevalent oral habits among infants, toddlers, and children. Pediatricians are more likely to see infants and children much earlier than dentists. Thus, it is essential for these specialists to be aware of the harmful nature of digit sucking habit and its associated complications. Aims and Objectives: The present study was designed to evaluate the knowledge and attitude among pediatricians about digit sucking habit in children. Methodology: The survey was carried out using a self-administered questionnaire which was delivered to the study subjects by hand or by mail. The returned questionnaires from the pediatricians were statistically analyzed using descriptive statistics (percentage). Results: This study showed that many respondents were unaware that oral habits could be responsible for malocclusion. A high percentage of respondents preferred not to examine oral features in digit sucking child. Among the etiological factor that may contribute to digit sucking habit in a child, most of the respondents expressed that habitual, psychological and inadequate parental care are possible causes. Most of the participants answered that parental and child counseling is essential to stop the habit. Most of the respondents did not refer the digit sucking child to the dentist for the better management of associated malocclusion. Conclusion: Knowledge and attitude among pediatricians about digit sucking habit in children were found to be unsatisfactory. Continuing dental education programs and symposiums can be conducted for pediatricians to enhance their knowledge about pernicious oral habits.


Asunto(s)
Actitud del Personal de Salud , Succión del Dedo , Conocimientos, Actitudes y Práctica en Salud , Pediatras/estadística & datos numéricos , Adulto , Factores de Edad , Anciano , Niño , Preescolar , Estudios Transversales , Succión del Dedo/efectos adversos , Succión del Dedo/psicología , Humanos , India , Masculino , Maloclusión/etiología , Persona de Mediana Edad , Pediatras/psicología , Encuestas y Cuestionarios
20.
Breastfeed Med ; 14(1): 57-62, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30412418

RESUMEN

OBJECTIVE: The aim of the present study is to investigate the duration of breastfeeding in relation to various parafunctional oral habits in children with anxiety disorders. MATERIALS AND METHODS: The study includes 195 children and adolescents with anxiety disorders and age- and gender-matched 255 healthy control subjects. Diagnoses were made with semistructured interview (K-SADS). Information about breastfeeding and parafunctional oral habits was investigated via a questionnaire prepared for the study. RESULTS: The mean age was 11.50 ± 2.50 years for clinical group and 11.27 ± 2.33 years for controls. Fifty-four percent of the clinical group and 56% of the control group were female subjects. Duration of exclusive (4.72 ± 2.86, 5.55 ± 2.36; p = 0.002) and total breastfeeding (12.38 ± 10.32, 15.89 ± 9.09; p < 0.001) was significantly lower and duration of bottle-feeding (22.30 ± 19.54, 16.64 ± 12.79; p = 0.005) was higher than controls in the clinical group. Duration of exclusive breastfeeding was significantly correlated with duration of bottle-feeding (r = -0.263, p < 0.001) and duration of pacifier use (r = -0.249, p = 0.001). Multiple regression analysis showed that duration of exclusive breastfeeding (ß = 0.88, p = 0.006) and bottle-feeding (ß = 1.02, p = 0.005), as well as various oral habits, was associated with diagnosis of an anxiety disorder. CONCLUSION: Nutrition methods in early years of life may result in long-term consequences regarding anxiety disorders for children. Clinicians should encourage parents for a shorter duration of bottle-feeding and a longer duration of exclusive breastfeeding.


Asunto(s)
Trastornos de Ansiedad/epidemiología , Alimentación Artificial/efectos adversos , Lactancia Materna , Succión del Dedo , Hábito de Comerse las Uñas , Chupetes/efectos adversos , Adolescente , Bruxismo/epidemiología , Estudios de Casos y Controles , Niño , Femenino , Humanos , Lactante , Recién Nacido , Modelos Logísticos , Masculino , Escalas de Valoración Psiquiátrica , Ronquido/epidemiología , Encuestas y Cuestionarios , Factores de Tiempo , Turquia/epidemiología
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