Vázquez-Nava F, Quezada-Castillo J A, Oviedo-Treviño S, Saldivar-González A H, Sánchez-Nuncio H R, Beltrán-Guzmán F J, Vázquez-Rodríguez E M, Vázquez Rodríguez C F
Research Department, Tampico Faculty of Medicine, Autonomous University of Tamaulipas, Tampico-Madero City, Tamp, Mexico.
Arch Dis Child. 2006 Oct;91(10):836-40. doi: 10.1136/adc.2005.088484. Epub 2006 Jun 12.
To determine the association between allergic rhinitis, bottle feeding, non-nutritive sucking habits, and malocclusion in the primary dentition.
Data were collected on 1160 children aged 4-5 years, who had been longitudinally followed since the age of 4 months, when they were admitted to nurseries in a suburban area of Tampico-Madero, Mexico. Periodically, physical examinations were conducted and a questionnaire was given to their parents or tutors.
Malocclusion was detected in 640 of the children (51.03% had anterior open bite and 7.5% had posterior cross-bite). Allergic rhinitis alone (adjusted odds ratio = 2.87; 95% CI 1.57 to 5.25) or together with non-nutritive sucking habits (adjusted odds ratio = 3.31; 95% CI 1.55 to 7.09) had an effect on anterior open bite. Bottle feeding alone (adjusted odds ratio = 1.95; 95% CI 1.07 to 3.54) or together with allergic rhinitis (adjusted odds ratio = 3.96; 95% CI 1.80 to 8.74) had an effect on posterior cross-bite. Posterior cross-bite was more frequent in children with allergic rhinitis and non-nutritive sucking habits (10.4%).
Allergic rhinitis alone or together with non-nutritive sucking habits is related to anterior open bite. Non-nutritive sucking habits together with allergic rhinitis seem to be the most important factor for development of posterior open bite in children under the age of 5 years.
确定变应性鼻炎、奶瓶喂养、非营养性吸吮习惯与乳牙列错牙合之间的关联。
收集了1160名4至5岁儿童的数据，这些儿童自4个月大进入墨西哥坦皮科 - 马德罗郊区的托儿所后便接受纵向随访。定期进行体格检查，并向他们的父母或监护人发放问卷。
在640名儿童中检测到错牙合（51.03%有前牙开牙合，7.5%有后牙反牙合）。单独的变应性鼻炎（调整优势比 = 2.87；95%置信区间1.57至5.25）或与非营养性吸吮习惯共同作用（调整优势比 = 3.31；95%置信区间1.55至7.09）对前牙开牙合有影响。单独的奶瓶喂养（调整优势比 = 1.95；95%置信区间1.07至3.54）或与变应性鼻炎共同作用（调整优势比 = 3.96；95%置信区间1.80至8.74）对后牙反牙合有影响。变应性鼻炎和非营养性吸吮习惯的儿童中后牙反牙合更常见（10.4%）。
单独的变应性鼻炎或与非营养性吸吮习惯共同作用与前牙开牙合有关。非营养性吸吮习惯与变应性鼻炎共同作用似乎是5岁以下儿童后牙开牙合发展的最重要因素。
