Barsi Paula Caroline, Ribeiro da Silva Thaieny, Costa Beatriz, da Silva Dalben Gisele
Pediatric Dentistry, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/USP), R. Silvio Marchione, 3-20-Vila Universitária, 17012-900 Bauru, SP, Brazil.
Plast Surg Int. 2013;2013:247908. doi: 10.1155/2013/247908. Epub 2013 Feb 27.
This study investigated the prevalence of oral habits in children with clefts aged three to six years, compared to a control group of children without clefts in the same age range, and compared the oral habits between children with clefts with and without palatal fistulae. The sample was composed of 110 children aged 3 to 6 years with complete unilateral cleft lip and palate and 110 children without alterations. The prevalence of oral habits and the correlation between habits and presence of fistulae (for children with clefts) were analyzed by questionnaires applied to the children caretakers. The cleft influenced the prevalence of oral habits, with lower prevalence of pacifier sucking for children with cleft lip and palate and higher prevalence for all other habits, with significant association (P < 0.05). There was no significant association between oral habits and presence of fistulae (P > 0.05). The lower prevalence of pacifier sucking and higher prevalence of other oral habits agreed with the postoperative counseling to remove the pacifier sucking habit when the child is submitted to palatoplasty, possibly representing a substitution of habits. There was no causal relationship between habits and presence of palatal fistulae.
本研究调查了3至6岁腭裂患儿的口腔习惯患病率，并与同年龄范围的非腭裂对照组儿童进行比较，同时比较了有和没有腭瘘的腭裂患儿的口腔习惯。样本由110名3至6岁的完全性单侧唇腭裂儿童和110名无口腔问题的儿童组成。通过向儿童监护人发放问卷，分析口腔习惯的患病率以及习惯与瘘管存在情况（针对腭裂患儿）之间的相关性。腭裂影响了口腔习惯的患病率，唇腭裂患儿使用安抚奶嘴的患病率较低，而其他所有习惯的患病率较高，且存在显著关联（P<0.05）。口腔习惯与瘘管的存在之间无显著关联（P>0.05）。使用安抚奶嘴的患病率较低以及其他口腔习惯的患病率较高，这与腭裂修复术后建议患儿戒除使用安抚奶嘴习惯的情况相符，这可能代表着习惯的替代。习惯与腭瘘的存在之间不存在因果关系。
