Medeiros R, Ximenes M, Massignan C, Flores-Mir C, Vieira R, Porporatti A L, De Luca Canto G
Departamento de Odontologia, Universidade Federal de Santa Catarina, UFSC, Campus Universitário, CCS-ODT-Trindade, Florianopolis, Santa Catarina, 88040-900, Brazil.
Departamento de Odontologia, Universidade do Sul de Santa Catarina - UNISUL, Cidade Universitária, Palhoça, Santa Catarina, 88137-270, Brazil.
Eur Arch Paediatr Dent. 2018 Oct;19(5):287-295. doi: 10.1007/s40368-018-0359-3. Epub 2018 Jul 27.
This was to investigate the occurrence of malocclusion traits among children who were users of orthodontic or conventional pacifier by means of a systematic review.
Search for articles involved five electronic databases: Latin American and Caribbean Health Sciences (LILACS), PsycINFO, PubMed (including MedLine), Scopus and Web of Science. Grey literature was partially assessed. Observational studies with children aged 6-60 months who had used orthodontic or conventional pacifier were included. The risk of bias among included studies was assessed through the Joanna Briggs Institute Tool.
From the 607 initially-identified papers only three were included after the selection process. All presented moderate risk of bias. Although an anterior open bite and accentuated overjet were identified among conventional users of pacifier in one study no differences were identified in the other two selected studies. Posterior crossbite frequency was not different in any of the included studies. There was also no difference regarding frequency and duration of use, except in the study that showed higher occurrence of open bite malocclusion in conventional pacifier users.
The currently available evidence is insufficient to support the concept that the usage of orthodontic pacifiers is able to prevent malocclusion traits when compared to the usage of conventional pacifiers.
通过系统评价，调查使用正畸奶嘴或传统奶嘴的儿童错牙合畸形特征的发生情况。
检索五个电子数据库中的文章：拉丁美洲和加勒比健康科学数据库（LILACS）、心理学文摘数据库（PsycINFO）、美国国立医学图书馆生物医学期刊数据库（PubMed，包括医学期刊数据库MedLine）、Scopus数据库和科学引文索引数据库（Web of Science）。对灰色文献进行了部分评估。纳入对6至60个月使用正畸奶嘴或传统奶嘴儿童的观察性研究。通过乔安娜·布里格斯循证卫生保健中心工具评估纳入研究的偏倚风险。
在最初识别的607篇论文中，筛选后仅纳入3篇。所有研究均呈现中度偏倚风险。尽管在一项研究中，传统奶嘴使用者中发现了前牙开牙合和深覆盖，但在另外两项入选研究中未发现差异。在任何纳入研究中，后牙反牙合频率均无差异。使用频率和持续时间也没有差异，除了一项显示传统奶嘴使用者中开牙合错牙合发生率较高的研究。
目前可得的证据不足以支持与使用传统奶嘴相比，使用正畸奶嘴能够预防错牙合畸形特征这一观点。
