Dhote Vijaya S, Dharmadhikari Priyanti M, Bahadure Rakesh N, Thosar Nilima R, Dhote Aniket V
Department of Pediatric and Preventive Dentistry, Government Dental College and Hospital, Mumbai, Maharashtra, India.
Private Practitioner, Plot No 70 Ramnagar, Nagpur, India.
Int J Clin Pediatr Dent. 2021;14(Suppl 2):S199-S205. doi: 10.5005/jp-journals-10005-2091.
A child's overall well-being depends on its mutual relationship with the caregiver and social environment. Its attachment with the caregiver forms an emotional bond at six months to two years of age. Separation anxiety refers to fear of separation from the attachment figure. In some neglected children in early age of attachment formation, symptoms of separation anxiety persist and they may show debilitating nervous behaviors during growth. It thus becomes an unseen cause of psychological problem and development of abnormal oral habits occlusal dysfunctions and further psychological problems. Oral habits being learnt patterns of muscle contraction are displayed for release of mental tension due to fear and anxiety often associated with anger, hunger, sleep, tooth eruption and fear. Pediatric dentist plays an important role in patient education through anticipatory guidance. Proper diagnosis and early interception of oral habits as a result of separation anxiety disorder can prevent occlusal disturbances in children. The present paper includes review of literature along with the management of two cases of separation anxiety as an unseen cause of development of unique socially unacceptable abnormal oral and paraoral habits and resultant malocclusion. Dhote VS, Dharmadhikari PM, Bahadure RN, Separation Anxiety-An Unseen Cause for Development of Abnormal Oral and Paraoral Habits and Malocclusion: A Review of Literature and Report of Two Cases. Int J Clin Pediatr Dent 2021;14(S-2):S199-S205.
儿童的整体幸福感取决于其与照料者及社会环境的相互关系。在6个月至2岁时，其与照料者的依恋会形成一种情感纽带。分离焦虑是指害怕与依恋对象分离。在一些依恋形成早期被忽视的儿童中，分离焦虑症状会持续存在，并且他们在成长过程中可能会表现出使人衰弱的神经行为。因此，它成为心理问题以及异常口腔习惯、咬合功能障碍和进一步心理问题发展的一个隐性原因。口腔习惯是习得的肌肉收缩模式，常因与愤怒、饥饿、睡眠、牙齿萌出及恐惧相关的恐惧和焦虑而表现出来，以释放精神紧张。儿科牙医通过预期性指导在患者教育中发挥重要作用。对分离焦虑障碍导致的口腔习惯进行正确诊断和早期干预，可以预防儿童的咬合紊乱。本文包括文献综述以及两例分离焦虑病例的处理，分离焦虑是独特的、社会不可接受的异常口腔和口周习惯及由此导致的错牙合畸形发展的一个隐性原因。 多德VS、达马迪卡里PM、巴哈杜尔RN，《分离焦虑——异常口腔和口周习惯及错牙合畸形发展的一个隐性原因：文献综述及两例报告》。《国际临床儿科牙科学杂志》2021年；14（S - 2）：S199 - S205。
