Centre de Recherche en Odontologie Clinique (CROC), Université Clermont Auvergne, F-63000, Clermont-Ferrand, France.
CHU of Clermont-Ferrand, Service d'Odontologie, Clermont-Ferrand, France.
Clin Oral Investig. 2024 Jan 24;28(1):111. doi: 10.1007/s00784-024-05508-6.
The multifactorial aspect of malocclusions and their consequences on ingestion function is rarely described in the literature. The aims of this review are (i) to investigate the relationship between oral ingestion and malocclusion and (ii) to gather malocclusion tools that could help screen subjects at risk of malocclusion-related ingestion disorders.
A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol (PRISMA-P 2015) guidelines. The analysis methods and inclusion criteria have been documented in a protocol published in the Prospective International Register of Systematic Reviews (PROSPERO) under the registration number CRD42023395840. The bibliographic search involved the PubMed®, Cochrane and PROSPERO databases.
A total of 29 articles published between 2007 and 2023 were retained by the search criteria for the qualitative synthesis. Twenty of the studies found that the severity of malocclusion has a negative impact on oral ingestion. This review highlights that malocclusion and ingestion impairments are associated but it is not possible to determine causality due to the observational approach of many of the studies.
Malocclusion has a negative impact on ingestion function. During orthodontic consultations, particular interest should be directed towards chewing, biting, and swallowing disorders, which can affect patients' nutritional status. This review offers arguments for designing further studies assessing the extent to which malocclusions may affect nutritional status.
Orthodontic treatment should focus on improving patients' ingestion.
错颌畸形及其对摄食功能的多因素影响在文献中鲜有描述。本综述的目的是：(i) 研究口腔摄食与错颌畸形之间的关系；(ii) 收集可能有助于筛查有发生错颌相关摄食障碍风险的受试者的错颌畸形工具。
本研究按照系统评价和荟萃分析报告的首选项目 (PRISMA-P 2015) 指南进行系统综述。分析方法和纳入标准已在发表于 Prospective International Register of Systematic Reviews (PROSPERO) 的方案中记录，注册号为 CRD42023395840。文献检索涉及 PubMed ® 、Cochrane 和 PROSPERO 数据库。
通过检索标准，共保留了 29 篇发表于 2007 年至 2023 年的定性综合研究。其中 20 项研究发现错颌畸形的严重程度对口腔摄食有负面影响。本综述强调了错颌畸形和摄食障碍之间存在关联，但由于许多研究采用观察性方法，无法确定因果关系。
错颌畸形对摄食功能有负面影响。在正畸咨询中，应特别关注咀嚼、咬合和吞咽障碍，这些障碍可能会影响患者的营养状况。本综述为设计进一步评估错颌畸形可能对营养状况影响程度的研究提供了依据。
正畸治疗应重点改善患者的摄食。
