1. Relationship between Oral Parafunctions and Signs and Symptoms of Craniomandibular Dysfunction in Children with Cleft Lip and Palate.
- Author
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Ananias Gonçalves, Fabiana Vitória, Ricci Volpato, Luiz Evaristo, Alves de Oliveira, Amanda, Oliveira Gomes, Maria Emília, and Fábio Aranha, Andreza Maria
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PHYSICAL diagnosis , *STATISTICS , *NECK pain , *TEMPOROMANDIBULAR joint , *SKELETAL muscle , *FINGERS , *PACIFIERS (Infant care) , *CROSS-sectional method , *CHEEK , *CLEFT palate , *INTERVIEWING , *HABIT , *ORAL habits , *CLEFT lip , *RISK assessment , *DENTAL occlusion , *MALOCCLUSION , *PALPATION , *MASTICATION , *CHI-squared test , *GUARDIAN & ward , *DISEASE prevalence , *CRANIOMANDIBULAR disorders , *TEMPOROMANDIBULAR disorders , *STATISTICAL correlation , *EARACHE , *MOUTH , *BRUXISM , *LIPS , *DISEASE risk factors , *SYMPTOMS , *DISEASE complications , *CHILDREN ,FATIGUE risk factors ,HEADACHE risk factors - Abstract
The aim of this study was to evaluate the association of oral parafunctions with the presence of signs and symptoms of craniomandibular disorder in children with cleft lip and palate (CLP). A cross-sectional study was performed in which one hundred and eighty-eight children with CLP and absence of associated syndromes or malformations were investigated. During clinical examination, the presence of wear facets and dental occlusion were observed and palpation was performed in the temporomandibular joint region (TMJ) and orofacial musculature. The children and their guardians were interviewed regarding the presence of oral parafunctional habits (bruxism, the act of biting the lips and/or cheeks, nail biting, sucking of fingers and pacifiers) and signs and symptoms of craniomandibular dysfunction (headache, ear and/or neckache, tiredness or crack in the TMJ during mouth opening and chewing movements). The data were analyzed by means of absolute and relative frequency measurements, and bivariate analysis using Pearson's chi-square test and likelihood ratio test were performed, considering the significance level of 5%. A higher prevalence of cleft lip and palate type (76.0%) and the presence of malocclusion (61.7%) was observed, highlighting the anterior crossbite (58.7%) and midline deviation (48.9%). There was a higher occurrence of teeth grinding (40.4%), onychophagy (28.7%) and biting lips and/or cheeks (28.7%). Onychophagia was associated with headache (p <0.05) and with pain or cracking during mouth opening (p <0.05). It was concluded that parafunctional oral habits may be associated with signs and symptoms of craniomandibular disorder in children with cleft lip and palate. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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