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Publication
Respiração oral e suas implicações na má oclusão dentária: revisão sistemática
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| Projeto de pós-graduação_40873 | 563.35 KB | Adobe PDF |
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Abstract(s)
Esta revisão sistemática teve com objetivo avaliar se as crianças com respiração oral apresentam maior prevalência de anomalias de oclusão. Pretendeu-se responder à seguinte questão: A respiração oral está relacionada com alterações na oclusão na cavidade oral? A metodologia foi realizada através de uma pesquisa nas bases de dados PubMed, Cochrane Library e Scielo e no diretório B-on. Na pesquisa foram aplicados os seguintes filtros: limite temporal últimos 10 anos (2013-2023), "free full text" e o idioma em português, inglês e francês. Foram incluídas crianças de idade inferior a 18 anos com respiração oral e artigos de investigação observacionais. Foram excluídos artigos de revisão sistemática, artigos meta-analíticos, estudos caso-controlo, artigos de revisão, estudos realizados em adultos e estudos em crianças sem respiração oral. No levantamento bibliográfico preliminar nas bases de dados eletrônicas obtiveram-se 112 artigos. Após a remoção de 10 artigos duplicados, foram excluídos após leitura dos títulos 69 artigos e 15 após leitura do resumo, tendo sido eliminados 94 artigos. Dos 18 artigos selecionados para a leitura completa foram aplicados os critérios de elegibilidade apurando um total de 6 artigos. Dois autores independentes realizaram a extração dos dados e avaliaram o risco de viés e a qualidade dos estudos. Foi necessário incluir um terceiro avaliador para desempate em situações de inconcordância entre os outros dois avaliadores. Após avaliação crítica metodológica verificou-se que os 6 artigos cumpriam os requisitos necessários para serem incluídos nesta revisão sistemática. As anomalias oclusais encontradas na criança com respiração oral foram: classe II de Angle, mordida aberta anterior, mordida cruzada posterior, overjet aumentado, palato estreito e discrepância maxilomandibular. O reconhecimento imediato e o tratamento precoce da respiração oral são essenciais para reduzir as suas consequências prejudiciais a longo prazo. A intervenção precoce é fundamental para prevenir ou corrigir as anomalias oclusais em crianças com tendência à respiração oral. A conscientização sobre este problema e o acesso adequado a cuidados especializados permitem melhorar significativamente a qualidade de vida das crianças, promovendo um crescimento facial harmonioso e garantindo uma saúde oral ótima.
This systematic review aimed to assess whether mouth breathing children have a higher prevalence of occlusion anomalies. The purpose was to reply the following question: Is mouth breathing related to changes in occlusion in the oral cavity? The methodology was carried out through a search in the PubMed, Cochrane Library, Scielo and B-on databases. The following filters were applied in the research: last time limit 10 years (2013-2023), "free full text" and language in Portuguese, English and French. Children under 18 years of age with mouth breathing and research articles were included. Systematic review articles, meta-analytic articles, case-control studies, articles reviews, studies carried out in adults and studies in children without mouth breathing were excluded. In the preliminary bibliographic survey in electronic databases, 112 articles were obtained. After removing duplicate articles (n= 10), 69 articles were excluded after reading the titles and 15 after reading the abstract, with 94 articles being eliminated. Of the 18 articles selected for full reading, the eligibility criteria were applied, resulting in a total of 6 articles. Two independent authors performed data extraction and assessed the risk of bias and quality of the studies. It was necessary to include a third evaluator to break ties in cases of disagreement between the other two evaluators. After a critical methodological assessment, it was found that the 6 articles met the necessary requirements to be included in this systematic review. The occlusal anomalies found in the mouth-breathing child were: class II Angle, anterior open bite, posterior crossbite, increased overjet, narrow palate and maxillomandibular discrepancy. Immediate recognition and early treatment of mouth breathing are essential to reduce its long-term harmful consequences. Early intervention is essential to prevent or correct occlusal anomalies in children with a tendency to mouth breathing. Awareness of this problem and adequate access to specialized care can significantly improve children's quality of life, promoting harmonious facial growth and ensuring optimal oral health.
This systematic review aimed to assess whether mouth breathing children have a higher prevalence of occlusion anomalies. The purpose was to reply the following question: Is mouth breathing related to changes in occlusion in the oral cavity? The methodology was carried out through a search in the PubMed, Cochrane Library, Scielo and B-on databases. The following filters were applied in the research: last time limit 10 years (2013-2023), "free full text" and language in Portuguese, English and French. Children under 18 years of age with mouth breathing and research articles were included. Systematic review articles, meta-analytic articles, case-control studies, articles reviews, studies carried out in adults and studies in children without mouth breathing were excluded. In the preliminary bibliographic survey in electronic databases, 112 articles were obtained. After removing duplicate articles (n= 10), 69 articles were excluded after reading the titles and 15 after reading the abstract, with 94 articles being eliminated. Of the 18 articles selected for full reading, the eligibility criteria were applied, resulting in a total of 6 articles. Two independent authors performed data extraction and assessed the risk of bias and quality of the studies. It was necessary to include a third evaluator to break ties in cases of disagreement between the other two evaluators. After a critical methodological assessment, it was found that the 6 articles met the necessary requirements to be included in this systematic review. The occlusal anomalies found in the mouth-breathing child were: class II Angle, anterior open bite, posterior crossbite, increased overjet, narrow palate and maxillomandibular discrepancy. Immediate recognition and early treatment of mouth breathing are essential to reduce its long-term harmful consequences. Early intervention is essential to prevent or correct occlusal anomalies in children with a tendency to mouth breathing. Awareness of this problem and adequate access to specialized care can significantly improve children's quality of life, promoting harmonious facial growth and ensuring optimal oral health.
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Keywords
Respiração oral Maloclusão Desenvolvimento craniofacial Oral breathing Malocclusion Craniofacial development