Ear, nose and throat specialists’ awareness on oral and dental health and orthodontic problems in children with mouth breathing due to adenotonsillar hypertrophy

Yıl 2022, , 977 - 983, 20.07.2022

Eda Arat Maden

https://doi.org/10.32322/jhsm.1109926

Öz

Introduction: Considering the nature of oral healthcare needs for children with adenotonsillar hypertrophy (ATH) and mouth breathing and the increased risk of oral disease faced by the children, we aimed ascertain the perception and experience of ear, nose and throat (ENT) specialists to dental referral for such children.
Material and Method: A descriptive, cross-sectional survey was sent to a sample of ENT specialists in Turkey. The questionnaire, consisted of 27 questions in five domains. A total of 123 ENT specialists participated in the survey.
Results: In the evaluation of the examination of the oral cavity of children with ATH, a low frequency of examination for the malocclusion (57.7%) and oral functional habits (68.3%) was found. Reasons ENT specialists referred patients to orthodontists varied from missing teeth 15.4% to sounds from tmj 66.7%. In the chi-square test for the effect of gender and the location of practice in the orthodontic referral of ENT specialists we could identify significant predictors (p<0.05).
Conclusion: Although the majority were aware that ENT specialists has an important role in the prevention of parafunctional oral habits and orthodontic anomalies, they did not have the pertinent knowledge and practice to apply a complete and systematic examination for oral and dental health, parafunctional oral habits and malocclusion.

Anahtar Kelimeler

ATH, ENT specialists, malocclusion, oral and dental health, referral

Kaynakça

• Ballıkaya E, Guciz Doğan B, Onay O, Uzamış Tekçiçek M. Oral health status of children with mouth breathing due to adenotonsillar hypertrophy. Int J Pediatr Otorhinolaryngol 2018; 113: 11-5.
• Marcus CL, Brooks LJ, Draper KA, et al. American Academy of Pediatrics. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2012; 130: 576-84.
• Cheng MC, Enlow DH, Papsidero M, Broadbent BH Jr, Oyen O, Sabat M. Developmental effects of impaired breathing in the face of the growing child. Angle Orthod 1988; 58: 309-20.
• Vieira BB, Itikawa CE, de Almeida LA, et al. Cephalometric evaluation of facial pattern and hyoid bone position in children with obstructive sleep apnea syndrome. Int J Pediatr Otorhinolaryngol 2011; 75: 383-6.
• Frasson JM, Magnani MB, Nouer DF, de Siqueira VC, Lunardi N. Comparative cephalometric study between nasal and predominantly mouth breathers. Braz J Otorhinolaryngol 2006; 72: 72-81.
• Lira A de LS de, Izquierdo A de M, Prado S, Souza MMG, Torres SR, Adenoid hypertrophy and open bite. Braz J Oral Sci 2015; 10: 17-21.
• Agarwal L, Tandon R, Kulshrestha R, Gupta A. Adenoid facies and its management: an orthodontic perspective. Indian J Orthod Dentofacial Res 2016; 2: 50-5.
• Grippaudo C, Paolantonio EG, Antonini G, Saulle R, La Torre G, Deli R. Association between oral habits, mouth breathing and malocclusion. Acta Otorhinolaryngol Ital 2016; 36: 386-94.
• Nascimento Filho E, Mayer MP, Pontes P, Pignatari AC, Weckx LL. Caries prevalence, levels of mutans streptococci, and gingival and plaque indices in 3.0 to 5.0 year old mouth breathing children. Caries Res 2004; 38: 572-5.
• Gökalp SG, Doğan BG, Tekçiçek MT, Berberoğlu A, Unlüer S. National survey of oral health status of children and adults in Turkey. Community Dent Health 2010; 27: 12-7.
• Proffit W. Contemporary orthodontics. 4th ed. St. Louis: Elsevier Mosby; 2013.
• Roberts-Harry D, Sandy J. Orthodontics. Part 1: Who needs orthodontics? Br Dent J 2003; 195: 433-7.
• Shaw WC, Meek SC, Jones DS. Nicknames, teasing, harassment and the salience of dental features among school children. Br J Orthod 1980; 7: 75-80.
• Tausche E, Luck O, Harzer W. Prevalence of malocclusions in the early mixed dentition and orthodontic treatment need. Eur J Orthod 2004; 26: 237-44.
• Verdonscot EH, Angmar–Mansson B, Ten Bosch JJ, et al. Developments in Caries Diagnosis and Their Relationship to Treatment Decisions and Quality of Care. Caries Res 1999; 33: 32-40.
• Alshunaiber R, Alzaid H, Meaigel S, Aldeeri A, Adlan A. Early childhood caries and infant's oral health; pediatricians' and family physicians' practice, knowledge and attitude in Riyadh city, Saudi Arabia. Saudi Dent J 2019; 31: 96-105.
• Lewis CW, Boulter S, Keels MA, et al. Oral health and Pediatricians: results of a national survey. Acad Pediatr 2009; 9: 457-61.
• American Academy of Paediatric Dentistry. Policy Statement. Pediatr Dent. 2009; 31: 1-302.
• American Academy of Pediatrics. Policy Statement. Pediatrics. 2003; 111: 1113-5.
• Jazi SM, Barati B, Kheradmand A. Treatment of adenotonsillar hypertrophy: A prospective randomized trial comparing azithromycin vs. fluticasone. J Res Med Sci 2011; 16: 1590-7.
• Abreu RR, Rocha RL, Lamounier JA, Guerra AF. Etiology, clinical manifestations and concurrent findings in mouth-breathing children. J Pediatr (Rio J). 2008; 84: 529-35.
• İnönü Sakallı N, Sakallı C, Tosun Ö, Akşit-Bıçak D. Comparative Evaluation of the Effects of Adenotonsillar Hypertrophy on Oral Health in Children. Biomed Res Int 2021; 2021: 5550267.
• Lagana G, Fabi F, Abazi Y, Brshiri Nastasi E, Vinjolli F, Cozza P. Oral habits in a population of Albanian growing subjects. Eur J Pediatr Dent 2013; 14: 309-13.
• Steinmassl O, Steinmassl PA, Schwarz A, Crismani A. Orthodontic treatment need of Austrian schoolchildren in the mixed dentition stage. Swiss Dent J 2017; 127: 122-8.
• Brickhouse TH, Unke JH, Kacitis I, Best AM, Davis RD. Infant oral health care: a survey of general dentists, pediatric dentists and pediatricians in Virginia. Pediatr Dent 2008; 30: 147-53.
• Krol DM. Educating pediatricians on children ’s oral health: past, present, and future. Pediatrics 2004; 113: e487-92.
• Koufatzidou M, Koletsi D, Basdeki EI, Pandis N, Polychronopoulou A. Pediatricians' awareness on orthodontic problems and related conditions-a national survey. Prog Orthod 2019; 20: 33.
• Verma SK, Maheshwari S, Sharma NK, Prabhat KC. Role of oral health professional in pediatric obstructive sleep apnea. Natl J Maxillofac Surg 2010; 1: 35-40.
• Di Giuseppe G, Nobile CG, Marinelli A, Angelillo IF. Knowledge, attitude and practices of pediatricians regarding the prevention of oral diseases in Italy. BMC Public Health 2006; 6: 176.
• Indira M, Dhull KS, Nandlal B. Knowledge, Attitude and Practice toward Infant Oral Healthcare among the Pediatricians of Mysore: A Questionnaire Survey. Int J Clin Pediatr Dent 2015; 8: 211-4.
• Sezer RG, Paketçi C, Bozaykut A. Paediatricians’ awareness of children’s oral health: knowledge, training, attitudes and practices among Turkish paediatricians. Pediatrics & Child Health 2013; 18: e15-19.