Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/20242634424
Revista CEFAC
Original Articles

Knowledge of speech-language pathologists regarding malocclusion, its preventive aspects, recognition, and need for referral

Yasmin Rodrigues do Prado Chapine; Viviane de Oliveira Prado; Magda Feres; José Tarcísio Lima Ferreira; Tarek El-Bialy; Silvia Helena Vieira Bastos; Murilo Fernando Neuppmann Feres

http://dx.doi.org/10.1590/1982-0216/20242634424 Revista CEFAC, vol.26, n3, e4424, 2024
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Abstract

Purpose: this study aims to assess speech-language pathologists' knowledge of malocclusion, and to assess their perception in recognizing the need for referral of cases.

Methods: a self-administered online questionnaire, aimed at assessing Brazilian speech-language pathologists' professional practices, orthodontic knowledge, and diagnostic skills, was applied. The collected data underwent descriptive analysis.

Results: most respondents stated regularly contacting or referring patients to orthodontists; the most frequent reason for referral was related to the professional’s quality. Respondents indicated the importance of first occlusal evaluations at a very early age, and recognized the potential deleterious effects of oral habits. Most participants reported referring a normal occlusion, distocclusion, mesiocclusion, anterior open bite, deep overbite, and posterior crossbite cases, during the deciduous stage. For the mixed dentition cases, a substantial portion of the sample would refer a case without alterations, another one with mild incisal crowding, as well as deep overbite, Class II, Class III, anterior open bite, and posterior crossbite cases.

Conclusion: professionals demonstrated a good knowledge of malocclusions. Perceptions regarding the need for early referral of Class III cases, anterior open bite, and posterior crossbite, in addition to the lack of an immediate approach for patients affected by mild space problems, were frequent.

Keywords

Malocclusion; Speech-Language Pathology; Orthodontics; Knowledge; Referral And Consultation

Referencias

1. Silva TR da, Canto G de L. Dentistry-speech integration: The importance of interdisciplinary teams formation. Rev. CEFAC. 2014;16(2):598-603. https://doi.org/10.1590/1982-02162014222-12

2. Figueiredo RF, Santos BL, Ana Paula AP, Silva LM, Crepaldi MLS, Crepaldi AA. Interdisciplinary relationship between orthodontics and phonoaudiology. Rev FAIPE. 2018;8(1):85-100. https://doi.org/10.1590/S2176-94512012000300010

3. Vanz RV, Rigo L, Vanz AV, Estancia A, Nojima LI. Interrelation between orthodontics and phonoaudiology in the clinical decision-making of individuals with mouth breathing. Dental Press J Orthod. 2012;17(3):e1-e7. https://doi.org/10.1590/S2176-94512012000300010

4. Saccomanno S, Berretin-Felix G, Coceani Paskay L, Manenti RJ, Quinzi V. Myofunctional Therapy Part 4: Prevention and treatment of dentofacial and oronasal disorders. Eur J Paediatr Dent. 2021;22(4):332-34. https://doi.org/10.23804/ejpd.2021.22.04.12 PMID: 35034469.

5. McNamara Jr. JA. Orthodontic and orthopedic treatment in the mixed dentition. 3rd ed. Ann Arbor: Needham Press, 2001.

6. Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde, Departamento de Atenção Básica, Projeto SB Brasil 2010: Condições de saúde bucal da população brasileira 2009-2010: resultados principais; 2010, 52p.

7. Góis EG, Vale MP, Paiva SM, Abreu MH, Serra-Negra JM, Pordeus IA. Incidence of malocclusion between primary and mixed dentitions among Brazilian children. A 5-year longitudinal study. Angle Orthod. 2012;82(3):495-500. https://doi.org/10.2319/033011-230.1 PMID: 21981755; PMCID: PMC8865814.

8. Peres KG, Peres MA, Thomson WM, Broadbent J, Hallal PC, Menezes AB. Deciduous-dentition malocclusion predicts orthodontic treatment needs later: Findings from a population-based birth cohort study. Am J Orthod Dentofacial Orthop. 2015;147(4):492-8. https://doi.org/10.1016/j.ajodo.2014.12.019 PMID: 25836009.

9. Serigioli JLC, Gabriel NIAD. Ortodontia preventiva e interceptativa: diferenças entre os termos. Revisão de literatura. Journal of Multidisciplinary Dentistry. 2024;12(1):159-63. https://doi.org/10.46875/jmd.v12i1.975

10. Feres MF, Abreu LG, Insabralde NM, Almeida MR, Flores-Mir C. Effectiveness of the open bite treatment in growing children and adolescents. A systematic review. Eur J Orthod. 2016;38(3):237-50. https://doi.org/10.1093/ejo/cjv048 PMID: 26136439; PMCID: PMC4914905.

11. Oh H, Baumrind S, Korn EL, Dugoni S, Boero R, Aubert M et al. A retrospective study of Class II mixed-dentition treatment. Angle Orthod. 2017;87(1):56-67. https://doi.org/10.2319/012616-72.1 PMID: 27391205; PMCID: PMC8388598.

12. de Bondt B, Aartman IH, Zentner A. Referral patterns of Dutch general dental practitioners to orthodontic specialists. Eur J Orthod. 2010;32(5):548-54. https://doi.org/10.1093/ejo/cjp148 PMID: 20083808.

13. Silva DBHD, Gonzaga AS. Importance of orthodontic intervention of the Class III malocclusion in mixed dentition. Dental Press J Orthod. 2020;25(5):57-65. https://doi.org/10.1590/2177-6709.25.5.057-065.bbo PMID: 33206830; PMCID: PMC7668065.

14. Aldrees AM, Tashkandi NE, AlWanis AA, AlSanouni MS, Al-Hamlan NH. Orthodontic treatment and referral patterns: A survey of pediatric dentists, general practitioners, and orthodontists. Saudi Dent J. 2015;27(1):30-9. https://doi.org/10.1016/j.sdentj.2014.11.001 PMID: 25544812; PMCID: PMC4273289.

15. Geddes DT, Gridneva Z, Perrella SL, Mitoulas LR, Kent JC, Stinson LF et al. 25 years of research in human lactation: From discovery to translation. Nutrients. 2021;13(9):3071. https://doi.org/10.3390/nu13093071 PMID: 34578947; PMCID: PMC8465002.

16. Lin L, Zhao T, Qin D, Hua F, He H. The impact of mouth breathing on dentofacial development: A concise review. Front Public Health. 2022 Sep 8;10:929165. https://doi.org/10.3389/fpubh.2022.929165 PMID: 36159237; PMCID: PMC9498581.

17. Ling HTB, Sum FHKMH, Zhang L, Yeung CPW, Li KY, Wong HM et al. The association between nutritive, non-nutritive sucking habits and primary dental occlusion. BMC Oral Health. 2018;18(1):145. https://doi.org/10.1186/s12903-018-0610-7 PMID: 30134878; PMCID: PMC6106723.

18. Rapeepattana S, Thearmontree A, Suntornlohanakul S. Etiology of malocclusion and dominant orthodontic problems in mixed dentition: A cross-sectional study in a group of thai children aged 8-9 years. J Int Soc Prev Community Dent. 2019;9(4):383-9. https://doi.org/10.4103/jispcd.JISPCD_120_19 PMID: 31516872; PMCID: PMC6714419.

19. Lorente AA, Cortes O, Guzmán S, Vicente A, Garrido N. Oral malocclusion and its relation to nutritive and non-nutritive habits in school children. Open J Dent Oral Med. 2019;7(1):1-8. https://doi.org/10.13189/ojdom.2019.070101

20. American Academy of Pediatric Dentistry. Management of the developing dentition and occlusion in pediatric dentistry. Practice Guideline. Pediatr Dent. 2017;39(6):334-47. https://pubmed.ncbi.nlm.nih.gov/29179373/ PMID: 29179373.

21. Moorrees CF. Dental development. A growth study based on tooth eruption as a measure of physiologic age. Rep Congr Eur Orthod Soc. 1964;40:92-106. https://pubmed.ncbi.nlm.nih.gov/14318040/ PMID: 14318040.

22. Gianelly AA. Treatment of crowding in the mixed dentition. Am J Orthod Dentofacial Orthop. 2002;121(6):569-71. https://doi.org/10.1067/mod.2002.124172 PMID: 12080302.

23. Baccetti T, Franchi L, McNamara JA Jr, Tollaro I. Early dentofacial features of class II malocclusion: A longitudinal study from the deciduous through the mixed dentition. Am J Orthod Dentofacial Orthop. 1997;111(5):502-9. https://doi.org/10.1016/s0889-5406(97)70287-7 PMID: 9155809.

24. Sunnak R, Johal A, Fleming PS. Is orthodontics prior to 11 years of age evidence-based? A systematic review and meta-analysis. J Dent. 2015;43(5):477-86. https://doi.org/10.1016/j.jdent.2015.02.003 PMID: 25684602.

25. Maspero C, Galbiati G, Giannini L, Guenza G, Farronato M. Class II division 1 malocclusions: Comparisons between one- and two-step treatment. Eur J Paediatr Dent. 2018;19(4):295-9. https://doi.org/10.23804/ejpd.2018.19.04.8 PMID: 30567446.

26. Watkinson S, Harrison JE, Furness S, Worthington HV. Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children. Cochrane Database Syst Rev. 2013 Sep 30;(9):CD003451. https://doi.org/10.1002/14651858.CD003451.pub2 PMID: 24085611.

27. Cordasco G, Matarese G, Rustico L, Fastuca S, Caprioglio A, Lindauer SJ et al. Efficacy of orthopedic treatment with protraction facemask on skeletal class III malocclusion: A systematic review and meta-analysis. Orthod Craniofac Res. 2014;17(3):133-43. https://doi.org/10.1111/ocr.12040 PMID: 24725349.

28. Yang X, Li C, Bai D, Su N, Chen T, Xu Y et al. Treatment effectiveness of Fränkel function regulator on the class III malocclusion: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2014;146(2):143-54. https://doi.org/10.1016/j.ajodo.2014.04.017 PMID: 25085296.

29. Wendl B, Muchitsch AP, Winsauer H, Walter A, Droschl H, Jakse N et al. Retrospective 25-year follow-up of treatment outcomes in angle Class III patients: Early versus late treatment. J Orofac Orthop. 2017;78(3):201-10. https://doi.org/10.1007/s00056-016-0076-7 PMID: 28220182; PMCID: PMC5429343.

30. Kasparaviciene K, Sidlauskas A, Zasciurinskiene E, Vasiliauskas A, Juodzbalys G, Sidlauskas M et al. The prevalence of malocclusion and oral habits among 5-7-year-old children. Med Sci Monit. 2014 Oct24;20:2036-42. https://doi.org/10.12659/MSM.890885 PMID: 25344319; PMCID: PMC4215577.

31. Urzal V, Braga AC, Ferreira AP. The prevalence of anterior open bite in Portuguese children during deciduous and mixed dentition-correlations for a prevention strategy. Int Orthod. 2013;11(1):93-103. https://doi.org/10.1016/j.ortho.2012.12.001 PMID: 23375918.

32. Phelan A, Franchi L, Baccetti T, Darendeliler MA, McNamara JA Jr. Longitudinal growth changes in subjects with open-bite tendency: A retrospective study. Am J Orthod Dentofacial Orthop. 2014;145(1):28-35. https://doi.org/10.1016/j.ajodo.2013.09.013 PMID: 24373652.

33. Moimaz SA, Garbin AJ, Lima AM, Lolli LF, Saliba O, Garbin CA. Longitudinal study of habits leading to malocclusion development in childhood. BMC Oral Health. 2014 Aug 4;14:96. https://doi.org/10.1186/1472-6831-14-96 PMID: 25091288; PMCID: PMC4126276.

34. Heimer MV, Tornisiello Katz CR, Rosenblatt A. Non-nutritive sucking habits, dental malocclusions, and facial morphology in Brazilian children: A longitudinal study. Eur J Orthod. 2008;30(6):580-5. https://doi.org/10.1093/ejo/cjn035 PMID: 18775881.

35. Thilander B, Lennartsson B. A study of children with unilateral posterior crossbite, treated and untreated, in the deciduous dentition-occlusal and skeletal characteristics of significance in predicting the long-term outcome. J Orofac Orthop. 2002;63(5):371-83. https://doi.org/10.1007/s00056-002-0210-6 Erratum in: J Orofac Orthop. 2002;63(6):516. PMID: 12297966.

36. Franchi L, Baccetti T, Giuntini V, Masucci C, Vangelisti A, Defraia E. Outcomes of two-phase orthodontic treatment of deepbite malocclusions. Angle Orthod. 2011;81(6):945-52. https://doi.org/10.2319/033011-229.1 PMID:21801005; PMCID: PMC8903849.

37. Tulloch JF, Proffit WR, Phillips C. Outcomes in a 2-phase randomized clinical trial of early class II treatment. Am J Orthod Dentofacial Orthop. 2004;125(6):657-67. https://doi.org/10.1016/j.ajodo.2004.02.008 PMID: 15179390.

38. Kaplan CP, Hilton JF, Park-Tanjasiri S, Perez-Stable EJ. The effect of data collection mode on smoking attitudes and behavior in young African American and Latina women. Face-to-face interview versus self-administered questionnaires. Eval Rev. 2001;25(4):454-73. https://doi.org/ 10.1177/0193841X0102500403 PMID: 11480308.

39. Vuillemin A, Oppert JM, Guillemin F, Essermeant L, Fontvieille AM, Galan P et al. Self-administered questionnaire compared with interview to assess past-year physical activ- ity. Med Sci Sports Exerc. 2000;32(6):1119-24. https://doi.org/10.1097/00005768-200006000-00013 PMID: 10862539.

40. O'Toole BI, Battistutta D, Long A, Crouch K. A comparison of costs and data quality of three health survey methods: Mail, telephone and personal home interview. Am J Epidemiol. 1986;124(2):317-28. https://doi.org/10.1093/oxfordjournals.aje.a114390 PMID: 3728446.

41. Cook DJ, Guyatt GH, Juniper E, Griffith L, McIlroy W, Willan A et al. Interviewer versus self-administered questionnaires in developing a disease-specific, health-related quality of life instrument for asthma. J Clin Epidemiol. 1993;46(6):529-34. https://doi.org/10.1016/0895-4356(93)90125-k PMID: 8501479.
 

Submitted date:
13/05/2024

Accepted date:
25/09/2024

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