Dental
malocclusion represents one of the three most prevalent oral pathologies in
childhood, along with caries and periodontal disease, its origin is
multifactorial, combining genetic factors such as craniofacial inheritance and
environmental factors, especially parafunctional habits such as digital
sucking, onychophagia, mouth breathing and tongue thrusting, recent studies
suggest that unfavorable socioeconomic conditions may increase the presence of
these oral practices, negatively affecting the development of the
stomatognathic system. In this context, the study aims to determine the
prevalence of parafunctional habits and malocclusions in children aged 6 to 9
years dental age in Cayambe, Ecuador, and its relationship with the
socioeconomic factor is influential in the presence of this type of non-functional
habits and dental malocclusion. A cross-sectional observational study was
conducted with a sample of 221 children aged 6 to 9 years, selected using
proportional stratified sampling. Structured surveys were used to assess oral
habits and socioeconomic status (SES), in addition to a clinical examination to
record the type of occlusion according to Angle's classification and specific
malocclusions (crossbite, open bite, deep bite, bis-a-bis bite, and diastemas).
Statistical analysis was performed using SPSS v. 24, using Kruskal-Wallis and
chi-square tests to establish relationships between variables (p < 0.05).
The results showed that Angle's class II was the most prevalent type of
malocclusion (42.1%), followed by class I (41.6%) and class III (16.3%). A
bis-a-bis bite (38%) was the most common occlusal alteration. Regarding
parafunctional habits, mouth breathing (17.6%), nail biting (15.8%), and tongue
thrusting (10.9%) were the most common, with a complete absence of pacifier
use. No statistically significant associations were found between socioeconomic
level and most of the occlusal variables or habits, except for tongue thrusting
(p = 0.040) according to the chi-square test. Therefore, the findings of this
study are useful for planning and establishing oral health strategies to
encourage early visits to dental services, which is an important measure for
preventing malocclusion and parafunctional habits in the population.
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