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Archives de pédiatrie
Volume 17, n° S5
pages 213-219 (décembre 2010)
Doi : 10.1016/S0929-693X(10)70930-1
Diversification alimentaire et développement dentaire : importance des habitudes alimentaires des jeunes enfants pour la prévention de dysmorphoses orthodontiques
The need of efficient chewing function in young children as prevention of dental malposition and malocclusion

M. Limme
Service d’Orthodontie et de Pédodontie, Institut de Dentisterie ULG / Policlinique L. Brull CHU, Quai G. Kurth, 45 4020 Liège, Belgique 


Les conduites alimentaires chez les jeunes enfants (incluant les modes d’allaitement, la fonction incisive « préhension – morsure » et les cycles masticateurs) produisent des stimulations progressives et continues pour la croissance des maxillaires et des structures dento-alvéolaires. Malheureusement, avec nos aliments modernes actuels, mous, attendris, ou semi-liquides, il y a un déficit de la fonction masticatrice et les sollicitations pour les processus de croissance sont insuffisantes. Beaucoup de malpositions dentaires et de malocclusions résultant de telles « atrophies fonctionnelles » des maxillaires, dues à un sous-développement des arcades dentaires, entraînent chevauchements incisifs et occlusions croisées latérales. Le manque d’usure naturelle progressive des dents de lait et en conséquence l’absence d’apparition d’une occlusion attritionnelle en denture temporaire, sont les signes d’une mastication insuffisante et constituent un mauvais pronostic pour l’alignement des incisives définitives.

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The eating behaviors (including breast-feeding, early edge to edge incisor bite and the chewing cycle) progressively induce, among children, continuous stimulations of the growth of the maxillaries and of the dento-alvéolar structures. Unfortunately, with our usual modern soft, tenderized or semi-fluid diet, there is now a failing chewing function and the stress on the growth process are often insufficient. Many dental malpositions and malocclusions result from such “functional atrophies” of the maxillaries due to an underdevelopment of the dental arches involving incisal crowdings and lateral cross-bites. The lack of progressive natural grindings of the primary teeth and the consequent lack of development of an attritional occlusion in the deciduous dentition are signs of a poorly trained mastication and a bad prognosis for the alignment of the permanent incisors.

The full text of this article is available in PDF format.

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