Evidence map›Paper›PMID 40560429›Full record

ArticleClinical oral investigations2025

Effect of different pacifier designs on orofacial tissues: a computational simulation comparative study.

Rita Pereira, João Romero, C P Santos, Ana Norton, João Miguel Nóbrega

Abstract readComparative Study
In one paragraph

Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rita PereiraIPC - Institute for Polymers and Composites, University of Minho, Azurém Campus, Guimarães, 4804-058, Portugal. id10080@uminho.pt.
João RomeroIPC - Institute for Polymers and Composites, University of Minho, Azurém Campus, Guimarães, 4804-058, Portugal.
C P SantosCMEMS - Center for MicroEletroMechanicsSystem, University of Minho, Azurém Campus, Guimarães, 4804-058, Portugal.
Ana NortonFMDUP - Dental Medicine School of University of Porto, Porto, 4200-393, Portugal.
João Miguel NóbregaIPC - Institute for Polymers and Composites, University of Minho, Azurém Campus, Guimarães, 4804-058, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study analyzes the effects of different pacifiers on the malocclusion formation, emphasizing the significance of pacifier design. Based on a computational model of pacifier sucking developed by the authors, the study provides insights dependent on pacifier geometry. MATERIALS AND

methodsA computational model was developed, consisting of the palate, pacifier, and tongue, including six tissues: mucosa, cortical bone, cancellous bone, and alveolar bone, periodontal ligament, and teeth. Three types of pacifiers were analyzed: orthodontic, standard, and conventional. The geometries were obtained from manufacturers and modeled using Blender™ software. The model was implemented in the OpenFOAM® library to calculate tooth displacement, exerted force, and stress distribution on the palate tissues.

resultsThe results provide a clear comparison between pacifier models, showing that well-designed pacifiers, Orthodontic (OP) and Standard (SP), are significantly less harmful to oral structures than the Conventional Pacifier (CP). OP and SP reduced the volume of the region subjected to high von Mises stress (0.05–0.01 MPa) on the palatal mucosa by 95.70% and 93.95%, respectively, when compared to CP. Furthermore, they led to a maximum reduction in mean tooth displacement of 79% (OP) and 75% (SP). These findings indicate that the pacifier design can significantly impact mechanical loading on the palate and teeth, reducing the risk of developmental oral malocclusions.

conclusionsThis study underscores the importance of pacifier design in mitigating potential adverse effects on orofacial development. CLINICAL EVIDENCE: There is a growing need for pacifiers designed based on scientific evidence to reduce the risks of orofacial deformation resulting from non-nutritive sucking. The computational approach introduced provides valuable insights that can inform the design of improved pacifiers aimed at minimizing risks associated with non-nutritive sucking habits. It is hoped that this method will guide the future development of more effective pacifiers, reducing potential adverse effects on orofacial structures.

Indexed as

Computer SimulationEquipment DesignMalocclusionPacifiersHumansPalateComputational modelingErgonomic designMalocclusionsOpenFOAMPacifiersolids4Foam

Identifiers

PMID40560429
PMCPMC12198337

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.