Evidence map›Paper›PMID 42159194›Full record

Observational studyClinical and experimental dental research2026

The Myofunctional Rehabilitation of Atypical Swallowing in Children and Adolescents With Stress-Related Detrimental Habits: Single-Center Longitudinal Study in Ukraine.

Nataliia Makhlynets, Myroslava Kokoshko, Nataliia Kozan, Zinovii Ozhogan, Taras Kotyk

Abstract readObservational Study
In one paragraph

Observational study in Clinical and experimental dental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nataliia MakhlynetsIvano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine.ORCID 0000-0002-1199-8086
Myroslava KokoshkoTaras Shevchenko National University of Kyiv, Kyiv, Ukraine.ORCID 0000-0002-5753-9061
Nataliia KozanIvano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine.ORCID 0000-0003-1017-5077
Zinovii OzhoganIvano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine.ORCID 0000-0003-4220-2658
Taras KotykIvano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine.ORCID 0000-0002-3585-2356

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWar-related stress may exacerbate parafunctional oral/postural habits and hinder the normalization of swallowing in children. Evidence for low-burden myofunctional protocols remains limited, particularly in juveniles living in high-stressor settings. This study described short-term trajectories of swallowing rehabilitation status in Ukrainian orthodontic patients treated with a standardized FroggyMouth-based program during the wartime period. MATERIAL AND

methodsThis study used a single-center longitudinal observational design (March 2022-June 2024) with consecutive enrollment. In total, 120 orthodontic patients aged 6-17 years with atypical swallowing and oral/postural habits were prescribed FroggyMouth (15 min/day during a quiet activity). Reassessment was performed at ~5 (T1) and ~10 weeks (T2). Rehabilitation status (RS) was classified as RS0 (baseline), RS1 (engrammation), and RS2 (automation). Paired change in the three-level RS distribution between T1 and T2 was assessed. Habit profiles and anxiety were recorded (age-stratified STAI-C/STAI-Y) and summarized descriptively.

resultsOral/postural habits were frequently observed: resting the head on the hand in 80% of patients; sleeping on the hand in 36.7%; watching TV with the mouth open in 25.0%; and mouth breathing in 41.7%. Non-nutritive sucking behaviors were uncommon. Anxiety varied across groups (means ~43-44 at ages 6-11 vs. ~50-55 at ages 12-17). RS distribution shifted toward later stages from T1 to T2 (RS0/RS1/RS2: 54.2%/25.8%/20.0% at T1 vs. 14.2%/22.5%/63.3% at T2). Age groups differed in the magnitude of within-subject RS change (p < 0.001), while RS2 proportions at T2 were broadly similar.

conclusionsIn this uncontrolled clinic-based cohort, a standardized FroggyMouth-based program demonstrated a short-term shift toward RS2 between 5 and 10 weeks, reaching 63.3% (95% CI 54.1-71.9) overall at 10 weeks. These observational data quantify short-term change; longer follow-up and comparative designs are needed to establish persistence and relative effectiveness.

Indexed as

Deglutition DisordersMyofunctional TherapyStress, PsychologicalAdolescentChildDeglutitionFemaleHabitsHumansLongitudinal StudiesMaleUkraineadolescentanxietychilddeglutitionhabits

Identifiers

PMID42159194
PMCPMC13240585

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.