Evidence map›Paper›PMID 42194169›Full record

ArticleChildren (Basel, Switzerland)2026

The Role of a Pacifier Shield: A Unique Perspective on Mandibular Growth and Airway Health: Part 2.

Clive Friedman, David A Tesini, Adithya Kethu

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 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

3 authors.

Clive FriedmanDepartment of Pediatric Dentistry, Schulich School of Medicine and Dentistry, London, ON N6A 5C1, Canada.
David A TesiniDepartment of Pediatric Dentistry, Tufts University School of Dental Medicine, Boston, MA 02111, USA.
Adithya KethuToothprints PC, Hopkinton, MA 01748, USA.ORCID 0009-0007-0860-6583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDaily, perhaps for hours at a time, pacifiers are put in baby's mouths for the primary purpose of soothing. A causal relationship exists between the use of pacifiers and the development of malocclusions and disturbances to the cranio-facial-respiratory complex (CFRC). Finite element analysis (FEA) has enabled us to understand how pacifier bulbs behave under negative pressure and tongue movement in the mouth. It is now realized that the design and size of pacifiers should be based on infant and toddler biometrics of the maxillary palatal width and should contribute to proper oral function and development. Attention has shifted toward the interaction between the pacifier

conclusionsWhen the pacifier shield interacts with the chin, it impacts the growth and development of the infant mandible and airway physiology. Interference with free movement of the mandible must be made a functional concern in design of the pacifier shield. Technological advances in smartphone photogrammetry now make development of non-invasive diagnostic tools that can advantage the future oral health of children.

Indexed as

growth and developmentinfant oral healthoral habitsoral health of childrenpacifierpacifier designpacifier technologypacifier usepediatric airwayretrognathia

Identifiers

PMID42194169
PMCPMC13204359

What OpenQuestion holds

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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.