{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T19:35:26Z","timestamp":1758396926884,"version":"3.40.5"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The mechanical behavior of each type of pacifier on rigid structures and their various impacts on orofacial growth have yet to be discovered. The study aimed to evaluate the stress distribution over a child's palate by three types of pacifiers using finite element analysis and clinical and laboratory data. Modulus of elasticity was obtained from 30 specimens comprising 10 of each conventional (A), orthodontic (B), and breast\u2010shaped (C) pacifiers. Tongue strength was assessed in eight 3\u2010year\u2010old children (kPa). A hemi\u2010maxilla model was obtained from 2\u2010 to 3\u2010year\u2010old skull tomography, and the images of pacifiers A, B, and C were captured using 3D scanning. The Hypermesh\u00ae program generated a mesh of 6\u2010node tetrahedral elements for applying forces in the X, Y, and Z directions to enable a nonlinear analysis. Pacifier B exhibited the highest values for distributed stress on the palate, followed by pacifier A. Pacifier B stimulated the maxilla forward and sideways. In contrast, pacifier A promoted a forward and upward load, favoring a more atresic palate. Pacifiers A and B tended to rotate in the sagittal plane, generating tensions in the anterior incisors and favoring the open bite. Pacifier C exhibited lateral expansion by stress induction over the mid\u2010palatal suture with less influence on incisor inclination. Pacifiers showed different detrimental stress distributions on the palate. This information can be helpful for improving recommendations given to parents.<\/jats:p>","DOI":"10.1002\/ca.24126","type":"journal-article","created":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T00:25:32Z","timestamp":1700785532000},"page":"620-627","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Mechanical stress distribution over the palate by different pacifiers assessed by finite element analysis and clinical data"],"prefix":"10.1002","volume":"37","author":[{"given":"Camila Nobre de","family":"Freitas","sequence":"first","affiliation":[{"name":"Piracicaba Dental School Universidade Estadual de Campinas  Piracicaba Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8703-2272","authenticated-orcid":false,"given":"Paula Midori","family":"Castelo","sequence":"additional","affiliation":[{"name":"Department of Pharmaceutical Sciences Universidade Federal de S\u00e3o Paulo (UNIFESP)  Diadema Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Yoshito","family":"Noritomi","sequence":"additional","affiliation":[{"name":"Three\u2010Dimensional Technologies Division Renato Archer Information Technology Center (CTI)  Campinas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly Guedes de Oliveira","family":"Scudine","sequence":"additional","affiliation":[{"name":"Piracicaba Dental School Universidade Estadual de Campinas  Piracicaba Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regina Maria Puppin","family":"Rontani","sequence":"additional","affiliation":[{"name":"Piracicaba Dental School Universidade Estadual de Campinas  Piracicaba Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanus","family":"Miziara","sequence":"additional","affiliation":[{"name":"Three\u2010Dimensional Technologies Division Renato Archer Information Technology Center (CTI)  Campinas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo Mendes Ribeiro","family":"Machado","sequence":"additional","affiliation":[{"name":"Three\u2010Dimensional Technologies Division Renato Archer Information Technology Center (CTI)  Campinas Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4066\/AMJ.2011.529"},{"key":"e_1_2_10_3_1","unstructured":"American Academy of Pediatrics (AAP). (2019).American Academy of Pediatrics announces new safe sleep recommendations to protect against SIDS sleep\u2010related infant deaths."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1668-3"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-015-0364-1"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03054-z"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9416(65)90242-3"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2013.40.2.92"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.784911"},{"key":"e_1_2_10_10_1","first-page":"173","article-title":"Different geometric patterns of pacifiers compared on the basis of finite element analysis","volume":"8","author":"Levrini L.","year":"2007","journal-title":"European Journal of Paediatric Dentistry"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38671.640475.55"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12227"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-018-0610-7"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1415-54192006000200006"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-017-1306-8"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2008.09.029"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-14-96"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/168459"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjn046"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2019.06.014"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0109-5641(01)00021-5"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.703695"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-022-04374-4"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1590\/2446-4740.0637"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-6343.2004.00285.x"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9969(85)90072-X"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/0889-5406(89)90050-4"},{"key":"e_1_2_10_28_1","first-page":"777","article-title":"Comparison of the skeletal and dental changes of tooth\u2010borne vs. bone\u2010borne expansion devices in surgically assisted rapid palatal expansion: A finite element study","volume":"10","author":"Tehranchi A.","year":"2013","journal-title":"Dental Research Journal"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1590\/0001-3765202020190833"},{"key":"e_1_2_10_30_1","first-page":"165","volume-title":"Clinical Oral physiology","author":"Trulsson M.","year":"2004"},{"key":"e_1_2_10_31_1","first-page":"552","article-title":"Effects of different pacifiers on the primary dentition and oral myofunctional strutures of preschool children","volume":"24","author":"Zardetto C. G.","year":"2002","journal-title":"Pediatric Dentistry"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.12381"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2007.12.013"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1044\/2017_AJSLP-16-0226"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.24126","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T07:11:16Z","timestamp":1723273876000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.24126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,22]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/ca.24126"],"URL":"https:\/\/doi.org\/10.1002\/ca.24126","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"type":"print","value":"0897-3806"},{"type":"electronic","value":"1098-2353"}],"subject":[],"published":{"date-parts":[[2023,11,22]]},"assertion":[{"value":"2023-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}