European Archives of Paediatric Dentistry

, Volume 19, Issue 5, pp 287–295 | Cite as

Malocclusion prevention through the usage of an orthodontic pacifier compared to a conventional pacifier: a systematic review

  • R. Medeiros
  • M. XimenesEmail author
  • C. Massignan
  • C. Flores-Mir
  • R. Vieira
  • A. L. Porporatti
  • G. De Luca Canto
Systematic Review



This was to investigate the occurrence of malocclusion traits among children who were users of orthodontic or conventional pacifier by means of a systematic review.


Search for articles involved five electronic databases: Latin American and Caribbean Health Sciences (LILACS), PsycINFO, PubMed (including MedLine), Scopus and Web of Science. Grey literature was partially assessed. Observational studies with children aged 6–60 months who had used orthodontic or conventional pacifier were included. The risk of bias among included studies was assessed through the Joanna Briggs Institute Tool.


From the 607 initially-identified papers only three were included after the selection process. All presented moderate risk of bias. Although an anterior open bite and accentuated overjet were identified among conventional users of pacifier in one study no differences were identified in the other two selected studies. Posterior crossbite frequency was not different in any of the included studies. There was also no difference regarding frequency and duration of use, except in the study that showed higher occurrence of open bite malocclusion in conventional pacifier users.


The currently available evidence is insufficient to support the concept that the usage of orthodontic pacifiers is able to prevent malocclusion traits when compared to the usage of conventional pacifiers.


Malocclusion Pacifier Systematic review Primary teeth 


Author contributions

RM: Worked on study conceptualization, design, data collection, data analysis, drafted the initial manuscript. MX: Worked on data collection, data analysis, reviewed and revised the manuscript, and approved the final manuscript as submitted. CM: worked on data analysis, critically reviewed the manuscript, and approved the final manuscript as submitted. CFM: worked on study conceptualization, design, data analysis, critically reviewed manuscript, and approved the final manuscript as submitted. RV: revised the manuscript, and approved the final manuscript as submitted. ALP: worked on study conceptualization, design, data analysis, critically reviewed manuscript, and approved the final manuscript as submitted. GDLC: worked on study conceptualization, design, data analysis, critically reviewed manuscript, and approved the final manuscript as submitted. All authors have made substantive contribution to this manuscript.


No funding was secured for this study.

Compliance with ethical standards

Conflict of interest

The authors have no financial relationships relevant to this article to disclose and have no conflicts of interest to disclose.

Supplementary material

40368_2018_359_MOESM1_ESM.pdf (74 kb)
Supplementary material 1 (PDF 73 KB)
40368_2018_359_MOESM2_ESM.pdf (171 kb)
Supplementary material 2 (PDF 171 KB)
40368_2018_359_MOESM3_ESM.pdf (72 kb)
Supplementary material 3 (PDF 71 KB)


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Copyright information

© European Academy of Paediatric Dentistry 2018

Authors and Affiliations

  1. 1.Departamento de OdontologiaUniversidade Federal de Santa Catarina, UFSCFlorianopolisBrazil
  2. 2.Departamento de OdontologiaUniversidade do Sul de Santa Catarina - UNISUL, Cidade UniversitáriaPalhoçaBrazil
  3. 3.University of AlbertaEdmontonCanada
  4. 4.Departamento de Odontologia, Brazilian Centre for Evidence-based ResearchUniversidade Federal de Santa Catarina, UFSCFlorianopolisBrazil

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