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BioMed Research International
Volume 2016, Article ID 2473059, 5 pages
Clinical Study

Outcomes of Recurrent Acute Otitis Media in Children Treated for Dental Malocclusion: A Preliminary Report

1Dental Clinic, Rome, Italy
2Department of Neuroscience, University of Padova, Audiology Unit at Treviso Hospital, Treviso, Italy
3Dental Clinic, Vicenza, Italy
4Department of Medicine DIMED, University of Padova, Padova, Italy
5Department of Surgery, Otorhinolaryngology Unit, Pediatric Hospital “Bambino Gesù”, Rome, Italy
6Department of Pediatrics and Child Neuropsychiatry, Pediatric Unit, University “La Sapienza”, Rome, Italy

Received 14 June 2016; Revised 27 August 2016; Accepted 12 October 2016

Academic Editor: Peter S. Roland

Copyright © 2016 Edoardo Bernkopf et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. To investigate the role of dental malocclusion treatment in the outcomes of Recurrent Acute Otitis Media (RAOM). Materials and Methods. The clinical outcome (number of acute recurrences in 12 months) of 61 consecutive children treated medically for RAOM was analysed. Children underwent an odontostomatologic evaluation, a fiberoptic endoscopy, and skin-prick tests. Results. 32 children (group A) were diagnosed with dental malocclusion and treated with a mandibular repositioning plate. Dental malocclusion was ruled out in the other 29 patients with RAOM, and they were used as controls (group B). The two groups were homogeneous in terms of sex, exposure to RAOM risk factors, skin test results, and adenoid hypertrophy, while age was significantly higher in group A. Age, sex, exposure to RAOM risk factors, adenoid hypertrophy, and skin test results were not associated with RAOM outcome. Children in group A treated for dental malocclusion were strongly associated with a lower number of acute episode recurrences at both univariate () and multivariate analysis (). Conclusions. RAOM showed better outcomes in children with dental malocclusion wearing a mandibular repositioning device. Dental malocclusion in children with RAOM may play a role in the pathogenesis of Eustachian tube dysfunction.