Analyzing effects on anterior open bite in twins by PLS-SEM and sobel test

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dc.contributor.authorBirant, Sinem
dc.contributor.authorVeznikli, Mert
dc.contributor.authorKasımoğlu, Yelda
dc.contributor.authorKoruyucu, Mine
dc.contributor.authorEvren, Atıf Ahmet
dc.contributor.authorSeymen, Figen
dc.date.accessioned2024-08-19T06:47:52Z
dc.date.available2024-08-19T06:47:52Z
dc.date.issued2024en_US
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği Ana Bilim Dalıen_US
dc.description.abstractObjective: This study aimed to assess the different pathways between predictor factors such as zygosity, atypical swallowing, mouth breathing, breastfeeding and bottle feeding related to anterior open bite (AOB) in twins. Methods: The study was conducted in monozygotic (MZ) and dizygotic (DZ) twin children aged 3-15 years. AOB, atypical swallowing, mouth breathing, feeding type, duration of bottle use, and mouth opening status during sleep were recorded during oral examination. Partial least squares structural equation model (PLS-SEM) and sobel tests were performed to assess the total and indirect effects among the variables on AOB. Results: A total of 404 children (29.2% MZ;70.8% DZ) participated in this study. The effect of zygosity on mouth breathing in the PLS-SEM model was statistically significant. Conversely, it was determined that mouth breathing effected that atypical swallowing (p = 0.001). Atypical swallowing triggered AOB (p = 0.001). The atypical swallowing has a mediation effect between AOB and mouth breathing (p = 0.020). Mouth breathing causes atypical swallowing and therefore indirectly increases the likelihood of AOB. While breastfeeding decreases AOB incidence (p = 0.023), bottle feeding increases AOB incidence (p = 0.046). The sobel tests show that the fully mediator variable feature of mouth breathing is statistically significant in the negative relation between zygosity and atypical swallowing. Conclusion: The PLS-SEM model showed that mouth breathing triggers atypical swallowing and atypical swallowing triggers AOB. As a result of this chain of relationships, an indirect effect of zygosity on AOB was observed. According to sobel tests, zygosity has an indirect effect on atypical swallowing through mouth breathing, while mouth breathing has a positive indirect effect on AOB through atypical swallowing. Clinical relevance: This study identified the relationships between different factors and the presence of AOB. The findings of this study demonstrate in detail the relationships between AOB and zygosity, atypical swallowing, mouth breathing, breastfeeding and bottle feeding. Brestfeeding has a reducing effect on the frequency of AOB. Among the nutritional forms, breastfeeding ensures the proper development of the stomatognathic system by working the oro-facial muscles.en_US
dc.identifier.citationBirant, S., Veznikli, M., Kasımoğlu, Y., Koruyucu, M., Evren, A. A., Seymen, F. (2024). Analyzing effects on anterior open bite in twins by PLS-SEM and sobel test. Clinical Oral Investigations, 28(9). 10.1007/s00784-024-05874-1en_US
dc.identifier.issn1432-6981
dc.identifier.issn1436-3771
dc.identifier.issue9en_US
dc.identifier.scopus2-s2.0-85201294902
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://hdl.handle.net/20.500.12939/4808
dc.identifier.volume28en_US
dc.identifier.wosWOS:001292130500003
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSeymen, Figen
dc.language.isoen
dc.relation.ispartofClinical Oral Investigations
dc.relation.isversionof10.1007/s00784-024-05874-1en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.relation.tubitakeu-repo/grantAgreement/TUBITAK/214S284
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectClinical studies/Trialsen_US
dc.subjectOrthodontic(s)en_US
dc.subjectPediatric dentistryen_US
dc.subjectStructural equation modelingen_US
dc.subjectSwallowingen_US
dc.titleAnalyzing effects on anterior open bite in twins by PLS-SEM and sobel test
dc.typeArticle

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