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https://www.readbyqxmd.com/read/28937905/combined-orthodontic-and-surgical-treatment-in-a-8-years-old-patient-affected-by-severe-obstructive-sleep-apnea-a-case-report
#1
Antonio Gracco, Giovanni Bruno, Alberto de Stefani, Rosario Marchese Ragona, Sergio Mazzoleni, Edoardo Stellini
An eight-years-old girl showed a restless sleep with snoring and severe apnea episodes, a mandibular retrognathia, mouth breathing, maxillary transverse discrepancy, mandibular transverse discrepancy, moderate crowding and anterior open-bite. The CBCT showed an anterior collapse of the epiglottis. The treatment consisted in a rapid palatal expansion, an epiglottoplasty and a reduction of the tongue base. Polysomnography revealed that apnea-hypopnea index improved from 21,8 episodes/hr at the baseline to 0,6 episodes/hr, average oxygen saturation from 96,5% to 98,1%, oxygen desaturation events from 23,4 episodes/hr to 1/hr...
September 22, 2017: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28853428/obstructive-sleep-apnea-syndrome-osas-evaluation-and-treatment-of-odontostomatological-problems
#2
Gaetano Ierardo, Valeria Luzzi, Antonella Polimeni
The Obstructive Sleep Apnea Syndrome (OSAS) is a breathing disorder characterized by repeated episodes of apnea/hypopnea occurring during sleep and caused by the obstruction of the upper airway. As OSAS can have a significant impact on quality of life, an early diagnosis and a multi-specialized recognition become important. Therapeutic proposals include the Mandibular Advancement Devices (MADs), intraoral devices that induce a mandibular advancement during the night to eliminate snoring and apnea. Italian guidelines on dental aspects of OSAS in adults and children focus primarily on anamnestic and clinical methods by which the dentist, in a role of epidemiological sentinel, can first identify a patient with OSAS and then participate in the therapeutic process using specific orthodontic intraoral devices...
August 28, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/28738322/pediatric-obstructive-sleep-apnea-where-do-we-stand
#3
Yu-Shu Huang, Christian Guilleminault
Pediatric obstructive sleep apnea (OSA) was initially described in 1976. In 1981, Dr. Guilleminault emphasized that pediatric OSA was different from the clinical presentation reported in adults. It was characterized by more disturbed nocturnal sleep than excessive daytime sleepiness, and presented more behavioral problems, particularly school problems, hyperactivity, nocturnal enuresis, sleep terrors, depression, insomnia, and psychiatric problems. The underlying causes of pediatric OSA are complex. Such factors as adenotonsillar hypertrophy, obesity, anatomical and neuromuscular factors, and hypotonic neuromuscular disease are also involved...
2017: Advances in Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28712853/short-term-evaluation-of-tegumentary-changes-of-the-nose-in-oral-breathers-undergoing-rapid-maxillary-expansion
#4
Fauze Ramez Badreddine, Reginaldo Raimundo Fujita, Mario Cappellette
INTRODUCTION: Rapid maxillary expansion is an orthodontic and orthopedic procedure that can change the form and function of the nose. The soft tissue of the nose and its changes can influence the esthetics and the stability of the results obtained by this procedure. OBJECTIVE: The objective of this study was to assess the changes in nose dimensions after rapid maxillary expansion (RME) in oral breathers with maxillary atresia, using a reliable and reproducible methodology through computed tomography...
June 26, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28642828/surgical-orthodontic-treatment-of-a-patient-affected-by-type-1-myotonic-dystrophy-steinert-syndrome
#5
Laura Cacucci, Beatrice Ricci, Maria Moretti, Giulio Gasparini, Sandro Pelo, Cristina Grippaudo
Myotonic dystrophy, or Steinert's disease, is the most common form of muscular dystrophy that occurs in adults. This multisystemic form involves the skeletal muscles but affects also the eye, the endocrine system, the central nervous system, and the cardiac system. The weakness of the facial muscles causes a characteristic facial appearance frequently associated with malocclusions. Young people with myotonic dystrophy, who also have severe malocclusions, have bad oral functions such as chewing, breathing, and phonation...
2017: Case Reports in Dentistry
https://www.readbyqxmd.com/read/28576607/extensiometric-analysis-of-strain-in-craniofacial-bones-during-implant-supported-palatal-expansion
#6
Carlos Nelson Elias, Daniel Jogaib Fernandes, Denis Souza Zanivan, Yuri Resende Fonseca
Palatal expansion has several orthodontic and orthopedic applications, such as increasing maxillary transverse dimensions and correcting maxillary atresia, oral breathing, and skeletal cross-bites. Little is known about the strain to which craniofacial bones are submitted when a palatal expander is loaded. The objectives of the present work were to propose a new palatal bone-borne titanium device (expansion screw), to determine patterns of strain distribution in craniofacial bones during palatal expansion and to show the clinical results of a new palatal expander supported by implants...
May 25, 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/28554461/traction-of-impacted-canines-in-a-skeletal-class-iii-malocclusion-a-challenging-orthodontic-treatment
#7
José Tarcísio Lima Ferreira, Fábio Lourenço Romano, Maria Bernadete Sasso Stuani, Fábio Carvalho Assed Carneiro, Mírian Aiko Nakane Matsumoto
This case report describes the successful traction of 2 severely impacted canines. The patient, a 7-year-old girl, had good general health, nasal breathing, crossbite of the lateral incisors and canines, and a Class I molar relationship. The panoramic radiograph showed that the permanent canines were positioned above the roots of the lateral incisors, with the right canine in an accentuated inclination. The cephalometric analysis showed a skeletal Class III malocclusion with a predominance of horizontal growth...
June 2017: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/28538822/association-between-harmful-oral-habits-and-the-structures-and-functions-of-the-stomatognathic-system-perception-of-parents-guardians
#8
Thayse Steffen Pereira, Fabiana de Oliveira, Maria Cristina de Almeida Freitas Cardoso
Purpose: To verify the occurrence and associate the presence and duration of harmful oral habits with the structures and functions of the stomatognathic system. Methods: This is a cross-sectional, exploratory study. Participants' participation was formalized by the signing of an Informed Consent Form. The non-probabilistic sample comprised 289 children aged one to 12 years assisted at a Family Health Strategy unit. The data were obtained through a questionnaire to identify harmful oral habits applied to the children's parents and/or guardians...
May 15, 2017: CoDAS
https://www.readbyqxmd.com/read/28532581/unilateral-nasal-obstruction-induces-degeneration-of-fungiform-and-circumvallate-papillae-in-rats
#9
Jui-Chin Hsu, Ippei Watari, Yukiha Funaki, Satoshi Kokai, Takashi Ono
BACKGROUND: In clinical orthodontic treatment, chronic respiratory disturbance or mouth breathing has been concerned symptoms and screening criteria. In this study, to analyze the relation between nasal obstruction and taste sensing, a unilateral nasal obstruction model was performed to investigate the taste papillae and taste buds in rats. METHODS: Fourteen 6-day-old male Wistar rats were randomly divided into control and experimental groups (n = 7 each). The experimental group underwent unilateral nasal obstruction at 8 days of age...
May 19, 2017: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/28494601/relationship-between-oro-and-nasopharynx-permeability-and-the-direction-of-facial-growth
#10
P Fernandes, J Pinto, J Ustrell-Torrent
AIM: Most scientific literature relates vertical growth to individuals with decreased upper airway permeability. However, we often find subjects with a long face and a normal breathing pattern, most likely caused by other aetiological factors. And, frequently, we also find decreased upper airway permeability with horizontal growth. The aim of the study was to compare the cephalometric measurements of the oro and nasopharynx permeability with the facial growth direction and to identify the most common facial growth direction in individuals with decreased upper airway permeability...
March 2017: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/28258274/early-orthognathic-surgery-a-review
#11
Saleh Alwadei
Management of growing patients with severe developmental jaw abnormalities can be very difficult. Early surgical intervention may be warranted in situations where function (e.g., mastication, swallowing, breathing, or speech) and/or psychological well-being could be negatively affected. Many surgeons and orthodontists are reluctant to recommend a surgical treatment option for growing patients with severe developmental jaw abnormalities because of their age. Specific surgical procedures can be performed during growth to correct developmental jaw abnormalities with predictable results...
March 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/27958599/association-between-oral-habits-mouth-breathing-and-malocclusion
#12
C Grippaudo, E G Paolantonio, G Antonini, R Saulle, G La Torre, R Deli
The ratio of bad habits, mouth breathing and malocclusion is an important issue in view of prevention and early treatment of disorders of the craniofacial growth. While bad habits can interfere with the position of the teeth and normal pattern of skeletal growth, on the other hand obstruction of the upper airway, resulting in mouth breathing, changes the pattern of craniofacial growth causing malocclusion. Our crosssectional study, carried out on 3017 children using the ROMA index, was developed to verify if there was a significant correlation between bad habits/mouth breathing and malocclusion...
October 2016: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/27908527/-historical-review-on-obstructive-sleep-apnea-in-children
#13
Y H Chien, C Guilleminault
An historical review on the discoveries on pediatric obstructive sleep apnea syndrome and sleep-disordered breathing is outlined. Starting with the description by Dickens of "Joe" the obese, snoring and sleepy individual, the authors trace more than 50 years of questions and research starting with the lean adult to the child and from the recognition of obstructive sleep apnea syndrome to the outline of upper-airway resistance syndrome. The pathophysiological knowledge on sleep-disordered breathing has evolved over time, as have treatment approaches in children, from tracheostomy to positive-airway-pressure therapy, to adenotonsillectomy with and without orthodontic treatments to oral-facial myofunctional therapy...
February 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27775805/craniofacial-morphology-and-airflow-in-children-with-primary-snoring
#14
V Luzzi, G Di Carlo, M Saccucci, G Ierardo, E Guglielmo, M Fabbrizi, A M Zicari, M Duse, F Occasi, G Conti, E Leonardi, A Polimeni
OBJECTIVE: Sleep-disordered breathing (SDB) is among the most common diseases and includes a group of pathological conditions that form a severity continuum from primary snoring (PS) to obstructive sleep apnea (OSA). SDB presents a multifactorial etiology and in children, it is often linked to adenotonsillar hypertrophy, which may lead to an alteration of the breathing pattern. Therefore, several studies hinted at the existence of a correlation between SDB and the alteration of craniofacial growth...
October 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27694577/morphometric-covariation-between-palatal-shape-and-skeletal-pattern-in-children-and-adolescents-a-cross-sectional-study
#15
Eleni Parcha, Elias Bitsanis, Demetrios J Halazonetis
Objective: To assess shape covariation of the palate and craniofacial complex (CFC) in children and adolescents. Methods: Pre-treatment lateral cephalometric radiographs and corresponding maxillary casts of 100 children (8-10 years) and 100 adolescents (15-20 years) were digitized. Exclusion criteria were previous orthodontic treatment, craniofacial syndromes, mouth breathing, finger sucking, crossbite, tooth agenesis, and tooth impaction. Palatal shape was described with 239 surface and curve semilandmarks and craniofacial shape with 10 fixed landmarks and 117 curve semilandmarks...
August 1, 2017: European Journal of Orthodontics
https://www.readbyqxmd.com/read/27684847/dental-arch-dimensional-changes-after-adenoidectomy-or-tonsillectomy-in-children-with-airway-obstruction-a-meta-analysis-and-systematic-review-under-prisma-guidelines
#16
REVIEW
Yanfei Zhu, Jiaying Li, Yanmei Tang, Xiaoling Wang, Xiaochen Xue, Huijun Sun, Ping Nie, Xinhua Qu, Min Zhu
BACKGROUND: Children with severe airway obstruction tend to have a vertical direction of growth, class II malocclusion, and narrow arches. Adenoidectomy and tonsillectomy were recommended for the promotion of balanced dentition growth in these children.The aim of this study was to determine the effect of adenoidectomy and tonsillectomy on the growth of dental morphology in children with airway obstruction. METHODS: A comprehensive search of the Medline, Embase, Web of science, and OVID databases for studies published through to January 17, 2016 was conducted...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27476358/treatment-comfort-time-perception-and-preference-for-conventional-and-digital-impression-techniques-a-comparative-study-in-young-patients
#17
Lukasz Burhardt, Christos Livas, Wouter Kerdijk, Wicher Joerd van der Meer, Yijin Ren
INTRODUCTION: The aim of this crossover study was to assess perceptions and preferences for impression techniques in young orthodontic patients receiving alginate and 2 different digital impressions. METHODS: Thirty-eight subjects aged 10 to 17 years requiring impressions for orthodontic treatment were randomly allocated to 3 groups that differed in the order that an alginate impressions and 2 different intraoral scanning procedures were administered. After each procedure, the patients were asked to score their perceptions on a 5-point Likert scale for gag reflex, queasiness, difficulty to breathe, uncomfortable feeling, perception of the scanning time, state of anxiety, and use of a powder, and to select the preferred impression system...
August 2016: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/27449841/there-is-insufficient-evidence-that-upper-airway-dimension-changes-after-four-premolar-extraction-orthodontic-treatment
#18
Kevin Kurtzner, Thikriat Al-Jewair
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: The effect of teeth extraction for orthodontic treatment on the upper airway: a systematic review. Hu Z, Yin X, Liao J, Zhou C, Yang Z, Zou S. Sleep Breath 2015;19(2):441-51. SOURCE OF FUNDING: The review was supported by the National Nature Science Foundation of China and the Research Fund for the Doctoral Program of Higher Education in China. TYPE OF STUDY/DESIGN: Systematic review.
June 2016: Journal of Evidence-based Dental Practice
https://www.readbyqxmd.com/read/27295847/the-essential-role-of-the-com-in-the-management-of-sleep-disordered-breathing-a-literature-review-and-discussion
#19
REVIEW
Lorraine Frey, Shari Green, Paula Fabbie, Dana Hockenbury, Marge Foran, Kathleen Elder
The origins of Orofacial Myofunctional Therapy began in the early 1960's by orthodontists who recognized the importance of functional nasal breathing, proper swallowing, and more ideal oral rest postures. Re-patterning these functions through myofunctional therapy assisted with better orthodontic outcomes and improved stability. Experts in orofacial myology have concluded that improper oral rest postures and tongue thrusting may be the result of hypertrophy of the lymphatic tissues in the upper airway. Orthodontists are aware of the deleterious effects these habits have on the developing face and dentition...
November 2014: International Journal of Orofacial Myology
https://www.readbyqxmd.com/read/27260596/maxillary-dentoskeletal-changes-1-year-after-adenotonsillectomy
#20
Valerio Brunelli, Roberta Lione, Lorenzo Franchi, Paola Cozza, Helena M G Becker, Letícia P Franco, Bernardo Q Souki
OBJECTIVE: To measure the maxillary dentoskeletal and soft tissue changes of severely obstructed mouth breathing (MB) young children who had their mode of breathing normalized after adenotonsillectomy (T&A), in comparison with a matched group of severely obstructed untreated MB children (CG). METHODS: Seventy patients who had an Ear, Nose, and Throat examination (ENT), including flexible nasal endoscopy, to confirm the severe obstruction of the upper airways and the indication of T&A composed the sample...
July 2016: International Journal of Pediatric Otorhinolaryngology
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