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orthodontics, breathing

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
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
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
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
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...
September 30, 2016: European Journal of Orthodontics
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)
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
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
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
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
Jole Rabasco, Alessandro Vigo, Ottavio Vitelli, Silvia Noce, Nicoletta Pietropaoli, Melania Evangelisti, Maria Pia Villa
INTRODUCTION: Polysomnographic recordings of children with an apparent life-threatening event (ALTE) have often displayed signs of partial or complete obstruction during sleep. Various studies have focused on facial dysmorphia in infants with ALTE and tried to establish a correlation between ALTE and obstructive sleep apnoea. Our study evaluates the phenotypic characteristics and the presence of sleep disorders in pre-school children who had at least one ALTE in the first year of life...
December 2016: Pediatric Pulmonology
Patrick Fellus
Failure to manage function-related problems can lead to failures in the conduct of orthodontic treatment and to poor stability. However, even if the dysfunctions have been diagnosed by the practitioner, he/she will still be dependent on the quality of the rehabilitation. Traditionally, rehabilitation requires intensive participation on the part of patients in order to ensure stimulation to their cortical neural networks. Eric Kandel, winner of the Nobel Prize for Medicine in 2000, has shown that this approach stimulates information transmission by boosting the activity of the neurotransmittors...
March 2016: L' Orthodontie Française
Chiara Leoni, Christopher T Gordon, Giacomo Della Marca, Valentina Giorgio, Roberta Onesimo, Francesca Perrino, Alessandro Cianfoni, Antonella Cerchiari, Jeanne Amiel, Giuseppe Zampino
Auriculo-Condylar Syndrome (ACS) is a craniofacial malformation syndrome characterized by external ear anomalies, hypoplasia of the mandibular condyle, temporomandibular joint abnormalities, micrognathia, and microstomia. Glossoptosis, masticatory abnormalities, orthodontic problems, and malocclusion occur in a majority of affected subjects. The clinical diagnosis is usually suggested by the pathognomonic ear appearance ("question mark ear"), consisting of a variable degree of clefting between the helix and earlobe...
June 2016: American Journal of Medical Genetics. Part A
Isabelle Graf, Uwe Schumann, Julia Neuschulz, Karolin Höfer, Lutz Ritter, Bert Braumann
OBJECTIVES: The purpose of this work was to evaluate the prevalence of snoring and its correlation with cranial and upper airway morphology in young individuals with orthodontic treatment need. PATIENTS AND METHODS: Parents of 379 children were consecutively interviewed, using eight questions from a more comprehensive questionnaire about sleep behavior. A total of 100 patients (54 girls, 46 boys, average age 11.3 years) met the inclusion criteria. Based on the parents' interviews, the sample was divided into snorers (n = 53) and nonsnorers (n = 47)...
March 2016: Journal of Orofacial Orthopedics, Fortschritte der Kieferorthopädie
Renata C Di Francesco, Jessica Alvarez
BACKGROUND: Our goals were to assess whether allergic rhinitis (AR) is an aggravating factor that affects the severity of sleep apnea in children with tonsils/adenoid hypertrophy (T&A) and to compare polysomnographic data from children with and without AR. METHODS: This prospective study included 135 children (age range, 3 to 14 years) with sleep-disordered breathing (SDB) resulting from T&A. Children with lung, neurological, or craniofacial problems; septal deviations; previous pharyngeal surgeries; or orthodontic treatments were excluded...
May 2016: International Forum of Allergy & Rhinology
Caroline McCarthy, Paul Brady, Ken D O'Halloran, Christine McCreary
Hyperventilation can be a manifestation of anxiety that involves abnormally fast breathing (tachypnea) and an elevated minute ventilation that exceeds metabolic demand. This report describes a case of hyperventilation-induced hypocapnia resulting in tetany in a 16-year-old girl undergoing orthodontic extractions under intravenous conscious sedation. Pulse oximetry is the gold standard respiratory-related index in conscious sedation. Although the parameter has great utility in determining oxygen desaturation, it provides no additional information on respiratory function, including, for example, respiratory rate...
2016: Anesthesia Progress
Tamara Christine de Souza Imbaud, Márcia Carvalho Mallozi, Vanda Beatriz Teixeira Coelho Domingos, Dirceu Solé
OBJECTIVE: To describe the frequency and etiology of rhinitis, oral breathing, types of malocclusion and orofacial disorders in patients treated for dental malocclusion. METHODS: Patients with poor dental occlusion (n=89, 8-15 years) undergoing orthodontic treatment at the Postgraduate Orthodontics Center (Sao Paulo, Brazil) participated in the study. Rhinitis and oral breathing were diagnosed by anamnesis, clinical assessment and allergic etiology of rhinitis through immediate hypersensitivity skin prick test (SPT) with airborne allergens...
June 2016: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
Halina Ey-Chmielewska, Iwona Teul, Jacek Lorkowski
INTRODUCTION: Abnormal breathing can be caused by developmental malformations or anatomical variations in the upper airways. Stomatognathic diseases may significantly impair the patency of the upper respiratory tract. Treatment of advanced stomatognathic dysfunctions is difficult due to their multifactorial aetiology, and often involves many phases. Sleep apnoea is one of the most bothersome complications. The mainstay therapeutic strategy relies on modifying the position of the mandible against the maxilla, achieved by using different types of oral appliances...
2014: Annales Academiae Medicae Stetinensis
Stephen C Mills
High school athletes seem particularly predisposed to dental injury, but athletic mouthguards have an excellent track record of success in reducing the severity and incidence of dental injuries in sports. Therefore, it has been suggested that mouthguards be made mandatory for high school athletes who participate in sports with risk of injury. The National Federation of State High School Associations currently recommends that mouthguards be mandated for high school football, lacrosse, ice hockey, and field hockey players as well as for wrestlers who are wearing orthodontic appliances...
November 2015: General Dentistry
Valérie Bedoucha, François Boutin, Laure Frapier
AIM: Mouth breathing is a functional disorder that affects craniofacial and dento-alveolar growth and also upper airway (UA) anatomy. This is apparent mainly in dimensional abnormalities of the UA caused by hypertrophy of Waldeyer's ring and excessive vertical development of the lower part, giving rise to labial incompetence that perpetuates the functional disorder. The main aim of this study was to evaluate the development of the oropharyngeal structures in young hyperdivergent patients who had undergone functional genioplasty in the context of orthodontic treatment...
December 2015: International Orthodontics
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