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Oral appliance

Z Zingler, M Pritsch, C J Lux, S Kneist
AIM: To evaluate the correlation between clinical and salivary microbial parameters during treatment with removable orthodontic appliances with or without use of fluoride mouth rinse. MATERIALS AND METHODS: A group of 48 patients completed this randomized, controlled, parallel-group, clinical pilot study. 24 patients of the test group (TG) rinsed after tooth brushing with a fluoride mouth rinse (100 ppm AmF/150 ppm NaF) while 21 patients of the control group (CG) did not...
September 2016: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
Nancy J Carballo, Cathy A Alessi, Jennifer L Martin, Michael N Mitchell, Ron D Hays, Nananda Col, Emily S Patterson, Stella Jouldjian, Karen Josephson, Constance H Fung
PURPOSE: Obstructive sleep apnea is a prevalent sleep disorder among older adults. Oral appliances are increasingly prescribed as therapy for obstructive sleep apnea. Adherence to oral appliance therapy is highly variable. Based on value-expectancy theory and other social-psychological theories, adherence to oral appliance therapy may be influenced by patients' perceived effectiveness of the therapy, self-efficacy, and availability of social support. We examined these perceptions among older adults with obstructive sleep apnea who were prescribed oral appliance therapy...
October 14, 2016: Clinical Therapeutics
Shaza M Hammad, Michael Knösel
BACKGROUND AND OBJECTIVE: White spot lesions (WSLs) are an undesirable side effect of fixed orthodontic appliance therapy and are reported to occur in 2-96 % of orthodontic patients. In this study, the efficacy of a new sealant to prevent WSLs during fixed orthodontic treatment was compared to a control group that did not receive sealant. PATIENTS AND METHODS: For this 2-arm parallel-group randomized trial, 50 subjects aged 12-18 years (mean age 14.57 ± 2...
October 12, 2016: Journal of Orofacial Orthopedics, Fortschritte der Kieferorthopädie
Anthony Dioguardi, Moh'd Al-Halawani
Oral appliance therapy (OAT) has become an increasingly popular nonsurgical option for the treatment of obstructive sleep disorders. Recent research supports its efficacy and high levels of compliance for patients with obstructive sleep disorders. Common side effects of OAT include temporomandibular joint-related symptoms, bite changes, and tooth movement. These side effects can be minimized by the use of exercises. The American Academy of Dental Sleep Medicine and the American Academy of Sleep Medicine have released joint clinical practice guidelines for the treatment of obstructive sleep apnea and snoring with OAT...
October 6, 2016: Otolaryngologic Clinics of North America
Li-Chuan Chuang, Yun-Chia Lian, Michèle Hervy-Auboiron, Christian Guilleminault, Yu-Shu Huang
BACKGROUND/PURPOSE: Myofunctional therapy is one of the recommended treatments for obstructive sleep apnea, but the level of compliance has often been low in children. This study aims to investigate the therapeutic effect of passive myofunctional therapy using an oral appliance during sleep in children suffering from obstructive sleep apnea. METHODS: Twenty-nine children who suffered from obstructive sleep apnea were divided into two groups: premature children and full-term children...
October 3, 2016: Journal of the Formosan Medical Association, Taiwan Yi Zhi
Niko C Bock, Laura Seibold, Christian Heumann, Erhard Gnandt, Miriam Röder, Sabine Ruf
BACKGROUND: White spot lesions (WSL) frequently occur as side-effect of multibracket appliance treatment. The clinical effects of local fluoridation on post-orthodontic WSL and oral health development are however inconclusive. OBJECTIVE: In vivo monitoring of clinical WSL and oral health changes in response to weekly 1.25 per cent fluoride gel application after multibracket appliance treatment. TRIAL DESIGN: Randomized, single-centre, double-blind, parallel-group, placebo-controlled study...
October 4, 2016: European Journal of Orthodontics
Fernando R Carvalho, Débora A Lentini-Oliveira, Lucila Bf Prado, Gilmar F Prado, Luciane Bc Carvalho
BACKGROUND: Apnoea is a breathing disorder marked by the absence of airflow at the nose or mouth. In children, risk factors include adenotonsillar hypertrophy, obesity, neuromuscular disorders and craniofacial anomalies. The most common treatment for obstructive sleep apnoea syndrome (OSAS) in childhood is adeno-tonsillectomy. This approach is limited by its surgical risks, mostly in children with comorbidities and, in some patients, by recurrence that can be associated with craniofacial problems...
October 5, 2016: Cochrane Database of Systematic Reviews
Muhsin Çifter, Nil Cura
INTRODUCTION: This report describes the clinical orthodontic management of a patient with spastic quadriplegia and cerebral palsy. Guidelines to overcome difficulties encountered during the treatment period are suggested. METHODS: A 13-year-old boy with cerebral palsy and spastic quadriplegia complained of an undesirable oral appearance because of his malocclusion. He had a Class II molar relationship, with severe maxillary and moderate mandibular anterior crowding...
October 2016: American Journal of Orthodontics and Dentofacial Orthopedics
Agnieszka Machorowska-Pieniążek, Małgorzata Skucha-Nowak, Anna Mertas, Marta Tanasiewicz, Iwona Niedzielska, Tadeusz Morawiec, Stefan Baron
Orthodontic appliances modify the local environment of the oral cavity, increase the accumulation of dental plaque, and affect the condition of the gingiva. The aim of this study is assessment of Brazilian propolis toothpaste's effect on plaque index (PLI) and gingival index (GI) in patients with CL/CLP treated using orthodontic appliances in the 35-day study period. The study population included 96 patients of an Orthodontic Outpatient Clinic, ACSiMS in Bytom. All the patients participated in the active phase of orthodontic treatment using buccal multibracket appliances or removable appliances...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
Jung-Hwan Lee, Ahmed El-Fiqi, Jeong-Ki Jo, Dong-Ae Kim, Si-Chul Kim, Soo-Kyung Jun, Hae-Won Kim, Hae-Hyoung Lee
OBJECTIVE: Poly(methyl methacrylate) (PMMA) used as removable denture bases or orthodontic appliances has relatively poor antimicrobial properties, which accelerate oral infection and induce unfavorable odors. Mesoporous silica nanoparticles (MSNs) have been highlighted as a potential additive to overcome this issue because of their drug-loading capacity. Here, we present the long-term antimicrobial effect of MSN-incorporated PMMA with drug-loading capacity. METHODS: After the MSNs were characterized, MSN incorporation into chemically activated PMMA (0...
September 23, 2016: Dental Materials: Official Publication of the Academy of Dental Materials
Kyozo Sasaki, Mitsuru Motoyoshi, Eri Horinuki, Yoshinori Arai, Noriyoshi Shimizu
This study examined the effects of a bite-jumping appliance combined with low-intensity pulsed ultrasound (LIPUS) stimulation on the mandibular condyle of growing rats using micro CT (mCT) and histological examinations. Twelve Wistar rats were divided into three groups of four individuals each: Group 1 was an untreated control group, Group 2 received bite-jumping appliances, and Group 3 received bite-jumping appliances and LIPUS stimulation (15 min/day, 2 weeks) to the temporomandibular region. We measured the length and three-dimensional bone volume of each rat's mandibular condyle using mCT...
2016: Journal of Oral Science
Chen-Lu Liu, Wen-Tian Sun, Wen Liao, Wen-Xin Lu, Qi-Wen Li, Yunho Jeong, Jun Liu, Zhi-He Zhao
The aim of this study was to evaluate and compare the colour stabilities of three types of orthodontic clear aligners exposed to staining agents in vitro. Sixty clear orthodontic aligners produced by three manufacturers (Invisalign, Angelalign, and Smartee) were immersed in three staining solutions (coffee, black tea, and red wine) and one control solution (distilled water). After 12-h and 7-day immersions, the aligners were washed in an ultrasonic cleaner and measured with a colourimeter. The colour changes (ΔE*) were calculated on the basis of the Commission Internationale de I'Eclairage L*a*b* colour system (CIE L*a*b*), and the results were then converted into National Bureau of Standards (NBS) units...
September 23, 2016: International Journal of Oral Science
Elif Yıldızer Keriş, Didem Atabek, Kahraman Güngör
BACKGROUND: The current study evaluated the effects of fixed and removable space-maintainers on halitosis and oral health of children. METHODS: Forty-three patients randomly selected between the ages 4-10 whom fixed or removable space maintainers were indicated in Gazi University, Faculty of Dentistry, Department of Pedodontics. The inclusing criteria were: caries-free (with/without restorations), with absence of periodontal diseases, without systematic disease, no mouth breathing and no use of antibiotics the 2-months period before the study...
2016: BMC Oral Health
Ieva Kudirkaite, Kristina Lopatiene, Jurate Zubiene, Kristina Saldunaite
BACKGROUND: Many factors can influence oral health including oral hygiene measures, eating habits, attention from parents, education and the social situation. It is even harder to keep good oral health when orthodontic treatments are applied, because orthodontic treatments are usually undergone by children and adolescents who have fewer skills and pay less attention to their oral health; this may lead to bleeding on probing (BOP), a higher plaque index (PI), a higher gingival index (GI), and an increase in probing pocket depth (PPD)...
2016: Stomatologija
J Kostrzewa-Janicka, P Śliwiński, M Wojda, D Rolski, E Mierzwińska-Nastalska
A combination of abnormal anatomy and physiology of the upper airway can produce its repetitive narrowing during sleep, resulting in obstructive sleep apnea (OSA). Treatment of sleep-breathing disorder ranges from lifestyle modifications, upper airway surgery, continuous positive airway pressure (CPAP) to the use of oral appliances. A proper treatment selection should be preceded by thorough clinical and instrumental examinations. The type and number of specific oral appliances are still growing. The mandibular advancement appliance (MAA) is the most common type of a dental device in use today...
September 20, 2016: Advances in Experimental Medicine and Biology
Élcio Magdalena Giovani, Kelly Cristine Tarquinio Marinho, Ruth Andia-Merlin
Opitz G/BBB syndrome is a genetic condition characterized by several abnormalities along the midline of the body, such as hypertelorism, craniofacial deformities, and dysphagia. This study reports the clinical features of Optiz syndrome and its importance in the knowledge of patients who are developmentally challenged as a whole, in order to establish adequate dental treatment for a certain clinical case. A 19-year-old patient visited the Paulista University for a dental treatment. The extraoral examination revealed ocular hypertelorism (wide-spaced eyes), oblique eyelids, epicanthus, low-set cart, and intellectual disability...
September 19, 2016: Special Care in Dentistry
Feiou Lin, Linjie Yao, Chandradev Bhikoo, Jing Guo
OBJECTIVE: To assess the impact of wearing fixed orthodontic appliance (FOA) or clear-aligner, on daily performance in adult patients. METHODS: The Oral Impacts on Daily Performance (OIDP) index was assessed in 152 adults aged 25-35 years at baseline (T0), 6 months after bonding (T1), and 12 months after bonding (T2). Participants were randomly divided into two groups: CA group (participants treated with clear-aligner) and a control group (FOA group; participants treated with FOA)...
2016: Patient Preference and Adherence
Chandresh Shukla, Raj Kumar Maurya, Vinod Singh, Manisha Tijare
BACKGROUND: Orthodontic therapy has oral ecological changes causing increased numbers of mutans streptococci in saliva and plaque. The purpose of this study was to estimate counts and colonization pattern of Streptococcus mutans after application of fixed orthodontic appliances. MATERIALS AND METHODS: Plaque samples of randomly selected sixty patients were collected before placement of orthodontic appliances from buccal and labial aspects of the anterior teeth and four first molars and readings were recorded as T0...
July 2016: Dental Research Journal
Hamad S AlRumaih, Nadim Z Baba, Abdulkareem AlShehri, Abdulaziz AlHelal, Abdulkareem Al-Humaidan
PURPOSE: Different approaches have been proposed to treat obstructive sleep apnea (OSA). This article reviews a synopsis of the available literature regarding the management of OSA. METHODS: A comprehensive review of the literature on the management of OSA began with a search of English-language peer-reviewed manuscripts using PubMed and MEDLINE. The focus was on clinical research articles published between 1996 and 2016. A search of relevant dental journals was also completed...
September 6, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Sandra E Hernández-Solís, Florencio Rueda-Gordillo, Alan D Flota-Alcocer, Fernando J Agullar-Ayala, María Del S C Rodríguez-Fernández, Esperanza M Lama-González
INTRODUCTION: Use of orthodontic appliances creates favorable conditions for growth of dental bacterial plaque. AIM: To establish if use of orthodontic appliance affects the presence of Candida species in the oral cavity in a group of pediatric patients. MATERIALS AND METHODS: We studied 60 patients between 4 and 10 years old, requiring treatment with orthodontic appliances. Samples were taken of the oral cavity before orthodontic treatment and six months after use began...
June 2016: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
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