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https://www.readbyqxmd.com/read/28629917/personalized-management-approach-for-obstructive-sleep-apnea
#1
REVIEW
Jayne C Carberry, Jason Amatoury, Danny J Eckert
Obstructive sleep apnea (OSA) is a heterogeneous disorder. If left untreated, OSA has major health, safety and economic consequences. In addition to varying levels of impairment in pharyngeal anatomy (narrow/collapsible airway), non-anatomical 'phenotypic traits' are also important contributors to OSA for most patients. However, the majority of existing therapies only target the anatomical cause (e.g. continuous positive airway pressure [CPAP], oral appliances, weight loss, positional therapy, and upper airway surgery)...
June 16, 2017: Chest
https://www.readbyqxmd.com/read/28624182/oral-appliances-for-the-management-of-osa-an-updated-review-of-the-literature
#2
REVIEW
Mona M Hamoda, Yuuya Kohzuka, Fernanda R Almeida
Oral appliances (OAs) are becoming increasingly recognized not only as an alternative, but also possibly as an adjunct treatment modality for obstructive sleep apnea (OSA). Compared to Continuous Positive Airway Pressure (CPAP), the gold standard therapy, OAs are less efficacious but are more accepted and tolerated by the patients which may in turn lead to a comparable therapeutic effectiveness. Different oral appliance designs currently exist and even more are constantly emerging. Additionally, state of the art technologies are being utilized in the fabrication of many however, all the currently available OAs employ the same mechanism of action by targeting the anatomical component involved in the pathogenesis of the disease...
June 14, 2017: Chest
https://www.readbyqxmd.com/read/28602154/tissue-necrosis-under-a-nance-palatal-arch-a-case-report
#3
Zak C Sullivan, Jayne E Harrison
A Nance palatal arch is a method of reinforcing anchorage to help prevent mesial movement of maxillary first permanent molars. It is recognised that it is difficult to maintain oral hygiene around the appliance and that iatrogenic damage can occur. We present a case of a 22-year-old male patient in whom the palatal mucosa became necrotic, palatal bone became exposed and long-term periodontal damage occurred. We describe the case, his treatment and the resolution of the inflammation as well as exploring the causes for the damage and alternate treatment options...
June 10, 2017: Journal of Orthodontics
https://www.readbyqxmd.com/read/28597834/-magnetic-resonance-imaging-artefacts-and-fixed-orthodontic-attachments
#4
Aurélien Beau, Denis Bossard, Sarah Gebeile-Chauty
OBJECTIVES: Orthodontic appliances are often removed before magnetic resonance imaging (MRI) scans because they are known to produce artefacts. The purpose of this study was to find the exact indications for removal of various fixed attachments when imaging four specific areas of the head and neck. MATERIALS AND METHODS: Sixty patients requiring an MRI scan of the head for medical reasons volunteered for this investigation. One of four different types of fixed attachments (stainless steel brackets, titanium brackets, ceramic brackets with metal slots, and stainless steel retainers) were assigned to a patient...
June 2017: L' Orthodontie Française
https://www.readbyqxmd.com/read/28578462/ammp-8-in-correlation-to-caries-and-periodontal-condition-in-adolescents-results-of-the-epidemiologic-life-child-study
#5
Jana Schmidt, Ulrike Guder, Markus Kreuz, Markus Löffler, Wieland Kiess, Christian Hirsch, Dirk Ziebolz, Rainer Haak
OBJECTIVES: The suitability of a chairside aMMP-8 test in determination of periodontal inflammation and caries in adolescents was assessed. Secondly, the influence of orthodontic treatment on aMMP-8 test result was analyzed. MATERIALS AND METHODS: Within the LIFE Child study, 434 adolescents (10 to 18 years) were included. Clinical dental examinations comprised caries experience (DMF/T-Index), signs of periodontal inflammation (probing pocket depth, PPD; community periodontal index of treatment needs; CPITN) at six index teeth and oral hygiene (OH)...
June 4, 2017: Clinical Oral Investigations
https://www.readbyqxmd.com/read/28578372/mandibular-advancement-devices-vs-nasal-continuous-positive-airway-pressure-in-the-treatment-of-obstructive-sleep-apnoea-systematic-review-and-meta-analysis
#6
G Cammaroto, C Galletti, F Galletti, B Galletti, C Galletti, C Gay-Escoda
BACKGROUND: Obstructive sleep apnoea (OSA) is a common disorder that may affect at least 2 to 4% of the adult population. Nasal-Continuous Positive Airway Pressure (N-CPAP) is today considered the gold standard for the treatment of OSA. The development of oral appliances (OAs) represents a new approach for the management of this pathology. The aim of this systematic review is to compare the efficacy of OAs and N-CPAP in the treatment of patients with mild to severe OSA. MATERIAL AND METHODS: A PubMed-MEDLINE and Cochrane databases search of articles published between 1982 and 2016 comparing the effect of N-CPAP and OAs in OSA patients was conducted during July 2016...
June 4, 2017: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/28566845/prevention-and-treatment-of-white-spot-lesions-in-orthodontic-patients
#7
REVIEW
Maryam Khoroushi, Marzie Kachuie
Decalcification of enamel, appearing as white spot lesions (WSLs), around fixed orthodontic appliances is a major challenge during and after fixed orthodontic treatment by considering the fact that the goal of orthodontic treatment is to enhance facial and dental esthetic appearance. Banded or bonded teeth exhibit a significantly higher rate of WSLs compared to the controls with no braces as fixed appliances and the bonding materials promote retention of biofilms. These lesions are managed in the first step by establishing good oral hygiene habits and prophylaxis with topical fluorides, including high-fluoride toothpastes, fluoride mouthwashes, gels, varnishes, fluoride-containing bonding materials, and elastic ligatures...
January 2017: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/28554450/oral-health-related-quality-of-life-changes-in-patients-with-severe-class-iii-malocclusion-treated-with-the-2-jaw-surgery-first-approach
#8
Daniela Feu, Branca Heloísa de Oliveira, Nathalia Barbosa Palomares, Roger Keller Celeste, José Augusto Mendes Miguel
INTRODUCTION: In this nonrandomized prospective study, we compared the effects of the surgery-first approach with conventional 2-jaw orthognathic surgery on skeletal Class III patients' oral health-related quality of life (OHRQoL), quality of the orthodontic outcome, and average treatment duration. METHODS: The sample consisted of 16 patients with severe skeletal Class III malocclusion, who needed 2-jaw orthognathic surgery: 8 were treated with the surgery-first approach, and 8 were treated with the traditional orthodontic-surgical approach...
June 2017: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/28552363/in-situ-evaluation-of-fluoride-stannous-and-polyphosphate-containing-solutions-against-enamel-erosion
#9
Samira Helena João-Souza, Sávio José C Bezerra, Patrícia Moreira de Freitas, Nelson B de Lima, Ana Cecília Corrêa Aranha, Anderson T Hara, Taís Scaramucci
OBJECTIVE: To evaluate the anti-erosive effect of solutions containing sodium fluoride (F: 225ppm of fluoride), sodium fluoride+stannous chloride (F+Sn: 225ppm of fluoride+800ppm of stannous), sodium fluoride+stannous chloride+sodium linear polyphosphate (F+Sn+LPP: 225ppm of fluoride+800ppm of stannous+2% of sodium linear polyphosphate), and deionized water (C: control), using a four-phase, single-blind, crossover in situ clinical trial. METHODS: In each phase, 12 volunteers wore appliances containing 4 enamel specimens, which were submitted to a 5-day erosion-remineralization phase that consisted of 2h of salivary pellicle formation with the appliance in situ, followed by 2min extra-oral immersion in 1% citric acid (pH 2...
May 25, 2017: Journal of Dentistry
https://www.readbyqxmd.com/read/28546959/an-evaluation-of-oral-health-related-quality-of-life-in-orthodontic-patients-treated-with-fixed-and-twin-blocks-appliances
#10
Emad Em Alzoubi, Racha Hariri, Kevin Mulligan, Nikolai Attard
OBJECTIVE: To study the impact of orthodontic treatment on the quality of life in two patient groups, one treated with the twin block appliance and the other with fixed appliances. MATERIALS AND METHODS: Ninety-eight patients, aged between 10 and 16 years, were recruited in the fixed (20 males and 29 females) or functional (29 males and 20 females) treatment groups. The oral health-related quality of life (OHRQoL) was measured before treatment and followed up at the end of the treatment...
April 2017: Journal of Orthodontic Science
https://www.readbyqxmd.com/read/28545439/distribution-of-white-spot-lesions-among-orthodontic-patients-attending-teaching-institutes-in-khartoum
#11
Maha Kamal Eltayeb, Yahia Eltayeb Ibrahim, Ikhlas Ali El Karim, Nada Mirghani Sanhouri
BACKGROUND: Fixed orthodontic appliances render teeth cleaning arduous, thus when orthodontic treatment is associated with inadequate oral hygiene practice, development of white spot lesions (WSLs) imposes a significant risk on the dentition. Salivary reservoir of calcium, magnesium, phosphorous and fluoride counteracts demineralization and encourages remineralization providing protection against caries challenge. The investigation of the factors leading to WSLs' development is mandatory for appropriate prevention strategies planning...
May 25, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28544459/plaque-removal-with-triple-headed-vs-single-headed-manual-toothbrushes-a-systematic-review
#12
REVIEW
S M Kalf-Scholte, G A Van der Weijden, Ewp Bakker, D E Slot
OBJECTIVE: The aim of this systematic review was to establish the effectiveness of brushing with a triple-headed manual toothbrush compared to a single-headed manual toothbrush on plaque removal. MATERIALS AND METHODS: The MEDLINE-PubMed and Cochrane-CENTRAL databases were searched. The inclusion criteria were clinical trials conducted with humans without fixed orthodontic appliances who were not dental care professionals. Papers that evaluated the effect of toothbrushing with a triple-headed manual toothbrush compared to a single-headed manual toothbrush on plaque removal were included...
May 22, 2017: International Journal of Dental Hygiene
https://www.readbyqxmd.com/read/28531377/following-surgically-assisted-rapid-palatal-expansion-do-tooth-borne-or-bone-borne-appliances-provide-more-skeletal-expansion-and-dental-expansion
#13
Adrien Hamedi-Sangsari, Zahra Chinipardaz, Lee Carrasco
PURPOSE: The aim of this study was to compare outcome measurements of skeletal and dental expansion with bone-borne (BB) versus tooth-borne (TB) appliances after surgically assisted rapid palatal expansion (SARPE). This study was performed to provide quantitative measurements that will help the oral surgeon and orthodontist in selecting the appliance with, on average, the greatest amount of skeletal expansion and the least amount of dental expansion. MATERIALS AND METHODS: A computerized database search was performed using PubMed, EBSCO, Cochrane, Scopus, Web of Science, and Google Scholar on publications in reputable oral surgery and orthodontic journals...
April 25, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28523247/effects-of-a-new-type-of-clear-overlay-retainer-on-occlusal-contacts
#14
Kyoung Yeon Kim, Hyo-Won Ahn, Seong-Hun Kim, Gerald Nelson
The popularity of clear overlay retainers (CORs) has increased recently because of their advantages such as better esthetics, cost effectiveness, easy fabrication, and good compliance. However, a deficiency in posterior occlusal settling is a reported limitation of CORs. The aim of this study was to evaluate the posterior occlusal contact changes in a new type of clear orthodontic retainer called Oral-treaper (OTP), which consists of three layers and has stronger mechanical characteristics than do conventional retainers...
May 2017: Korean Journal of Orthodontics
https://www.readbyqxmd.com/read/28522078/a-randomized-controlled-trial-of-positional-therapy-versus-oral-appliance-therapy-for-position-dependent-sleep-apnea
#15
Linda Benoist, Maurits de Ruiter, Jan de Lange, Nico de Vries
OBJECTIVE: To compare the effectiveness of positional therapy (PT) with the sleep position trainer (SPT) to oral appliance therapy (OAT) in patients with mild-to-moderate positional obstructive sleep apnea (POSA). METHODS: Multicenter, prospective, randomized, controlled trial. Patients with mild-to-moderate POSA (apnea-hypopnea index (AHI) ≥5 ≤ 30/hour sleep) were randomized for PT or OAT. Polysomnography was repeated after 3 months. Efficacy, adherence, mean disease alleviation (MDA), quality of life, dropouts and adverse events were evaluated...
June 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28512541/anti-plaque-and-anti-gingivitis-effect-of-papain-bromelain-miswak-and-neem-containing-dentifrice-a-randomized-controlled-trial
#16
Abhinav Tadikonda, Kalyana-Chakravarthy Pentapati, Arun-Sreenivas Urala, Shashidhar Acharya
BACKGROUND: Patients undergoing fixed orthodontic therapy may have difficulty in maintaining a good oral hygiene due to the difficulty posed by the appliances in accessing such areas. This study aimed to compare anti-plaque and anti-gingivitis efficacy of dentifrice containing Papain, Bromelain, Miswak and Neem with a standard dentifrice among patient's undergoing fixed orthodontic treatment. MATERIAL AND METHODS: Single center, single blind, parallel arm, randomized controlled clinical trial with an allocation ratio of 1:1 was conducted...
May 2017: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/28509361/prevalence-of-dental-developmental-anomalies-of-permanent-teeth-in-children-and-their-influence-on-esthetics
#17
Anita Fekonja
OBJECTIVE: The aim of this study was to determine the prevalence of dental developmental anomalies in permanent teeth and their influence on esthetics. MATERIALS AND METHODS: The records of 473 subjects, which comprised of orthopantomograms, clinical examination, and anamnestic data, were explored for dental developmental anomalies. Subjects with dental anomalies completed the modified questionnaire. Data on reasons for seeking the treatment as well as factors affecting the patients' satisfaction were collected...
May 16, 2017: Journal of Esthetic and Restorative Dentistry
https://www.readbyqxmd.com/read/28509315/caspase-3-as-an-important-factor-in-the-early-cytotoxic-effect-of-nickel-on-oral-mucosa-cells-in-patients-treated-orthodontically
#18
Piotr Buczko, Izabela Szarmach, Monika Grycz, Irena Kasacka
INTRODUCTION: The effect of fixed orthodontic appliances on biochemical changes in saliva and pathophysiological status of the oral cavity is not clear. Recent data showed that nickel (Ni) released from orthodontic appliances can decrease cellular viability, induce DNA damage and apoptosis in oral mucosa cells. Since the mechanism of these Ni effects is unknown, the aim of our study was to analyze the expression of caspase-3 in epithelial cells of oral mucosa in healthy individuals treated orthodontically...
2017: Folia Histochemica et Cytobiologica
https://www.readbyqxmd.com/read/28502280/a-feedback-controlled-mandibular-positioner-identifies-individuals-with-sleep-apnea-who-will-respond-to-oral-appliance-therapy
#19
John E Remmers, Zbigniew Topor, Joshua Grosse, Nikola Vranjes, Erin V Mosca, Rollin Brant, Sabina Bruehlmann, Shouresh Charkhandeh, Seyed Abdolali Zareian Jahromi
STUDY OBJECTIVES: Mandibular protruding oral appliances represent a potentially important therapy for obstructive sleep apnea (OSA). However, their clinical utility is limited by a less-than-ideal efficacy rate and uncertainty regarding an efficacious mandibular position, pointing to the need for a tool to assist in delivery of the therapy. The current study assesses the ability to prospectively identify therapeutic responders and determine an efficacious mandibular position. METHODS: Individuals (n = 202) with OSA participated in a blinded, 2-part investigation...
May 11, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/28480847/microbiological-aspects-of-the-orthodontic-treatment
#20
A Zharmagambetova, S Tuleutayeva, S Akhmetova, A Zharmagambetov
An orthodontic appliance in the mouth worsens conditions for its self-cleaning, complicates the teeth care and makes an environment favorable to the soft tooth deposit, in turn, leads to the teeth enamel demineralization. In literature, the majority of works are devoted to the study of the microbial landscape with fixed orthodontic treatment. Despite the obvious relevance, the formation problem of opportunistic and pathogenic microorganisms when treating dentoalveolar anomalies with a removable orthodontic appliance remains understudied...
March 2017: Georgian Medical News
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