The efficacy of facial skeletal treatment options in the management of obstructive sleep apnea

Journal of Prosthodontics, Год журнала: 2025, Номер unknown

Опубликована: Янв. 6, 2025

Abstract Obstructive sleep apnea (OSA) is characterized by intermittent cessation of breathing during due to the collapse oropharyngeal tissues. This review examines role craniofacial growth in OSA and evaluates efficacy orthodontic orthognathic treatments. Maxillary expansion surgery have demonstrated significant reductions apneas hypopneas, although they do not consistently achieve cure levels, particularly presence obesity connective tissue disorders. Understanding multifaceted pathophysiology addressing confounding factors such as muscle tone are essential for enhancing treatment outcomes.

Язык: Английский

---

Evaluation of Upper Airway Width and Facial Height Cephalometric Parameters in Adult Caucasians with Skeletal Class I and Class III Malocclusion

Medicina, Год журнала: 2025, Номер 61(3), С. 463 - 463

Опубликована: Март 6, 2025

Background and Objectives: The main objectives of our study were to assess sexual dimorphism compare the facial height, as well anteroposterior width upper airway, within adult Caucasians diagnosed with skeletal Class I III malocclusion, based on a number angular linear cephalometric parameters. Materials Methods: One hundred lateral cephalograms selected from orthodontic Caucasian patients western Romania. Several parameters (SNA, SNB, ANB, FMA, Y–FH, Ba–S–PNS NL–ML angles) (total, lower anterior height—TAFH, UAFH, LAFH; total posterior height—TPFH) analysed for each case. airway included nasopharynx, upper, middle pharyngeal (UPAW, MPAW LPAW). Results: Distinct was observed regarding vertical both groups, males exhibiting significantly larger height parameters, while females demonstrated nasopharyngeal depth angles (Ba–S–PNS). Y–FH angle had higher values in than subjects, regardless sex. Upper dimensions showed specifically UPAW males. inter-class comparisons LPAW, especially females. Correlation analyses revealed no statistically significant relationships between subjects. tendency decrease subjects TAFH LAFH increased. consistent negative correlations groups. Conclusions: These findings suggest that malocclusions exhibit not only different sagittal relationships, but also distinctive, sex-related patterns group, therefore it would be advised male female should treated according separate protocols. In population, are more likely require orthognathic surgery, addition treatment, reserved prognosis they might have risk OSA or other respiratory disorders comparison

Язык: Английский

---

Extraction of premolars in orthodontic treatment does not negatively affect upper airway volume and minimum cross-sectional area: a systematic review with meta-analysis

European Journal of Orthodontics, Год журнала: 2025, Номер 47(2)

Опубликована: Фев. 7, 2025

Abstract Background Extraction of premolars is usually prescribed for the orthodontic treatment cases with inadequate space within dental arch or when anterior teeth retraction indicated; however, it has been advocated that this approach could negatively influence airways. Objective To identify and critically appraise studies premolar extractions during on upper airway dimensions. Search methods: Electronic unrestricted searches in nine databases until October 2024. Selection criteria: Clinical humans comparing comprehensive versus without extraction using cone-beam computed tomography to assess volume minimum cross-sectional area (minCSA). Data collection analysis: After duplicate study selection, data extraction, risk-of-bias assessment according Cochrane, random-effects meta-analyses Mean Differences (MD) their 95% confidence intervals (CI) were performed, followed by subgroup/meta-regression analyses quality evidence. Results Twelve papers corresponding 11 unique retrospective non-randomized included, covering 891 patients (35.8% male; 20.0 years-old average). No statistically significant differences effect nasopharynx, palatopharynx, glossopharynx, oropharynx oral cavity seen between treated (P > .05). Similarly, no non-extraction terms minCSA glossopharynx On contrary, showed increased compared those (4 studies; MD = 23.00 mm2; CI 10.74–35.26 P .009). effects from patient age, sex, equivalence extraction/non-extraction groups found, while strength evidence was moderate all due inclusion high risk bias. Conclusions Limited indicates that, average, have little Registration CRD42024621355

Язык: Английский

---

Three-dimensional evaluation of the airway morphology after miniscrew-supported en masse retraction in adult bimaxillary protrusion patients by using cone beam computed tomography: A single-arm clinical trial

International Orthodontics, Год журнала: 2024, Номер 23(1), С. 100936 - 100936

Опубликована: Окт. 30, 2024

Язык: Английский

---

An Evidence Base of Treatment Outcome for Class II Malocclusion

Springer eBooks, Год журнала: 2024, Номер unknown, С. 15 - 40

Опубликована: Янв. 1, 2024

Язык: Английский

---