-
Journal of Personalized Medicine Mar 2022Mandibular advancement devices for obstructive sleep apnea treatment are becoming increasingly popular among patients who do not prefer CPAP devices or surgery. Our... (Review)
Review
BACKGROUND
Mandibular advancement devices for obstructive sleep apnea treatment are becoming increasingly popular among patients who do not prefer CPAP devices or surgery. Our study aims to evaluate the literature regarding potential dental and skeletal side effects caused by mandibular advancement appliances used for adult OSA treatment.
METHODS
Electronic databases were searched for published and unpublished literature along with the reference lists of the eligible studies. Randomized clinical trials and non-randomized trials assessing dental and skeletal changes by comparing cephalometric radiographs were selected. Study selection, data extraction, and risk of bias assessment were performed individually and in duplicate. Fourteen articles were finally selected (two randomized clinical trials and 12 non-randomized trials).
RESULTS
The results suggest that mandibular advancement devices used for OSA treatment increase the lower incisor proclination by 1.54 ± 0.16°, decrease overjet by 0.89 ± 0.04 mm and overbite by 0.68 ± 0.04 mm, rotate the mandible downward and forward, and increase the SNA angle by to 0.06 ± 0.03°. The meta-analysis revealed high statistical heterogeneity.
CONCLUSIONS
The MADs affect the lower incisor proclination, overjet, overbite, the rotation of the mandible and the SNA angle. More randomized clinical trials providing high-quality evidence are needed to support those findings.
PubMed: 35330482
DOI: 10.3390/jpm12030483 -
Journal of Maxillofacial and Oral... Jun 2022Relapse is a continuing process and should be evaluated on a long rather than short term.
BACKGROUND
Relapse is a continuing process and should be evaluated on a long rather than short term.
MATERIALS AND METHODS
Treatment records of 46 patients who underwent mandibular orthognathic surgery were divided into two groups, i.e. Group 1: Mandibular Advancement (MA) surgery ( = 26) and Group 2: Mandibular Setback (MS) surgery ( = 20). Lateral cephalograms were traced at T0 (01 week before surgery), T1 (01 week after surgery), T2 (01 year after surgery) and T3 (minimum 05 years after surgery) to study short- and long-term skeletal and dental relapse in horizontal, vertical and angular parameters selected for the study. Relapse was correlated with gender, age, amount of surgical movement and intra-operative change in mandibular plane angle to study effect of these factors on relapse.
RESULTS
All horizontal, vertical and angular parameters studied showed significant relapse at short term (from T1 to T2) which continued significantly till long-term evaluation (T2 to T3) in both groups ( value < 0.001). Horizontal relapse in all parameters, vertical relapse in all parameters (except Pog and overbite at T1-T2) and angular relapse in all parameters (except Ramus inclination at T1-T2) was significantly higher in Group 2 compared to Group 1 ( value < 0.001 for all). Relapse showed significant and positive correlation with amount of surgical movement and intra-operative change in mandibular plane angle in both groups ( value < 0.05 for all).
CONCLUSION
Both MA and MS surgeries show significant relapse on both short- and long-term evaluation which it is higher in MS as compared to MA surgeries.
PubMed: 35712437
DOI: 10.1007/s12663-020-01445-5 -
Analysis of the association between facial biotype, overbite and overjet in the permanent dentition.Journal of Clinical and Experimental... May 2023To determine the association between the facial biotype, the overbite and the overjet in digital lateral skull radiographs.
BACKGROUND
To determine the association between the facial biotype, the overbite and the overjet in digital lateral skull radiographs.
MATERIAL AND METHODS
230 digital skull lateral radiographs of patients with permanent dentition with 18 to 55 years old were used as sample. The VERT index and the Ricketts analysis were considered to identify the facial biotype, overbite and overjet.
RESULTS
The facial biotype with the highest prevalence was dolichofacial with 36.52% (n=84), being more frequent in the female sex. However, the mesofacial biotype predominated in the male sex. On the other hand, the normal overbite presented the highest percentage with 66.08% (n=152) and the deep bite was more frequent than the open bite. Regarding the overjet, the normal overjet was the most prevalent with 68.70% (n=158), followed by the decreased overjet. Differences were found between the overbite values of males with brachyfacial biotype versus mesofacial and dolichofacial (<0.05). A strong positive correlation was observed between overbite and overjet in mesofacial biotype (Rho=0.83, sig=<0.001). The predominant vertical malocclusion in the dolichofacial biotype was open bite and deep bite in the brachyfacial biotype. Regarding the facial biotype and the overjet, a significant association was found only in the male sex (<0.05).
CONCLUSIONS
With the results obtained, it is concluded that there is an association between facial biotype, overbite and overjet. Facial biotype, overbite, ovejet.
PubMed: 37214746
DOI: 10.4317/jced.60301 -
Clinical Oral Investigations Oct 2022This study aimed to investigate the malocclusion complexity and orthodontic treatment need among children with and without autism spectrum disorder (ASD) referred for...
OBJECTIVES
This study aimed to investigate the malocclusion complexity and orthodontic treatment need among children with and without autism spectrum disorder (ASD) referred for orthodontic treatment by quantifying the Discrepancy Index (DI) and Index of Orthodontic Treatment Need (IOTN).
MATERIALS AND METHODS
Dental records of 48 ASD and 49 non-ASD consecutive patients aged between 9 and 18 years (median age 13.0 years) referred for orthodontic treatment were reviewed and compared. The Discrepancy Index (DI) was quantified to determine the malocclusion complexity, and the Index of Orthodontic Treatment Need (IOTN), including the Dental Health Component (IOTN-DHC) and Aesthetic Component (IOTN-AC), was quantified to determine the orthodontic treatment need. Statistical analysis included descriptive analysis, Pearson chi-square tests, Fisher's exact test, Mann-Whitney U tests, and several univariate and multivariate regression analyses. The statistical analysis used descriptive analysis, Pearson chi-square test, Fisher's exact test, and multivariate logistic regression.
RESULTS
The results show that both malocclusion complexity (DI, p = 0.0010) and orthodontic treatment need (IOTN-DHC, p = 0.0025; IOTN-AC p = 0.0009) were significantly higher in children with ASD. Furthermore, children with ASD had a higher prevalence of increased overjet (p = .0016) and overbite (p = .031).
CONCLUSIONS
Malocclusion complexity and orthodontic treatment need are statistically significantly higher among children with ASD than children without ASD, independent of age and sex.
CLINICAL RELEVANCE
Children with autism may benefit from visits to a dental specialist (orthodontist) to prevent, to some extent, developing malocclusions from an early age.
Topics: Adolescent; Autism Spectrum Disorder; Child; Esthetics, Dental; Health Services Needs and Demand; Humans; Index of Orthodontic Treatment Need; Malocclusion; Malocclusion, Angle Class II; Orthodontics, Corrective; Overbite
PubMed: 35701552
DOI: 10.1007/s00784-022-04578-8 -
International Journal of Clinical... 2020The purpose of this research is to analyze and compare the dental and skeletal changes induced by two functional devices, Andreasen Activator and Clark's twin block, on...
AIM
The purpose of this research is to analyze and compare the dental and skeletal changes induced by two functional devices, Andreasen Activator and Clark's twin block, on the sagittal and vertical plane, by means of cephalometric analysis, of the lateral cephalograms prescribed at the beginning and at the end of the treatment for a second skeletal class, first division with normal or deep bite.
MATERIALS AND METHODS
Twenty patients, 8 females and 12 males, fulfilling criteria for inclusion, were divided randomly into two groups: group I was treated with Andreasen activator, the second group with Clark's twin block. The duration of the therapy was about 18 months plus less 2 months. Pretreatment and posttreatment cephalometric radiographs were analyzed using angular (SNA, SNB, ANB, SnaSnp-GoGn angles), linear (Sna-Snp, Co-Gn, Co-Go, Go-Gn) skeletal parameters and dental one (U1-SnaSnp angle, L1-GoGn angle, Overjet and Overbite). To evaluate the posttreatment changes in the single groups and between them, paired and unpaired -test was used.
RESULTS
In both of the two groups analyzed, all the sagittal and vertical, angular and linear, skeletal measurements appear to be increased in a statistically significant way, except SNA angle and the distance Sna-Snp. Regarding the dental parameters, in the group treated with Andreasen activator, only Overjet and Overbite showed statistically significant differences. On the other hand, twin block induced statistical changes about Overjet, Overbite and also U1/SnaSnp, but not about L1/GoGn. The advancement of the mandible determines a greater prominence of the chin and lower lip, an increment of the labial mental angle and a reduction of the convexity of the profile. Also, the decrease of the overjet and, consequently, of the dental exposure improve the esthetic appearance of the patient's face.
CONCLUSION
Both functional treatments showed a lower jaw advanced on the sagittal plane and increased in size. In the upper jaw no significant changes were observed. It was also evident a dental compensation both on sagittal and vertical planes.
CLINICAL SIGNIFICANCE
The functional devices studied, Andreasen activator and twin block, seem to obtain more skeletal than dental results when the patients were treated at the peak of pubertal growth.
HOW TO CITE THIS ARTICLE
Baccaglione G, Rota E, Ferrari M, Second Class Functional Treatment: Andreasen Activator vs Twin Block. Int J Clin Pediatr Dent 2020;13(2):144-149.
PubMed: 32742091
DOI: 10.5005/jp-journals-10005-1725 -
BMC Oral Health Aug 2023The main purpose of the study was to investigate the prevalence and related risk factors of malocclusion in permanent dentition among adolescents in Shanghai, and...
BACKGROUND
The main purpose of the study was to investigate the prevalence and related risk factors of malocclusion in permanent dentition among adolescents in Shanghai, and provide basic data for government's preventive strategies and intervention plans.
METHODS
1799 adolescents aged 11-15 years old from 18 middle schools in 6 districts of Shanghai were recruited to investigate oral health status and related risk factors using cluster random sampling method in 2021. Malocclusion and caries were examined by on-site inspection. The investigation criteria referred to Bjoerk and the recommendation of the WHO. The malocclusion inspection items included molars relationship, canine relationship, overbite, overjet, midline displacement, anterior crossbite, posterior crossbite, scissors bite, crowding and spacing. The subjects were asked to fill in a questionnaire including parents' education level, oral health behaviors and dietary habits. The chi-square test and logistic regression analysis were used to analyze the relationship between malocclusion and risk factors.
RESULTS
1799 adolescents were included in the study and the prevalence of malocclusion in adolescents in Shanghai was 83.5%, and the proportion of molar relationship class I, class II, and class III was 48.9%, 14.7%, and 19.0%, respectively. The most common occlusal characteristic of malocclusion was anterior crowding, followed by midline irregularities and deep overbite, with prevalence rates of 44.8%, 39.0% and 38.6%, respectively. The prevalence rate of adolescents with caries was 34.3%. Those who had dental caries and preferred soft food were more likely to have abnormal occlusal characteristics (p < 0.05).
CONCLUSION
The prevalence of malocclusion in adolescents in Shanghai is high, so it is of great significance to strengthen oral health education, allocate proper preventive strategies and carry out the early correction if necessary.
Topics: Humans; Overbite; Dental Caries; Prevalence; China; Malocclusion
PubMed: 37620836
DOI: 10.1186/s12903-023-03187-5 -
Medicina (Kaunas, Lithuania) Sep 2022The excessive use of smartphones for various tasks led to a new adverse postural phenomenon called text neck. The aim of this study was to investigate the effect of the...
The excessive use of smartphones for various tasks led to a new adverse postural phenomenon called text neck. The aim of this study was to investigate the effect of the text neck posture (TNP) on static occlusion by using the T-Scan III occlusal diagnostic system. : Nineteen subjects (aged 20 to 24 years) were considered for this research. They had normal values for anterior overbite and overjet, Angle Class I occlusion, no posterior crossbite, and no signs or symptoms of cervical or temporo-mandibular disorders. Occlusal registrations were performed with the T-Scan III system in a normal, neutral head posture (NHP), as well as in the TNP. The investigated parameters were: occlusion time (OT), asymmetry index of the occlusal force (AOF), percent of the maximum movie force (%MMF), and the time elapsed from the last occlusal contact until the maximum intercuspation (MAT-OTB). The last three parameters were analyzed in the maximum area frame (MA) of the registrations. For the statistical analysis of the recorded data, the Wilcoxon Signed Ranks test and the Spearman's correlation coefficient were used. The following values were obtained in NHP and in TNP: for AOF, 14.88 ± 10.39% and 18.04 ± 12.83%, respectively; for OT, 1.34 ± 1.84 s and 1.32 ± 1.8 s, respectively; for the %MMF, 97.5 ± 2.83% and 96.31 ± 3.17%, respectively; for MAT-OTB, 2.08 ± 1.82 s and 1.45 ± 2.3 s, respectively. There were no statistically significant differences between the static occlusal parameters measured in NHP and those in TNP. However, the high values of the AOF and OT in NHP revealed an imbalance of the occlusal force distribution between the right and left side in maximum intercuspation (MI), as well as a lack of simultaneity of static occlusal contacts. Furthermore, there was a significant, direct, and strong correlation between OT and AOF in NHP. The NHP should not be used as the starting position in TNP simulations in T-Scan studies, so as to avoid statistically insignificant differences between static occlusion in NHP and TNP. The healthy standing subjects, with normal occlusal relationships from the clinical point of view, revealed an occlusal instability in NHP when examined with the T-Scan.
Topics: Bite Force; Chest Pain; Dental Occlusion; Humans; Malocclusion; Posture; Temporomandibular Joint Disorders
PubMed: 36143980
DOI: 10.3390/medicina58091303 -
International Journal of Environmental... Apr 2021Specific dentofacial characteristics in wind instrumentalists should be taken in consideration when analyzing physiological and anatomical issues regarding the...
BACKGROUND
Specific dentofacial characteristics in wind instrumentalists should be taken in consideration when analyzing physiological and anatomical issues regarding the musician's embouchure, posture, and biomechanics during musical performance.
OBJECTIVES
To compare tooth cephalometric characteristics between wind instrument players and string players (overjet, overbite, lower facial height, facial convexity, lower incisor inclination, and interincisal angle).
METHODS
In total, 48 wind instrumentalists (67%) and 24 string instrumentalists (33%). These musicians performed lateral tele-radiography and the correspondent linear and angular measurements of the dentofacial cephalometric analysis. Statistical comparison of wind and string instrumentalists was made by using an independent t-test.
RESULTS
Small variations on the analyzed parameters were found between the wind and string instrument groups. Based on the cephalometric analysis the variable interincisal angle was statistically significant ( < 0.05), when comparing the wind and string instrument group.
CONCLUSIONS
Knowledge of the overjet and overbite value permits a substantial analysis on the tooth position of wind instrument players, where both of these parameters are increased and greater than the norm value. The cephalometry was an added value on the interpretation of possible factors that lead to the position of the central incisors of wind instruments. Till some extent in this group of musicians the applied forces during the embouchure mechanism on the anterior teeth and the existing perioral forces promote an equilibrium on the vector of forces. This study findings demonstrate that when evaluating the two samples, wind and string instruments there are different dentofacial configurations, however the only statistically significant differences that were found are related to the interincisal angle ( < 0.05).
Topics: Cephalometry; Face; Humans; Music; Radiography; Tooth
PubMed: 33921609
DOI: 10.3390/ijerph18084306 -
Progress in Orthodontics Aug 2020The aim of this systematic review was to identify, evaluate, and provide a current literature about the influence of heritability on the determination of occlusal traits. (Review)
Review
BACKGROUND
The aim of this systematic review was to identify, evaluate, and provide a current literature about the influence of heritability on the determination of occlusal traits.
MATERIALS AND METHODS
MEDLINE, SCOPUS, Web of Science, LILACS, and Google Scholar were searched without restrictions up to March 2020. Studies with twin method were considered and the risk of bias assessment was performed using quality of genetic association studies checklist (Q-Genie). The coefficient of heritability (h), model-fitting approaches, and coefficient correlation were used to estimate the genetic/environmental influence on occlusal traits. The GRADE tool was used to assess the quality of the evidence.
RESULTS
Ten studies met the eligibility criteria. Three studies presented good quality, five moderate quality, and two poor quality. Most studies have found that the intra-arch traits, mainly the maxillary arch morphology, such as width (h 16-100%), length (h 42-100%), and shape (h 42-90%), and the crowding, mainly for mandibular arch (h 35-81%), are under potential heritability influence. The traits concerning the inter-arch relationship, as overjet, overbite, posterior crossbite, and sagittal molar relation, seem not to be genetically determined. The certainty of the evidence was graded as low for all outcomes.
CONCLUSIONS
Although weak, the available evidence show that the heritability factors are determinant for the intra-arch traits, namely, arch morphology and crowding. Possibly due they are functionally related, the occlusal traits concerning the maxillary and mandibular relationship seem to have environmental factors as determinants. In this scenario, early preventive approaches can offer a more effective and efficient orthodontic treatment.
Topics: Humans; Malocclusion; Malocclusion, Angle Class II; Mandible; Maxilla; Overbite
PubMed: 32864724
DOI: 10.1186/s40510-020-00330-8 -
Maedica Jun 2021This study aimed to assess the anatomical variations of the mandibular symphysis in a normal occlusion population using cone-beam computed tomography (CBCT). This...
This study aimed to assess the anatomical variations of the mandibular symphysis in a normal occlusion population using cone-beam computed tomography (CBCT). This retrospective cross-sectional study evaluated 200 CBCT scans of patients aged ≥17 with class I occlusion, 1-3 mm overbite and overjet, and <3 mm crowding. The CBCT scans were obtained with NewTom 3G scanner with the exposure settings of 110 kVp, 1.2 mA, 5.4 s time, and six-inch field of view and saved in NNT Viewer. The anterior loop length, labial bone thickness, mandibular bone height at the symphysis, and cortical bone thickness at the right and left canine teeth and central and lateral incisors were measured and compared between males and females and different age groups using one-way ANOVA. The intra- and inter-observer agreements for all landmarks were ICC >0.9 (excellent). The mean length of the anterior loop in females was significantly greater than that in males (P=0.02). Different age groups had significant differences in cortical bone width at the site of the left canine (P=0.03) and vertical bone height at the site of the right central incisor (P=0.05). The majority of parameters related to the mandibular symphysis were greater in normal occlusion males than females. Preoperative CBCT assessment of the mandibular symphysis can greatly help in diagnosis and treatment planning as well as bone harvesting from this area.
PubMed: 34621345
DOI: 10.26574/maedica.2021.16.2.230