<abstract xmlns="http://www.w3.org/1999/xhtml">IntroductionThe craniofacial skeleton in the growing child is responsive to changing functional demands and environmental factors. Orthopedic modification of facial bones through the application of constant forces over long periods of time has been a mainstay of orthodontic and dentofacial orthopedic therapy.Aim of the studyThe aim of this study was to evaluate changes in pharyngeal structures after rapid palatal expansion (RPE) and compare them with those after using a removable mandibular advancement device (MAD).Material and methodsIn order to accomplish function we modified the pattern of neuromuscular activity throught mandible forward position.ResultsThis finding shows that maxillary deficiency and mandibular retrognathism have been reportedly linked to OSA as both etiologic factors and sequelae of prolonged mouth breathing during the period of growth, these illustrate the potential interaction between alteration in respiratory function and craniofacial morphology.ConclusionsCraniofacial anatomic defects, including inferior displacement of the hyoid bone, larger gonial angle, smaller anterior cranial base, altered anterior and posterior facial heights, and mandibular deficiency, have been suggested as predisposing factors for upper airway obstruction during sleep. Cephalometry has been used extensively in the fields of orthodontics and anthropology to record craniofacial form. Recently, it has been also suggested that cephalometry could be an adjunctive procedure for assessing craniofacial patterns associated with OSAS.Estimating efficacy of rapid maxillary expansion and mandibular advanced in the treatment of paediatric SDB. This might provide alternatives to primary treatments and/or enhance interdisciplinary treatment planning for the children suffering from OSA. The relationships between maxillofacial malocclusions and upper airway volumes were investigated. Literature studies on the association of upper airway narrowing with dento-skeletal malocclusions have been confirmed by us for the group of patients studied.</abstract>

IntroductionThe craniofacial skeleton in the growing child is responsive to changing functional demands and environmental factors. Orthopedic modification of facial bones through the application of constant forces over long periods of time has been a mainstay of orthodontic and dentofacial orthopedic therapy.Aim of the studyThe aim of this study was to evaluate changes in pharyngeal structures after rapid palatal expansion (RPE) and compare them with those after using a removable mandibular advancement device (MAD).Material and methodsIn order to accomplish function we modified the pattern of neuromuscular activity throught mandible forward position.ResultsThis finding shows that maxillary deficiency and mandibular retrognathism have been reportedly linked to OSA as both etiologic factors and sequelae of prolonged mouth breathing during the period of growth, these illustrate the potential interaction between alteration in respiratory function and craniofacial morphology.ConclusionsCraniofacial anatomic defects, including inferior displacement of the hyoid bone, larger gonial angle, smaller anterior cranial base, altered anterior and posterior facial heights, and mandibular deficiency, have been suggested as predisposing factors for upper airway obstruction during sleep. Cephalometry has been used extensively in the fields of orthodontics and anthropology to record craniofacial form. Recently, it has been also suggested that cephalometry could be an adjunctive procedure for assessing craniofacial patterns associated with OSAS.Estimating efficacy of rapid maxillary expansion and mandibular advanced in the treatment of paediatric SDB. This might provide alternatives to primary treatments and/or enhance interdisciplinary treatment planning for the children suffering from OSA. The relationships between maxillofacial malocclusions and upper airway volumes were investigated. Literature studies on the association of upper airway narrowing with dento-skeletal malocclusions have been confirmed by us for the group of patients studied.

Orthodontic treatment of patients with obstructive sleep apnea syndrome (OSAS)

George Emil Palade University of Medicine

Acta Stomatologica Marisiensis Journal

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Orthodontic treatment of patients with obstructive sleep apnea syndrome (OSAS)"}

IntroductionThe craniofacial skeleton in the growing child is responsive to changing functional demands and environmental factors. Orthopedic modification of...

Orthodontic treatment of patients with obstructive sleep apnea syndrome (OSAS)

Published Online: Jul 16, 2020

Page range: 168 - 176

Received: Sep 03, 2019

Accepted: Nov 01, 2019

DOI: https://doi.org/10.2478/asmj-2019-0003

Keywords
OSA, class II anomalies, maxillary expansion, mandibular advancement

© 2019 Mariana Păcurar et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Orthodontic treatment of patients with obstructive sleep apnea syndrome (OSAS)

Published Online: Jul 16, 2020

Page range: 168 - 176

Received: Sep 03, 2019

Accepted: Nov 01, 2019

DOI: https://doi.org/10.2478/asmj-2019-0003

KeywordsOSA, class II anomalies, maxillary expansion, mandibular advancement

© 2019 Mariana Păcurar et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
OSA, class II anomalies, maxillary expansion, mandibular advancement