The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment
Yıl: 2021 Cilt: 8 Sayı: 1 Sayfa Aralığı: 37 - 44 Metin Dili: İngilizce DOI: 10.15311/selcukdentj.855922 İndeks Tarihi: 02-10-2021
The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment
Öz: To examine the changes in pharyngeal airway dimension and hyoid bone position with the effect of rapid maxillary enlargement during the treatment of skeletal Class II malocclusion with functional appliances.Patients with skeletal Class II malocclusion were divided into two groups; Group 1 consisted of 25 patients (8 males, 17 females) with a mean age of 11.41±1.13 who treated with twin-block appliance with rapid maxillary expansion appliance and Group 2 who only received twin-block therapy consisted of 25 patients (12 males, 13 females) with a mean age of 11.92±0.65. In this study, 11 angular and 3 linear measurements were used for skeletal evaluation of maxillary and mandibular on cephalometric X-rays of initial and intermediate records of 50 patients and 13 linear measurements were performed for pharyngeal airway evaluation. Intra-group comparisons were analyzed using the paired sample t-tests. Inter-group comparisons were analyzed using the independent t-test.According to the intra-group t test results, in skeletal evaluation of the maxillary and mandibular, 8 angular and 2 linear measurements for group 1, 9 angular and 2 linear measurements for group 2, in pharyngeal evaluation all measurements of group 1 and 11 linear measurements for group 2 were significant differences (P<.05). According to the intergroup t test results, there were significant differences in skeletal assessment and pharyngeal airway evaluation (P<.05).A statistically significant difference was found in the upper and middle pharyngeal airway dimensions in the inter-group evaluation. While the contribution of rapid maxillary expansion to the increase of pharyngeal airway dimensions was shown, the effect of the functional appliances on this region is greater.
Anahtar Kelime: İskeletsel Sınıf II Tedavisinde Hızlı Üst Çene Genişletmesinin Hava Yolu Boyutlarına Etkisi
Öz: Bu çalışmanın amacı, iskeletsel Sınıf II maloklüzyona sahip hastaların tedavisinde kullanılan fonksiyonel apareyler sırasında hızlı üst çene genişletmesinin, farengeal hava yolu boyutlarına ve hyoid kemiğin pozisyonundaki değişimlere etkisinin değerlendirilmesidir.İskeletsel sınıf II maloklüzyona sahip hastalar iki gruba ayrıldı; Grup 1 hızlı üst çene genişletmesi ile birlikte twin blok tedavisi gören yaş ortalaması 11,41±1,13 olan 25 hastadan (8 erkek,17 kız) ve Grup 2 sadece twin blok tedavisi gören yaş ortalaması 11,92±0,65 olan 25 hastadan (12 erkek, 13 kız) oluşmaktadır. Çalışmamızda, 50 hastanın başlangıç ve ara kayıt sefalometrik röntgenleri üzerinde alt ve üst çeneye ait iskeletsel değerlendirme için 11 açısal 3 çizgisel ölçüm, farengeal havayolu değerlendirmesi için 13 çizgisel ölçüm gerçekleştirildi. İstatistiksel analiz için grup içi bağımlı örneklem t testi, gruplar arası bağımsız örneklem t testi kullanıldı.Grup içi bağımlı örneklem t testi sonuçlarına göre alt ve üst çeneye ait iskeletsel değerlendirmede grup 1 için 8 açısal 2 çizgisel ölçümde, grup 2 için 9 açısal 2 çizgisel ölçümde, farengeal havayolu değerlendirmesinde grup 1 için kullanılan tüm çizgisel ölçümlerde, grup 2 için 11 çizgisel ölçümde anlamlı fark bulundu(p < 0,05). Gruplar arası bağımsız örneklem t testi sonuçlarına göre iskeletsel değerlendirmede farengeal havayolu değerlendirmesinde anlamlı farklılıklar bulundu(p < 0,05).Gruplar arası değerlendirmede üst ve orta farengeal hava yolu boyutlarında istatistiksel olarak fark saptandı. Hızlı üst çene genişletmesi uygulanmış fonsiyonel aparey tedavisi, farengeal hava yolu ve hyoid kemiğin pozisyonunu daha fazla etkilemektedir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Kushida CA, Morgenthaler TI, Littner MR, Alessi CA, Bailey D, Coleman J. Practice parameters for the treatment of snoring and Obstructive Sleep Apnea with oral appliances: an update for 2005. Sleep. 2006;29:240-3.
- 2. Jena AK, Singh SP, Utreja AK. Sagittal mandibular development effects on the dimensions of the awake pharyngeal airway passage. Angle Orthod. 2010;80:1061–67.
- 3. Haas AJ. Long-term posttreatment evaluation of rapid palatal expansion. Angle Orthod 1980;50:189-217.
- 4. Garrett BJ, Caruso JM, Rungcharassaeng K, Farrage JR, Kim JS and Taylor GD. Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2008;134:8-9.
- 5. Chiari S, Romsdorfer P, Swoboda H, Bantleon H-P, Freudenthaler J. Effects of rapid maxillary expansion on the airways and ears, pilot study. Eur J Orthod 2009;3:135-41.
- 6. Fastuca R, Zecca PA, Caprioglio A. Role of mandibular displacement and airway size in improving breathing after rapid maxillary expansion. Prog Orthod. 2014;15:40.
- 7. Kaur S, Rai S, Kaur M. Comparison of reliability of lateral cephalogram and computed tomography for assessment of airway space. Niger J Clin Pract. 2014;17:629–36.
- 8. Harvold EP, Chierici G, Vargervik K. Experiments on the development of dental malocclusions. Am J Orthod 1972;61:38‐44.
- 9. Battagel JM, Johal A, L'Estrange PR, Croft CB, Kotecha B. Changes in airway and hyoid position in response to mandibular protrusion in subjects with obstructive sleep apnoea (OSA). Eur J Orthod. 1999;21:363–76.
- 10. Ozbek MM, Memikoglu TU, Gogen H, Lowe AA, Baspinar E. Oropharyngeal airway dimensions and functional-orthopedic treatment in skeletal Class II cases. Angle Orthod 1998;68:327–36.
- 11. De Felippe NLO, Da Silveira AC, Viana G, Kusnoto B, Smith B, Evans CA. Relationship between rapid maxillary expansion and nasal cavity size and airway resistance: short- and long-term effects. Am J Orthod Dentofacial Orthop 2008;134:370-82.
- 12. Pirelli P, Saponara M, Guilleminault C. Rapid maxillary expansion in children with obstructive sleep apnea syndrome. Sleep. 2004;27:761–766.
- 13. Pirelli P, Fanucci E, Giancotti A, Di Girolamo M, Guilleminault C. Skeletal changes after rapid maxillary expansion in children with obstructive sleep apnea evaluated by low-dose multi-slice computed tomography. Sleep Med. 2019;60:75–80.,
- 14. Bibby RE, Preston CB. The hyoid triangle. Am J Orthod 1981;80:92-7.
- 15. Durzo CA, Brodie AG. Growth behaviour of the hyoid bone. Angle Orthod 1962;32:193-204.
- 16. Muto T, Yamazaki A, Takeda S. A cephalometric evaluation of the pharyngeal airway space in patients with mandibular retrognathia and prognathia, and normal subjects. Int J Oral Maxillofac Surg. 2008;37:228–31.
- 17. Kikuchi Y. Three-dimensional relationship between pharyngeal airway and maxillo-facial morphology. Bull Tokyo Dent Coll. 2008;49:65–75.
- 18. Graber TM. Dentofacial Orthopedics with Functional Appliances. 2nd ed. St. Louis, Mo: Elsevier; 1984. pp. 16-23.
- 19. Vig PS. Respiration, nasal airway and orthodontics: A review of current clinical concepts and research. New vistas in orthodontics. Philadelphia, Lea and Febiger; 1985. pp. 76-99.
- 20. Horowitz S, Hixon E. The nature of orthodontic diagnosis. St. Louis: The C. V. Mosby Company; 1966.
- 21. O’Brien K, Wright J, Conboy F, Sanjie Y, Mandall N, Chadwick S, et al. Effectiveness of early orthodontic treatment with the Twin-block appliance: A multicenter, randomized, controlled trial. Part 1: Dental and skeletal effects. Am J Orthod Dentofacial Orthop 2003;124:234-43.
- 22. Kannan A, Pottipalli Sathyanarayana H, Padmanabhan S. Effect of functional appliances on the airway dimensions in patients with skeletal class II malocclusion: A systematic review.J Orthodont Sci 2017;6:54-64.
- 23. Erdur AE, Yildirim M, Karatas RMC, Akin M. Effects of symmetric and asymmetric rapid maxillary expansion treatments on pharyngeal airway and sinus volume: A cone-beam computed tomography study. Angel Orthod 2020; 90: 425–431.
- 24. Chang Y, Koenig LJ, Pruszynski JE, Bradley TG, Bosio JA, Li D. Dimensional changes of upper airway after rapid maxillary expansion: A prospective cone-beam computed tomography study. Am J Orthod Dentofacial Orthop 2013;143:462-70.
- 25. Linder-Aronson S, Leighton BC. A longitudinal study of the development of the posterior nasopharyngeal wall between 3 and 16 years of age. Eur J Orthod. 1983;5:47–58.
- 26. Mislik B, Hanggi MP, Signorelli L, Peltomaki TA, Patcas R. Pharyngeal airway dimensions: a cephalometric, growth-study-based analysis of physiological variations in children aged 6-17. Eur J Orthod. 2014;36:331–9.
- 27. Edwards R, Alsufyani N, Heo G, Flores-Mir C. The frequency and nature of incidental findings in large-field cone beam computed tomography scans of an orthodontic sample. Prog Orthod. 2014;15:37.
- 28. Kaur S, Rai S, Kaur M. Comparison of reliability of lateral cephalogram and computed tomography for assessment of airway space. Niger J Clin Pract. 2014;17:629–36.
- 29. Galvao Carlos Augusto Aranha N. Hyoid bones cephalometric positional study in normal occlusion and in malocclusion patients. Rev Odont UNESP, Sao Paulo. 1983;12:143-52.
| APA | AKIN M, erol balaban m, Çime Akbaydoğan L (2021). The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. , 37 - 44. 10.15311/selcukdentj.855922 |
| Chicago | AKIN Mehmet,erol balaban merve,Çime Akbaydoğan Leyla The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. (2021): 37 - 44. 10.15311/selcukdentj.855922 |
| MLA | AKIN Mehmet,erol balaban merve,Çime Akbaydoğan Leyla The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. , 2021, ss.37 - 44. 10.15311/selcukdentj.855922 |
| AMA | AKIN M,erol balaban m,Çime Akbaydoğan L The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. . 2021; 37 - 44. 10.15311/selcukdentj.855922 |
| Vancouver | AKIN M,erol balaban m,Çime Akbaydoğan L The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. . 2021; 37 - 44. 10.15311/selcukdentj.855922 |
| IEEE | AKIN M,erol balaban m,Çime Akbaydoğan L "The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment." , ss.37 - 44, 2021. 10.15311/selcukdentj.855922 |
| ISNAD | AKIN, Mehmet vd. "The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment". (2021), 37-44. https://doi.org/10.15311/selcukdentj.855922 |
| APA | AKIN M, erol balaban m, Çime Akbaydoğan L (2021). The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. Selcuk Dental Journal, 8(1), 37 - 44. 10.15311/selcukdentj.855922 |
| Chicago | AKIN Mehmet,erol balaban merve,Çime Akbaydoğan Leyla The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. Selcuk Dental Journal 8, no.1 (2021): 37 - 44. 10.15311/selcukdentj.855922 |
| MLA | AKIN Mehmet,erol balaban merve,Çime Akbaydoğan Leyla The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. Selcuk Dental Journal, vol.8, no.1, 2021, ss.37 - 44. 10.15311/selcukdentj.855922 |
| AMA | AKIN M,erol balaban m,Çime Akbaydoğan L The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. Selcuk Dental Journal. 2021; 8(1): 37 - 44. 10.15311/selcukdentj.855922 |
| Vancouver | AKIN M,erol balaban m,Çime Akbaydoğan L The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment. Selcuk Dental Journal. 2021; 8(1): 37 - 44. 10.15311/selcukdentj.855922 |
| IEEE | AKIN M,erol balaban m,Çime Akbaydoğan L "The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment." Selcuk Dental Journal, 8, ss.37 - 44, 2021. 10.15311/selcukdentj.855922 |
| ISNAD | AKIN, Mehmet vd. "The Effect Of Rapid Maxillary Expansion On The Airway Dimension In Skeletal Class II Treatment". Selcuk Dental Journal 8/1 (2021), 37-44. https://doi.org/10.15311/selcukdentj.855922 |
