scholarly journals Effect of malocclusion on jaw motor function and chewing in children: a systematic review

Author(s):  
Abdulrahman Alshammari ◽  
Nabeel Almotairy ◽  
Abhishek Kumar ◽  
Anastasios Grigoriadis

Abstract Objective To investigate the effects of dental/skeletal malocclusion and orthodontic treatment on four main objective parameters of chewing and jaw function (maximum occlusal bite force [MOBF], masticatory muscle electromyography [EMG], jaw kinematics, and chewing efficiency/performance) in healthy children. Materials and methods Systematic searches were conducted in MEDLINE (OVID), Embase, and the Web of Science Core Collection. Studies that examined the four parameters in healthy children with malocclusions were included. The quality of studies and overall evidence were assessed using the Joanna Briggs Institute and GRADE tools, respectively. Results The searches identified 8192 studies; 57 were finally included. The quality of included studies was high in nine studies, moderate in twenty-three studies, and low in twenty-five studies. During the primary dentition, children with malocclusions showed similar MOBF and lower chewing efficiency compared to control subjects. During mixed/permanent dentition, children with malocclusion showed lower MOBF and EMG activity and chewing efficiency compared to control subjects. The jaw kinematics of children with unilateral posterior crossbite showed a larger jaw opening angle and a higher frequency of reverse chewing cycles compared to crossbite-free children. There was a low to moderate level of evidence on the effects of orthodontic treatment in restoring normal jaw function. Conclusions Based on the limitations of the studies included, it is not entirely possible to either support or deny the influence of dental/skeletal malocclusion traits on MOBF, EMG, jaw kinematics, and masticatory performance in healthy children. Furthermore, well-designed longitudinal studies may be needed to determine whether orthodontic treatments can improve chewing function in general. Clinical relevance Comprehensive orthodontic treatment, which includes evaluation and restoration of function, may or may not mitigate the effects of malocclusion and restore normal chewing function.

2021 ◽  
Vol 8 ◽  
Author(s):  
Laila Elhajoubi ◽  
Intissar Elidrissi ◽  
Asmae Bahoum ◽  
Fatima Zaoui ◽  
Mohammed Faouzi Azaroual

Introduction: This case report describes compensatory orthodontic treatment in a young patient aged 13 years. She presented with a class III skeletal malocclusion associated with mandibular laterognathy. The patient's main reason for consultation was the anterior cross bite and the aesthetics of her smile.Materials and Methods: The chosen treatment was therefore an orthodontic camouflage with the extraction of the first mandibular premolars and the second maxillary premolars, in order to catch a correct anterior articular and restore a good occlusal relationship, however, the mandibular laterognathy was camouflaged by means of dental compensations and also by correcting the deviation of the incisors medians through a class III mechanics with good anchorage management.Results: After 24 months of treatment, an ideal overjet and overbite associated with a Class I canine and molar relationship, was obtained, associated with a perfect coincidence of the interincisor medians.Conclusion: Class III skeletal cases can often be treated either by orthodontic camouflage or surgery. In our case study, the treatment adopted was orthodontic camouflage with extractions. The results of the treatment were satisfactory and the occlusal objectives were achieved. The final harmonious smile pleased the patient and improved her self-esteem and quality of life.


2020 ◽  
pp. 27-31
Author(s):  
Ranjith Raveendran ◽  
Saju N S ◽  
Sameera G Nath

Background: The number of patients undergoing combined orthodontic treatment and orthognathic surgery is increasing. Hence, this study aimed to examine the impact of combined orthodontic and orthognathic treatment procedures on the life quality of patients with skeletal malocclusion. Materials and methods: 15 patients who had to undergo combined orthodontic and orthognathic treatment procedures were subjected to 22-item Orthognathic Quality of Life Questionnaire customised for the study. The questions were grouped into 4 domains – aesthethic, awareness, pschyological and social domains. They were assessed in three time lines - rst when they are explained and made aware of the treatment plan (T0), T1 when the orthodontic treatment is almost complete, and the patient is made ready for orthognathic surgery, then 6 months after the completion of the combined orthodontic-orthognathic surgery (T2). Results: Out of 15 patients, 9 were females and 6 were males between the age of 18-25 years. As the treatment progressed changes were noted in the patient's attitude. During T1 signicant change was observed in functional outcome – chewing. At T2 signicant changes were observe in esthetic, functional, social and psychological components (p<0.001). The treatment outcome did create a positive change in the patients by correcting their skeletal and dental abnormalities. Conclusion: The esthetic, functional, social and psychological outcomes of patients who have undergone combined orthodontic and orthognathic treatments are better post operatively.


2019 ◽  
Vol 25 (5) ◽  
pp. 395-398
Author(s):  
Pedro Ángel Latorre Román ◽  
Ana Vanesa Navarro Martínez ◽  
Jesús Salas Sánchez ◽  
Felipe García Pinillos ◽  
Julio Ángel Herrador Sánchez

ABSTRACT Introduction Children who are more active enjoy sports, have confidence in their ability to engage in physical activity, feel competent and perceive fewer barriers to physical activity. Objective Psychosocially characterize the asthmatic child’s relationship with enjoyable physical activity, physical self-concept, health and perceived quality of life. Method Eighty asthmatic children (age = 11.33 ± 1.10 years, body mass index [BMI] = 20.52 ± 3.83 kg/m2) and 80 healthy children (age = 11.18 ± 1.00 years, BMI = 20.81 ± 4.24 kg/m2) participated in the study. The Physical Activity Enjoyment Scale (PACES), Physical Activity Questionnaire for Children (PAQ-C), the Physical Self-concept Questionnaire (CAF) and the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) were used. Results In the PACES questionnaire, healthy children had a better level of general physical activity while in the CAF questionnaire, significant differences were found in ability, physical fitness and general self-concept, which were higher in healthy children. There is a significant correlation between the PAQ-C and ability, general physical self-concept, PACES and total PAQLQ in asthmatic children. Conclusion Asthmatic children had lower levels of physical activity, physical self-concept and enjoyment in physical activity than healthy children. Level of evidence II; Retrospective study.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Farzad Rezaei ◽  
Hiwa Masalehi ◽  
Amin Golshah ◽  
Mohammad Moslem Imani

Abstract Background Orthognathic surgery includes improvement of morphology and function of occlusion as well as psychological perception and oral health-related quality of life (OHRQoL) of patients. The aim of this study was to determine the OHRQoL of patients with class III skeletal malocclusion before and after orthognathic surgery. Materials and methods A total of 112 skeletal class III patients including 39 (34.8%) males and 73 (65.2%) females participated in this descriptive quasi-experimental study in three groups: “prior to orthodontic treatment” (n = 25); “under orthodontic treatment and prior to surgery” (n = 65), and “after surgery” (n = 25). All patients filled out a demographic information questionnaire, the oral health impact profile-14 (OHIP-14), and the orthognathic quality of life questionnaire (OQLQ) under the supervision of the examiner. Data were analyzed using ANOVA, independent samples t-test, Mann Whitney test, and Kruskal-Wallis test. Results OHRQoL summary score changed from 14.5 prior to orthodontic treatment to 23.4 prior to surgery and during orthodontic treatment to 5.4 after surgery. These OHRQoL changes were statistically significant (P < 0.001). Conclusions Orthognathic surgery matters to patients with class III skeletal malocclusion and significantly improves their OHRQoL.


2016 ◽  
Author(s):  
GEORGETA ZEGAN ◽  
◽  
CRISTINA GENA DASCĂLU ◽  
RADU EDUARD CERNEI ◽  
RADU BOGDAN MAVRU ◽  
...  

CRANIO® ◽  
2021 ◽  
pp. 1-11
Author(s):  
Ana Izabela Sobral De Oliveira-Souza ◽  
Laís Ribeiro Do Valle Sales ◽  
Alexandra Daniele De Fontes Coutinho ◽  
Susan Armijo Olivo ◽  
Daniella Araújo de Oliveira

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e041379
Author(s):  
Allard Willem de Smalen ◽  
Zhie X Chan ◽  
Claudia Abreu Lopes ◽  
Michaella Vanore ◽  
Tharani Loganathan ◽  
...  

BackgroundA large number of international migrants in Malaysia face challenges in obtaining good health, the extent of which is still relatively unknown. This study aims to map the existing academic literature on migrant health in Malaysia and to provide an overview of the topical coverage, quality and level of evidence of these scientific studies.MethodsA scoping review was conducted using six databases, including Econlit, Embase, Global Health, Medline, PsycINFO and Social Policy and Practice. Studies were eligible for inclusion if they were conducted in Malaysia, peer-reviewed, focused on a health dimension according to the Bay Area Regional Health Inequities Initiative (BARHII) framework, and targeted the vulnerable international migrant population. Data were extracted by using the BARHII framework and a newly developed decision tree to identify the type of study design and corresponding level of evidence. Modified Joanna Briggs Institute checklists were used to assess study quality, and a multiple-correspondence analysis (MCA) was conducted to identify associations between different variables.Results67 publications met the selection criteria and were included in the study. The majority (n=41) of studies included foreign workers. Over two-thirds (n=46) focused on disease and injury, and a similar number (n=46) had descriptive designs. The average quality of the papers was low, yet quality differed significantly among them. The MCA showed that high-quality studies were mostly qualitative designs that included refugees and focused on living conditions, while prevalence and analytical cross-sectional studies were mostly of low quality.ConclusionThis study provides an overview of the scientific literature on migrant health in Malaysia published between 1965 and 2019. In general, the quality of these studies is low, and various health dimensions have not been thoroughly researched. Therefore, researchers should address these issues to improve the evidence base to support policy-makers with high-quality evidence for decision-making.


2020 ◽  
pp. 194338752095008
Author(s):  
Gaurav Singh ◽  
Utsav Singh Gurung ◽  
Madan Mishra ◽  
Amit Gaur

Study Design: Retrospective cohort study. Objective: The purpose of this study was to evaluate and share our experience with the surgery first approach (SFA) for correction of skeletal malocclusion. Methods: After consultation with the department of orthodontics, 45 patients with skeletal malocclusions suitable to undergo SFA were enrolled in this study (14 bimaxillary protrusion and 31 skeletal class III malocclusion). Le Fort I maxillary osteotomy, bilateral sagittal split ramus osteotomy, subapical osteotomy, and genioplasty were performed as required. After a healing period of 2 weeks, postoperative orthodontic treatment was started to achieve the final occlusion. Results: The mean duration of postoperative orthodontic treatment was 15.2 months, which is much shorter than the conventional orthodontic first approach (OFA) where presurgical orthodontic duration alone takes 12-24 months according to an individual. In the bimaxillary protrusion group, it was 18 months, which was significantly longer than for the other group ( P < .05). Conclusions: SFA offers an efficient alternative to conventional OFA with shorter total treatment duration, immediate marked improvement in facial profile, reduced biological costs, and similar operative stability. However, it comes at the cost of heightened challenges regarding case selection, accurate prediction, and surgical precision. With a joint venture between skilled and experienced surgeons and orthodontists, the outcome can be very promising.


2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Li Cao ◽  
Junling Wu ◽  
Qiang Zhang ◽  
Bashayer Baras ◽  
Ghalia Bhadila ◽  
...  

Orthodontic treatment is increasingly popular as people worldwide seek esthetics and better quality of life. In orthodontic treatment, complex appliances and retainers are placed in the patients’ mouths for at least one year, which often lead to biofilm plaque accumulation. This in turn increases the caries-inducing bacteria, decreases the pH of the retained plaque on an enamel surface, and causes white spot lesions (WSLs) in enamel. This article reviews the cutting-edge research on a new class of bioactive and therapeutic dental resins, cements, and adhesives that can inhibit biofilms and protect tooth structures. The novel approaches include the use of protein-repellent and anticaries polymeric dental cements containing 2-methacryloyloxyethyl phosphorylcholine (MPC) and dimethylaminododecyl methacrylate (DMAHDM); multifunctional resins that can inhibit enamel demineralization; protein-repellent and self-etching adhesives to greatly reduce oral biofilm growth; and novel polymethyl methacrylate resins to suppress oral biofilms and acid production. These new materials could reduce biofilm attachment, raise local biofilm pH, and facilitate the remineralization to protect the teeth. This novel class of dental resin with dual benefits of antibacterial and protein-repellent capabilities has the potential for a wide range of dental and biomedical applications to inhibit bacterial infection and protect the tissues.


Sign in / Sign up

Export Citation Format

Share Document