scholarly journals Comparative Evaluation of Adenoids, Upper Airway, and Tongue Using “Predictors of Difficult Airways” in Class II Division 1 and Division 2 Cases with Class I Cases: Prospective In Vivo Observational Study

2021 ◽  
pp. 030157422096341
Author(s):  
Smita Mangesh Choudhari ◽  
Sunita Shrivastav
Keyword(s):  
Significant Positive Correlation ◽  
Upper Airway ◽  
Class Ii ◽  
Class I ◽  
Positive Correlation ◽  
Division 1 ◽  
Difficult Airways ◽  
Mandibular Protrusion ◽  
Division 2 ◽  
Class Ii Division 1

Introduction: Altered nasorespiratory function leads to altered craniofacial growth. Thus, airway evaluation is important for preventive, interceptive, and corrective orthodontic treatment. The aim of this study was to evaluate and compare adenoids, the upper airway, the tongue, and mandibular dimensions using “predictors of difficult airways” in class II division 1 and class II division 2 cases with class I cases. Method: Sixty subjects of age 15 to 18 years were divided into 3 groups (group 1: class I cases; group 2: class II division 1 cases; and group 3: class II division 2 cases) based on cephalometric parameters, with 20 cases in each group. Cephalometric evaluation of adenoids and the nasopharyngeal airway was done using the Handelman–Osborne area method. Upper and lower airway evaluation was done using McNamara’s linear method. “Predictors of difficult airways” were used for evaluation of the airway, which included nasal competency, the Mallampati scale, mandibular length, mandibular protrusion, and the thyromental distance. Results: The present study found a significant positive correlation between the grades of nasal competency and percentage adenoid wall area, and a significant negative correlation between the grades of nasal competency and the upper airway. There was a significant positive correlation between the grades of nasal competency and mandibular length, and a significant positive correlation between the grades of mandibular protrusion and mandibular length. There was a significant positive correlation between the grades of the thyromental distance and mandibular length. Conclusion: It was concluded that the “predictors of difficult airways” would be helpful in early diagnosis and identification of potential risk factors that may cause “breathing disorders”–related malocclusions and later on increase the risk of developing OSA.

scholarly journals Upper Airway Dimensions in Class II Malocclusion

2007 ◽  
Vol 77 (6) ◽  
pp. 1046-1053 ◽  
Author(s):  
Mirja Kirjavainen ◽  
Turkka Kirjavainen
Keyword(s):  
Treatment Time ◽  
Upper Airway ◽  
Class Ii ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Cross Sectional ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Upper Airway Structure ◽  
Class Ii Division 1

Abstract Objective: To study the effects of cervical headgear treatment of Class II division 1 malocclusion on upper airway structures in children. Materials and Methods: Forty children aged 9.1 (7.2–11.5) years with Class II division 1 malocclusion were treated using a cervical headgear as the only treatment appliance. The headgear consisted of a long outer bow bent 15° upward and a large inner bow expanded 10 mm larger than the intermolar distance. Lateral cephalograms were taken before and after the treatment. Upper airway structures were estimated from the cephalograms. The results were compared to cross-sectional data of 80 age-matched controls with a Class I molar relationship. Results: A Class I molar relationship was achieved in all treated children. The mean treatment time was 1.6 (0.3–3.1) years. The Class II malocclusion was accompanied by a similar or wider nasopharyngeal space than in the controls but narrower oro- and hypopharyngeal spaces. The retropalatal area was widened by the treatment (P < .05), whereas the rest of the oropharynx and hypopharynx remained narrower than in the controls. Before the treatment, the mandibular plane was in a more horizontal position than in the controls, but during the treatment, it rotated to a position similar to that of the controls. Conclusion: Class II division 1 malocclusion is associated with a narrower upper airway structure even without retrognathia. Headgear treatment is associated with an increase in the retropalatal airway space.

scholarly journals Gambaran maloklulsi pada siswa kelas 10 di SMA Negeri 9 Manado

e-GIGI ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Gabrielly F. J. Rorong ◽  
Damajanty H. C. Pangemanan ◽  
Juliatri .
Keyword(s):  
Class Ii ◽  
Class I ◽  
Class Iii ◽  
Purposive Sampling ◽  
Angle Class ◽  
Division 1 ◽  
Division 2 ◽  
Class Ii Division 1

Abstract: Malocclusion is an important oral health issue. Its effects on oral function and facial aesthetics have become a major concern. This study aimed to obtain the profile of malocclusion in grade 10 students of SMA Negeri 9 Manado. This was a descriptive study with a cross-sectional design. Population in this study was all students in grade 10 at SMA Negeri 9 Manado totaling 544 students. Samples were 30 students obtained by using purposive sampling technique. The results showed that the majority of respondents had malocclusion of Angle class I classification Dewey modification as many as 23.3% of type 2 and 20% of type 1. Malocclusion of Angle class I type 5 was found in 3.3% of respondents. Respondents with Angle Class II Division 1 and Division 2 were 13.3% each. Respondents with Angle Class III type 1 were as many as 6.7%. Conclusion: Malocclusion Angle classification Dewey modification with the highest percentage was class I type 2. Malocclusion of class II division 1 and division 2 had the same percentage. Of malocclusion class III, only the type 1 was found.Keywords: malocclusion, senior high school studentsAbstrak: Maloklusi merupakan salah satu masalah kesehatan gigi dan mulut yang cukup besar. Pengaruhnya terhadap fungsi mulut dan estetika wajah telah menjadi perhatian besar di bidang kesehatan. Penelitian ini bertujuan untuk mengetahui gambaran maloklusi pada siswa kelas 10 di SMAN 9 Manado. Penelitian ini menggunakan metode deskriptif dengan desain penelitian potong lintang. Populasi penelitian ini ialah seluruh siswa kelas 10 di SMA Negeri 9 Manado yang berjumlah 544 orang. Jumlah sampel sebanyak 30 orang yang diperoleh dengan teknik purposive sampling. Hasil penelitian menunjukkan jenis maloklusi terbanyak dengan klasifikasi Angle kelas I modifikasi Dewey tipe 2 sebanyak 23,3% dan tipe 1 sebanyak 20% responden. Jenis maloklusi Angle kelas I tipe 5 paling sedikit yaitu sebanyak 3,3%. Responden dengan Angle kelas II divisi 1 dan divisi 2 masing-masing sebanyak 13,3%. Responden dengan Angle kelas III tipe 1 sebanyak 6,7%. Simpulan: Maloklusi klasifikasi Angle modifikasi Dewey yang terbanyak ialah kelas I tipe 2. Maloklusi kelas II divisi 1 dan divisi 2 sama banyak. Maloklusi kelas III yang ditemukan hanya tipe 1.Kata kunci: maloklusi, siswa SMA

scholarly journals A study on Arch Widths of Bangladeshi Adult Subjects with Class II-2 malocclusion compared to those with Class II div1 malocclusion and Normal Occlusion

2015 ◽  
Vol 3 (2) ◽  
pp. 12-17
Author(s):  
Md Masud Rana ◽  
Md Zakir Hossain
Keyword(s):  
Class Ii ◽  
Permanent Dentition ◽  
Class I ◽  
P Value ◽  
Normal Occlusion ◽  
Significant Difference ◽  
Division 1 ◽  
Division 2 ◽  
Dental Casts ◽  
Class Ii Division 1

Aim : To evaluate the transverse discrepancy in different malocclusion groups. Also to test the hypothesisvthat models with Class II division 2 malocclusion may have mean maxillary arch widths significantly smaller than those with normal occlusions and significantly larger than those with Class II division 1 malocclusion. Thus the proposed study will generate interest among the orthodontists for further study over the transverse discrepancy of our patients and guide them to establish effective treatment strategy and their management.Methods:  This study was a cross  sectional  study conducted among the dental casts of 150 patients and  students of the Department of Orthodontics and Dentofacial Orthopedics, Dhaka Dental College and  Hospital. Both male and female were included.  The first group consists of 50 pair of study models with  permanent dentition and diagnosed as Class I (normal) occlusion. The second group includes another 50 pair of dental casts with permanent dentition and diagnosed as Class II division 1 malocclusion . And third group includes another 50 pair of dental casts with permanent dentition and was diagnosed as Class II division 2 malocclusion. This group of malocclusion was again subdivided into two categories, Class II division 2 malocclusion with crowding and Class II division 2  malocclusion without crowding. The Student’s t –test was used to analyze the data. In this analytical test the level of significance p value <0.05 was considered significantResults: No Statistically significant difference was observed in the maxillary inter canine, inter first  premolar and inter first molar widths between class-I and Class-II div-1. Significant differences were  observed between two groups. In case of mandibular inter first molar widths  (p value = 0.001), and also  differences in case of mandibular inter canine, inter first premolar and inter first molar widths between  Class-I and Class II div 2 malocclusion  p value respectively .01, 0.002,0.01.Conclusion: This study helps in determining possible differences in the dental arch widths of Bangladeshi people in  Class II div 2 adults compared to adults with Class II div 1 and normal occlusion may be an  important aid in further understanding of dentoalveolar characteristics of these conditions, as well as  improving their management.Ban J Orthod & Dentofac Orthop, April 2013; Vol-3, No.2

scholarly journals A Study to determine the Prevalence of Malocclusion and Chief Motivational Factor for Desire of Orthodontic Treatment in Jaipur City, India

2015 ◽  
Vol 6 (2) ◽  
pp. 87-92
Author(s):  
Kuldeep Sharma ◽  
Ruchi Sharma ◽  
Dhruv Yadav ◽  
Abhilasha Choudhary ◽  
Swapnil Singh
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Class I ◽  
Motivational Factor ◽  
Class Iii ◽  
Normal Occlusion ◽  
Division 1 ◽  
Division 2 ◽  
Jaipur City ◽  
Class Ii Division 1

ABSTRACT Background Prevalence of malocclusion varies in different parts of a diverse country like India. Aims To determine the prevalence of malocclusion in population of Jaipur city, Rajasthan, India, as well as subjects views regarding the most important factor for seeking orthodontic treatment by patients who have malocclusion. Materials and methods The sample consisted of 700 subjects (373 males and 327 females) with age group of 15 to 30 years. Subjects were randomly selected and none of them had received orthodontic treatment previously. The subjects who showed bilateral Angle's class I molar relationship with acceptable overjet, overbite and well-aligned arches or minimal crowding were considered to have normal occlusion. The subjects with malocclusion were classified into four groups according to Angle's classification, i.e. class I, class II division 1, class II division 2 and class III malocclusions. Results About 74.57% of population was found to have malocclusion. Among these subjects, 52.57% subjects were diagnosed with class I malocclusion, 12.57% with class II division 1 malocclusion, 8% with class II division 2 and remaining 1.42% had class III malocclusion. No statistically significant differences were found between male and female subjects. Conclusion Among class I malocclusion characteristics, Angle's class I type 1 malocclusion was statistically significantly found to be the most prevalent type of malocclusion. As far as the most important factor for seeking orthodontic treatment was determined, a desire of enhancing facial appearance followed by a desire of attaining straight teeth was considered to be the chief motivational factor among this population. How to cite this article Sharma R, Sharma K, Yadav D, Choudhary A, Singh S. A Study to determine the Prevalence of Malocclusion and Chief Motivational Factor for Desire of Orthodontic Treatment in Jaipur City, India. World J Dent 2015; 6(2):87-92.

Comparative Dentoskeletal Study of Class II Division 1 and Class II Division 2 Malocclusion Subjects

2011 ◽  
Vol 1 (1) ◽  
pp. 36-41
Author(s):  
Jyoti Dhakal
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Basic Difference ◽  
Cephalometric Radiograph ◽  
Significant Difference ◽  
Division 1 ◽  
Dentoskeletal Morphology ◽  
Division 2 ◽  
Dental Cast ◽  
Class Ii Division 1

The dentoskeletal characteristics of Class II malocclusion subjects were evaluated using cephalometric radiograph and dental cast of 60 untreated patients. The sample included 30 Class II Division 1 and 30 Class II Division 2 malocclusion patients. The inter-canine, inter-premolar, inter-molar, inter-canine alveolar, inter-premolar alveolar, inter-molar alveolar widths are measured on study models. The result showed statistically significant difference between the groups for mandibular inter-canine width only. The cephalometric analysis revealed that SNB angle was responsible for the skeletal sagittal difference between the two groups except for the position of maxillary incisors. No basic difference in dentoskeletal morphology existed between Class II Division 1 and Class II Division 2 malocclusions.

scholarly journals Evaluation of tongue posture & dimensions in relation to skeletal Class I and Class II patterns- A cephalometric study

2021 ◽  
Vol 7 (4) ◽  
pp. 276-281
Author(s):  
Puja Khanna ◽  
Sumit Chhabra ◽  
Preeti Munjal ◽  
Sunny Mittal ◽  
Nishtha Arora
Keyword(s):  
Statistical Tests ◽  
Class Ii ◽  
Class I ◽  
Control Group ◽  
Skeletal Class ◽  
Normal Occlusion ◽  
Division 1 ◽  
Skeletal Pattern ◽  
Bonferroni Test ◽  
Class Ii Division 1

Association of tongue posture with dental and facial skeletal pattern have been suggested in past. This study was undertaken to assess tongue posture and dimensions in Class I and Class II Dentoskeletal patterns to determine whether any correlation exists between tongue posture and skeletal pattern of an individual. Cephalograms of 150 individuals (aged 18-23 years), taken in Natural Head Position (NHP) and tongue at rest were divided into three groups i.e. Group 1 – Class I Normal occlusion, Group 2 – Class II Division 1 Normodivergent and Group 3 – Class II Division 1 Hypodivergent, consisting of 50 samples each. To ensure the rest position of tongue, patient was asked to relax for 30 seconds after coating the tongue with barium sulphate in midline and then to swallow, and the X-ray was taken at the end of swallowing. Each group was divided into two subgroups according to sex. Groups were constituted according to the Frankfort mandibular plane angle (FMA) angle. The subjects who had skeletal Class II pattern due to mandibular retrusion and not due to maxillary prognathism were only included in the study group. Statistical analysis was done using the software SPSS version 21.0. The statistical tests used were unpaired t-test and One-way ANOVA test with post-hoc bonferroni test. The p-value was considered significant if less than 0.05.The dorsum of the tongue was higher at back and lower in front in Class II Division 1 Hypodivergent group as compared to Class I Normal occlusion group (P&#60;.05). Tongue height and tongue length were significantly reduced in Class II Division 1 Normodivergent and Class II Division 1 Hypodivergent malocclusion groups when compared to Class I control group (P&#60;.05).The study supports the existence of a relationship between posture & dimensions of the tongue with Class I and Class II skeletal patterns.

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