scholarly journals Effect of Headgear and Class II Traction on Upper Airway Dimensions and Hyoid Bone Position in Non-Extraction Patients with Class II Division 1 Malocclusion

2015 ◽  
Vol 24 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Bowen Zheng ◽  
Zixi Jiang ◽  
Fan Liu ◽  
Na An ◽  
Ying Zheng ◽  
...  
2021 ◽  
pp. 030157422096341
Author(s):  
Smita Mangesh Choudhari ◽  
Sunita Shrivastav

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.


2007 ◽  
Vol 77 (6) ◽  
pp. 1046-1053 ◽  
Author(s):  
Mirja Kirjavainen ◽  
Turkka Kirjavainen

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.


2012 ◽  
Vol 35 (4) ◽  
pp. 447-453 ◽  
Author(s):  
Julia Bollhalder ◽  
Michael P. Hänggi ◽  
Marc Schätzle ◽  
Goran Markic ◽  
Malgorzata Roos ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
pp. 55-64
Author(s):  
Raksha Rajput ◽  
Suchita Daokar

Introduction: Class II div 1 malocclusion is most commonly presented with retruded mandible. This backward placement of mandible pushes the tongue posteriorly and inturn impairs the position of hyoid bone and total tongue area. Correction of retruded mandible with functional appliances is also considered to have positive effect on hyoid bone position and tongue area. Aim and Objectives: The objective of this study was to evaluate and compare the effects of Twin Block and Forsus on the hyoid bone position and tongue area in the treatment of Class II division 1 malocclusion. Materials & Method: A 2-arm parallel, randomized controlled trial was designed consisting of 24 Class II division 1 malocclusion patients indicated for treatment with functional appliances. 24 patients were randomized and equally divided among Twin Block (Group A) and Forsus (Group B) group. Pre- and post functional lateral cephalograms of both groups were traced and statistically analysed using paired t-test and T test of Equality of Means. ‘p’ value of less than 0.05 was considered as statistically significant. Result: A significantly upward and forward movement of hyoid bone was found with both the appliances. Tongue area also improved with Twin Block and Forsus group. On intergroup comparison insignificant results were observed between both the appliances indicating similar effect on tongue area and hyoid bone position. Conclusion: Twin Block has more skeletal effect than Forsus, still both Twin Block and Forsus are effective in improving tongue area and forward and upward displacement of hyoid bone position while correcting Class II malocclusion.


2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Nugroho Ahmad Riyadi

The aim of orthodontics treatment is normalization of teeth position in three planes, using various orthodontics appliance to reach the chepalometric standar and normal occlusion. Orthodontic treatment for dentoskeletal class II division 1 malocclusion in growing patients using myofunctional appliance may correct anteroposterior planes of mandibula. This study was a descriptive retrospective analytic study to look at the success of Orthodontic treatment for dentoskeletal class II division 1 in growing patients with myofunctional appliance using chepalometrics analysis Steiner value. The sample used in this study is chepalogram radiographic from patient with dentoskeletal class II division 1 malocclusion in growing patients before and after using myofunctional appliance in PPDGS orthodontics Clinic of Padjadjaran University. Statistic analysis were performed with pair t-test and Wilcoxon. Based on this study, it is concluded that orthodontic treatment with myofunctional appliance such as activator and twin block in growing patient with dentoskeletal class II division 1 malocclusion shows significant changes and compatibility with the normal criteria.


2019 ◽  
Vol 9 (4) ◽  
pp. 238-248
Author(s):  
Sun-mi Lee ◽  
Seong-Ryeol Bae ◽  
Hee-Moon Kyung ◽  
Mi-hee Hong ◽  
Hyo-Sang Park

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