scholarly journals The Logopedic Evaluation of Adult Patients after Orthognathic Surgery

2021 ◽  
Vol 11 (12) ◽  
pp. 5732
Author(s):  
Anna Lichnowska ◽  
Marcin Kozakiewicz
Keyword(s):  
Speech Therapy ◽  
Combined Treatment ◽  
Surgical Correction ◽  
Speech Pathology ◽  
Facial Skeleton ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Skeletal Class Ii ◽  
Before And After ◽  
The Impact

Orthodontists correct dental malocclusion, but major facial skeleton deformations (skeletal malocclusion) are often subject to surgical correction. Several speech pathologies are associated with both of the occlusal anomalies mentioned above. The majority of articulation disorders and primary functions cannot be improved without skeletal correction. This study aimed to investigate the outcome of the multimodal and logopaedics treatment of Polish adults affected by skeletal malocclusion and speech-language pathology. A total of 37 adults affected by skeletal Class II and III malocclusion were included, along with the relationship between the malocclusion and speech deficiency (20 phonemes tested) in the subjects before and after surgical correction. The impact of surgery on pronunciation improvement and types of Polish phonemes most often misarticulated by Polish adults were also examined. Patients underwent combined treatment and received a full speech pathology examination. The treatment improved speech (p < 0.05), but the study did not prove that a specific surgery type was associated with pronunciation improvement. Some patients were provided with speech therapy during childhood, yet most had some minor difficulties with lip and tongue movements. Palatal, alveolar (p < 0.05), fricatives (p < 0.05), and labiodental consonant pronunciation (p < 0.05) improved. The surgical correction of malocclusion leads to better articulation of Polish consonants in adults and improves some primary functions.

scholarly journals Speech Disorders in Dysgnathic Adult Patients in the Field of Severity of Primary Dysfunction

2021 ◽  
Vol 11 (24) ◽  
pp. 12084
Author(s):  
Anna Lichnowska ◽  
Marcin Kozakiewicz
Keyword(s):  
Speech Therapy ◽  
Combined Treatment ◽  
Speech Disorders ◽  
Surgical Correction ◽  
Speech Pathology ◽  
Skeletal Class ◽  
Stomatognathic System ◽  
Primary Function ◽  
Skeletal Class Ii ◽  
The Impact

The normative functioning of the stomatognathic system and masticatory apparatus requires specific coordination between several structures such as teeth with good occlusion, tongue without ankyloglossia or thrusting, and well-balanced facial muscles. This study aimed to evaluate the influence of non-normative primary functions such as breathing, swallowing, biting and chewing on the consonant pronunciation outcome in adults affected with facial skeletal deformities. Moreover, the authors would like to promote a new kind of speech therapy-orthognathic speech therapy. A total of 181 adults affected by skeletal class II and III malocclusion were included, along with the relationship between the malocclusion, speech deficiency (20 phonemes tested) and primary function disorders, in the subjects before and after surgical correction. The impact of surgery on pronunciation and primary function improvement and types of Polish phonemes most often misarticulated by Polish adults were also examined. Patients underwent combined treatment and received a full speech pathology examination. The treatment improved speech (p < 0.05), and primary functions (p < 0.05). Palatal, alveolar (p < 0.05), fricatives (p < 0.05), and labiodental consonant pronunciation (p < 0.05) improved. The surgical correction of malocclusion leads to better oral motor control and articulation of Polish consonants in adults.

scholarly journals Current Trends in Orthognathic Surgery in Poland—A Retrospective Analysis of 124 Cases

2021 ◽  
Vol 11 (14) ◽  
pp. 6439
Author(s):  
Ewa Zawiślak ◽  
Szymon Przywitowski ◽  
Anna Olejnik ◽  
Hanna Gerber ◽  
Paweł Golusiński ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Corrective Osteotomy ◽  
University Hospital ◽  
Class Iii ◽  
Facial Skeleton ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Current Trends ◽  
Maxillary Osteotomy ◽  
Skeletal Class Ii

The analysis aims at assessing the current trends in orthognathic surgery. The retrospective study covered a group of 124 patients with skeletal malocclusion treated by one team of maxillofacial surgeons at the University Hospital in Zielona Góra, Poland. Various variables were analysed, including demographic characteristics of the group, type of deformity, type of osteotomy used, order in which osteotomy was performed and duration of types of surgery. The mean age of the patients was 28 (ranging from 17 to 48, SD = 7). The group included a slightly bigger number of females (59.7%), with the dominant skeletal Class III (64.5%), and asymmetries were found in 21.8% of cases. Types of osteotomy performed during surgeries were divided as follows: LeFort I, segmental LeFort I, BSSO, BSSO with genioplasty, LeFort I with BSSO, LeFort I with BSSO and genioplasty, segmental LeFort I with BSSO, isolated genioplasty. Bimaxillary surgeries with and without genioplasty constituted the largest group of orthognathic surgeries (49.1%), and a slightly smaller percentage were one jaw surgeries (46.7%). A statistically significant correlation was found between the type of surgery and the skeletal class. In patients with skeletal Class III, bimaxillary surgeries were performed significantly more often than in patients with skeletal Class II (57.5% vs. 20.0%; p = 0.0002). The most common type of osteotomy in all surgeries was bilateral osteotomy of the mandible modo Obwegeser–Epker in combination with Le Fort I maxillary osteotomy (42.7%). The order of osteotomies in bimaxillary surgeries was mandible first in 61.3% of cases. The longest surgery was bimaxillary osteotomy with genioplasty (mean = 265 min), and the shortest surgery was isolated genioplasty (mean = 96 min). The results of the analysis show a significant differentiation between the needs of orthognathic surgery and the types of corrective osteotomy applied to the facial skeleton.

scholarly journals Management of a Skeletal Class II Malocclusion Using 2-Phase Treatment: An Indian Board of Orthodontics Case Report

2020 ◽  
Vol 54 (3) ◽  
pp. 240-247
Author(s):  
Snigdha Pattanaik
Keyword(s):  
Class Ii ◽  
Division I ◽  
Class Ii Malocclusion ◽  
Average Growth ◽  
Lower Lip ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Skeletal Class Ii ◽  
Nasolabial Angle ◽  
Tongue Thrust

PK, a 12-year-old female patient, was diagnosed with skeletal Class II due to retrognathic mandible, average growth pattern, Angle’s Class II, Division I malocclusion with Class II canine relation, mild upper anterior spacing, upper anterior proclination, uprighted lower anterior, lingually tipped 35, increased overjet and overbite, scissor bite Irt 24, 25, acute nasolabial angle, tongue thrust habit, incompetent lips, and lower lip trap. The nonextraction approach to orthodontic treatment was involved. The skeletal malocclusion was corrected using the twin-block appliance, followed by upper and lower pre-adjusted edgewise appliances (0.022 × 0.028 slot) with the MBT prescription.

Clinical and Instrumental Evaluation of the Temporomandibular Joint Before and After Surgical Correction of Asymptomatic Skeletal Class III Patients

2011 ◽  
Vol 22 (2) ◽  
pp. 527-531 ◽  
Author(s):  
Guglielmo Ramieri ◽  
Maria Grazia Piancino ◽  
Gianluigi Frongia ◽  
Giovanni Gerbino ◽  
Paolo Antonio Fontana ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Surgical Correction ◽  
Class Iii ◽  
Skeletal Class ◽  
Instrumental Evaluation ◽  
Before And After

scholarly journals Effect of Class II functional treatment on facial attractiveness, as perceived by professionals and laypeople

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Federica Santori ◽  
Francesco Masedu ◽  
Domenico Ciavarella ◽  
Edoardo Staderini ◽  
Claudio Chimenti ◽  
...  
Keyword(s):  
Facial Attractiveness ◽  
Class Ii ◽  
Aesthetic Perception ◽  
Functional Appliance ◽  
Online Questionnaire ◽  
Two Phase ◽  
Skeletal Class ◽  
Black And White ◽  
Skeletal Class Ii ◽  
Before And After

AbstractThe literature offers different perspectives for and against two-phase treatment of skeletal Class II malocclusion. Facial attractiveness is an important aspect to take into account, given that children with skeletal Class II are often bullied by their peers and have low self-esteem and a lower social perception. The aim of the present study was to evaluate the aesthetic perception of facial profiles by a large number of observers, before and after treatment with a functional appliance, compared to untreated controls. The pre- and post-treatment cephalograms of 20 Class II subjects treated with Sander’s bite-jumping appliance and 20 untreated historical controls were collected and transformed into black and white silhouettes depicting only the lower third of the face. An online questionnaire comprising the silhouettes of the two groups, three “calibration” profiles and an “ideal” profile was submitted to dentists, orthodontists, undergraduates and laypeople, asking them to rate the profile’s attractiveness using a Visual Analogue Scale (VAS). The effect of treatment, and observers’ age, expertise and gender were analysed. The calibration images and the ideal profiles were used to evaluate the coherence of each observer’s judgement. The protocol was approved by the local Ethics Committee. Nine-hundred and ten questionnaires were collected. Treated subjects showed a larger improvement of facial attractiveness compared to controls. A significant effect of gender on the observer’s ratings was observed. Some observers showed incoherent judgement, which had a significant effect on the regression model. In conclusion, early treatment with functional appliances seems to improve patients’ facial aesthetics. This improvement is perceived equally by dental professionals and laypeople.

scholarly journals Dental anomalies in orthodontic patients with and without skeletal discrepancies

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Clarissa Christina Avelar Fernandez ◽  
Mônica Gentil Mattos ◽  
Christiane Vasconcellos Cruz Alves Pereira ◽  
Marcelo De Castro Costa
Keyword(s):  
Observational Studies ◽  
Class Ii ◽  
Systematic Search ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Dental Anomalies ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Skeletal Class Ii ◽  
Orthodontic Patients

Objective:To determine whether individuals withskeletal discrepancies of Class II or IIIdisplay a higher frequency of dental anomalies in comparison with individuals with Class I malocclusion. Design:A systematic search of the main electronic medical scientific literaturedatabases was conducted. Observational studies were selected if mentioning dental anomalies in the different skeletal malocclusion patterns.Results:A total of 4,768 studies were found and the duplicated studies (1,279) were removed, resulting in 3,489 papers to be analyzed. After screening by title, 138 were fit for screening by abstract. After that, a total of 13 papers were carefully read in full. Five studies included dental anomaly frequencies in orthodontic patients and included 7,679 participants. The frequency of dental anomalies ranged from 11.2% to 40.3%.It was observed that individuals with skeletal discrepancies of Class II and III had more dental anomalies when compared to individuals with Class I.Conclusion:Individuals with skeletal malocclusion patternshave more dental anomalies and there is an association between dental anomalies and skeletal Class II or Class III malocclusion patterns.

Nasalance Scores as a Function of Skeletal Malocclusion of English-Speaking Adults in the North Indian Population

2021 ◽  
pp. 1-10
Author(s):  
Sanjeev Verma ◽  
Nameksh Raj Bhupali ◽  
Satinder Pal Singh ◽  
Dharam Vir ◽  
Chaman Lal
Keyword(s):  
Class Ii ◽  
Normative Values ◽  
Control Group ◽  
Class Iii ◽  
Skeletal Class ◽  
The North ◽  
Skeletal Malocclusion ◽  
Skeletal Class Ii ◽  
Group 3 ◽  
Group 1

<b><i>Objective:</i></b> The objective of this study is quantitative assessment of nasalance for skeletal Class I (normative values), Class II, and III malocclusion in the English language for the North Indian population and to compare the normative values with the nasalance scores obtained from individuals with skeletal Class II and III malocclusion and to evaluate the normative values as a function of gender. <b><i>Material and Methods:</i></b> The study was conducted on a total sample of 200 patients with 100, 50, and 50 in group 1 (control group, Skeletal Class I), group 2 (Skeletal Class II), and group 3 (Skeletal Class III), respectively. ANB angle (anteroposterior angle formed by point A, nasion, and point B) measured on lateral cephalogram was used to categorize the patients into 3 groups. The normative nasalance scores were compared for males and females in the control group. The nasalance scores of skeletal Class II and III subjects were compared to the combined normative scores of the control group. The NasalView was used for the objective assessment of nasalance. Oral syllables (/pa/and/pi/), nasal syllables (/ma/and/mi/), and 3 passages (Zoo passage, Rainbow passage, and Nasal sentences) were used to determine the nasalance scores. <b><i>Results:</i></b> The intragroup comparison of nasalance scores in group 1 showed statistically significant differences for different stimuli. The gender-related comparison showed no statistically significant differences in nasalance scores. The intergroup comparison of nasalance scores for skeletal malocclusion showed no statistically significant differences for different stimuli except statistically significant lower nasalance values for nasal sentences in group 3 compared to the control group. <b><i>Conclusion:</i></b> The study concluded that the nasalance scores for nasal sentences in skeletal Class III malocclusion were significantly lower than in the control group and were not statistically significant between the 3 groups for all other stimuli.

scholarly journals Combined orthodontic and surgical correction of adult skeletal class II with hyperdivergent jaws

2012 ◽  
Vol 3 (1) ◽  
pp. 65 ◽  
Author(s):  
Hemant Gupta ◽  
Ram Autar ◽  
Jiku Abraham ◽  
Paulami Bagchi ◽  
Swati Gupta
Keyword(s):  
Class Ii ◽  
Surgical Correction ◽  
Skeletal Class ◽  
Skeletal Class Ii

scholarly journals THE INFLUENCE OF SPEECH THERAPY TREATMENT ON THE DEVELOPMENTAL ABILITIES OF PRESCHOOL CHILDREN

2021 ◽  
Vol 11 (2) ◽  
pp. 113-119
Author(s):  
Leila Begic ◽  
◽  
Mirela Duranovic ◽  
Mirza Sitarevic ◽  
Fata Becirbasic ◽  
...  
Keyword(s):  
Preschool Children ◽  
Speech Therapy ◽  
Treatment Initiation ◽  
Significant Progress ◽  
Language Difficulties ◽  
Female Children ◽  
Before And After ◽  
Development Area ◽  
The Impact ◽  
Therapy Treatment

The main objective of the study was to determine the developmental abilities of preschool children before and after six months of speech therapy treatment, and to examine the impact of the time of initiation of speech therapy treatment on the developmental abilities of children. The sample consisted of 35 children (20 male children and 15 female children), and all respondents reported early intervention due to speech and language difficulties. The age of the respondents ranged from 25 to 60 months. After conducting interviews with parents, taking anamnestic data, professional speech therapy diagnosticobservational procedure and determining speech-language disorders, the children underwent speech therapy treatment. After six months, a final assessment was made and the results showed statistically significant progress in all variables describing developmental abilities in children. The predictor “Time of treatment initiation” also had a statistically significant impact on all tested variables of developmental abilities of preschool children. The results showed that speech therapy treatment enables significant progress in all developmental areas in children, i.e. that progress in one development area follows the development of other areas.

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