scholarly journals The Effects of Chewing Exercises on Masticatory Function after Surgical Orthodontic Treatment

2021 ◽  
Vol 11 (18) ◽  
pp. 8488
Author(s):  
Shinichi Negishi ◽  
Kota Sato ◽  
Kazutaka Kasai
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Tongue Pressure ◽  
Control Group ◽  
Sagittal Split Ramus Osteotomy ◽  
Occlusal Force ◽  
Oral Function ◽  
Masticatory Function ◽  
Significant Difference ◽  
Pattern Width

Recovery of oral function is one of the most important objectives of orthognathic surgery. This study investigated the effects of a chewing exercise on chewing patterns and other oral functions after sagittal split ramus osteotomy (SSRO). Ten subjects performed a chewing exercise. The control group comprised 19 patients. For masticatory function, the masticatory pattern, width, and height were assessed. For oral function, the occlusal, lip closure, and tongue pressure forces were measured. The chewing exercise was started 3 months after SSRO, and was performed for 5 min twice a day for 3 months. The masticatory pattern normalized in 60% of the patients and remained unchanged for the reversed and crossover types in 40% of the patients. In contrast, 21.0% of patients in the control group showed a change to the normal type. This may be a natural adaptation due to the changes in morphology. A more detailed study is needed to determine what does and does not improve with chewing exercise. The masticatory width significantly increased after performing the exercise. For oral function, a significant increase in the occlusal force was observed, with no significant difference in the control group. Chewing exercises immediately after SSRO improve masticatory patterns.

scholarly journals Postoperative Stability of Patients Undergoing Orthognathic Surgery with Orthodontic Treatment Using Clear Aligners: A Preliminary Study

2021 ◽  
Vol 11 (23) ◽  
pp. 11216
Author(s):  
Chiho Moon ◽  
George K. Sándor ◽  
Edward Chengchuan Ko ◽  
Yong-Deok Kim
Keyword(s):  
Treatment Period ◽  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Control Group ◽  
Orthodontic Appliances ◽  
Fixed Appliance ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Preliminary Study ◽  
Clear Aligner

Backgrond: Until now, there have been many studies on the postoperative stability of orthognathic patients treated with traditional fixed orthodontic appliances. Recently, the use of clear aligners as orthodontic appliances has increased in orthodontic treatment for aesthetic and patient convenience. The aim of this preliminary study was to investigate the stability and characteristics of patients undergoing orthognathic surgery using clear aligners. Patients and Methods: This study was performed on patients who underwent orthognathic surgery by one surgeon at Pusan National University Dental Hospital from April 2017 to August 2021. A comparative study was conducted on five patients treated with clear aligners during orthodontic treatment and ten patients treated with traditional fixed appliances as a control group. Postoperative skeletal changes and recurrence were evaluated by cone beam computed tomography and lateral cephalometric radiographs taken two days postoperatively and six months postoperatively. Several measurement variables were used to confirm the presence or absence of recurrence, preoperative and postoperative orthodontic treatment period, and the number of extracted teeth. Results: Postoperative stability for six months after surgery was not significantly different between the clear aligner group and the traditional fixed appliance group. The preoperative orthodontic treatment period was also shorter in the clear aligner group, and the number of extracted premolar teeth and impacted teeth were also fewer in the clear aligner group, but there was no significant difference. Conclusions: Orthodontic treatment using clear aligners continues to develop, and it is believed that there is no limit to what can be accomplished during orthodontic surgery accompanied by clear aligners.

scholarly journals Associations between Oral Hypofunction Tests, Age, and Sex

2021 ◽  
Vol 18 (19) ◽  
pp. 10256
Author(s):  
Yukiko Hatanaka ◽  
Junichi Furuya ◽  
Yuji Sato ◽  
Yoshiki Uchida ◽  
Toshiharu Shichita ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Reference Value ◽  
Tongue Pressure ◽  
Older Individuals ◽  
Swallowing Function ◽  
Occlusal Force ◽  
Oral Function ◽  
Masticatory Function ◽  
Age Related ◽  
Dental Hospital

Oral function declines in older individuals due to disease and age-related changes, making them vulnerable to oral and physical frailty. Therefore, it is important to manage the decline in oral function in older outpatients. Oral hypofunction is diagnosed by seven tests related to oral function, oral hygiene, oral moisture, occlusal force, oral diadochokinesis, tongue pressure, masticatory function, and swallowing function. However, sex or age were not factored into the current reference values of these tests. We included subjects attending the dental hospital clinic for maintenance, and recorded and analyzed oral hypofunction and the factors associated with its diagnosis. Of the 134 outpatients (53 males and 81 females, mean age 75.2 ± 11.2 years), 63% were diagnosed with oral hypofunction. Oral hypofunction prevalence increased significantly with age, and significant variations were observed in all tests. Furthermore, oral hygiene and swallowing function were not associated with oral hypofunction diagnosis. All examined factors decreased with increasing age, even after adjusting sex, except for oral hygiene and moisture. Occlusal force and masticatory function were higher in men after adjusting age. This study suggested that older outpatients were likely to be diagnosed with oral hypofunction, and that the test reference value and their selection for oral hypofunction should be reconsidered.

scholarly journals A Cross-Sectional Study of Age-Related Changes in Oral Function in Healthy Japanese Individuals

2020 ◽  
Vol 17 (4) ◽  
pp. 1376 ◽  
Author(s):  
Kiyomi Iyota ◽  
Shinsuke Mizutani ◽  
Saori Oku ◽  
Misa Asao ◽  
Toshiko Futatsuki ◽  
...  
Keyword(s):  
Motor Function ◽  
Cross Sectional Study ◽  
Tongue Pressure ◽  
Control Group ◽  
Sectional Study ◽  
Swallowing Function ◽  
Cross Sectional ◽  
Occlusal Force ◽  
Oral Function ◽  
Age Related

Background: Oral function deterioration is related to a variety of factors, including aging, decline in activities of daily living, malnutrition, and cognitive decline. This cross-sectional study examined the effects of aging on oral function in healthy individuals. Methods: A retrospective study was conducted on 175 healthy, independent patients aged 40–89 years, without dementia and with ≥20 teeth, who visited a local dental clinic in Japan. Patients were compared with 92 university students aged 20–29 years. The seven criteria proposed by the Japanese Society of Gerodontology to diagnose “oral hypofunction” were observed and statistically analyzed. Results: Compared with those in the control group, the degree of tongue coating was increased in the group aged over 80 years, occlusal force was decreased in the group aged 70–79 years, tongue motor function was decreased in the groups aged 60–69 years and older, and tongue pressure was decreased in the groups aged 70–79 years and older. Conclusions: Healthy, independent individuals maintained several oral function criteria across aging, including oral mucosal wetness, occlusal force, lip motor function, masticatory function, and swallowing function. Tongue motor function and tongue pressure decreased with aging, indicating that these may be rehabilitation targets.

scholarly journals Changes in the Upper and Lower Pharyngeal Airway Spaces Associated with Rapid Maxillary Expansion

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Fitin Aloufi ◽  
Charles B. Preston ◽  
Khalid H. Zawawi
Keyword(s):  
Orthodontic Treatment ◽  
Upper Airway ◽  
Rapid Maxillary Expansion ◽  
Lower Airway ◽  
Control Group ◽  
Maxillary Expansion ◽  
Pharyngeal Airway ◽  
Significant Difference ◽  
And Gender ◽  
Maxillary Constriction

Objectives. The primary objectives of this retrospective study were first to compare the upper and lower pharyngeal airway spaces between orthodontic patients with and without maxillary constriction and second to evaluate the effect of rapid maxillary expansion (RME) on these airway spaces. A secondary objective was to compare the mode of breathing between groups. Materials and Methods. The experimental (RME) group consisted of 30 patients (mean age, years, 16 boys and 14 girls) with maxillary constriction who were treated with hyrax-type RME. The control group comprised the records of age- and gender matched patients (mean age, years, 16 boys and 14 girls) with no maxillary constriction but requiring nonextraction comprehensive orthodontic treatment. Cephalometric measurements in the sagittal dimension of upper and lower airway spaces for the initial and final records were recorded. Mode of breathing and length of treatment were also compared. Results. The sagittal dimension of the upper airway increased significantly in the RME group ( mm) compared to the control group ( mm), . However, there was no significant difference in the lower pharyngeal airway measurement between the RME group () and the control group (), . There was no significant difference with respect to mode of breathing between the two groups (). Conclusion. Rapid maxillary expansion (RME) during orthodontic treatment may have a positive effect on the upper pharyngeal airway, with no significant change on the lower pharyngeal airway.

Effect of isometric exercises on the masseter muscle in older adults with missing dentition: a randomized controlled trial

2021 ◽  
Author(s):  
Satoru Takano ◽  
Kohei Yamaguchi ◽  
Kazuharu Nakagawa ◽  
Kanako Yoshimi ◽  
Ayako Nakane ◽  
...  
Keyword(s):  
Older Adults ◽  
Masseter Muscle ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Older Individuals ◽  
Muscle Properties ◽  
Oral Function ◽  
Masticatory Ability ◽  
Significant Difference

Abstract Maintaining oral function is important in older individuals with missing teeth for leading a healthy and independent life. This study aimed to evaluate whether simple isometric exercises can maintain and improve oral function (maximum occlusal force [MOF], masticatory ability [MA]) and masticatory muscle properties (masseter muscle thickness [MMT] and echo intensity [MMEI]) in older adults in the maintenance phase of removable prosthetic treatment. Participants were randomly allocated into intervention and control groups. The intervention group was instructed to perform maximum clenching for 10 s, whereas the control group was instructed to tap the teeth at an arbitrary speed for 10 s. Both were repeated five times at an interval of 5 s between each activity and twice a day for 4 weeks. The outcomes were measured after a month of exercise. The intervention group showed significant improvement in MOF, MMT during contraction, and MMEI during contraction. There was no significant difference in the MA and MMEI at rest. In the control group, no improvement was observed in any of the parameters. When the isometric exercises were performed using a mouthpiece, there was improvement in oral function and masseter muscle properties in older individuals with Eichner B status who used dentures.

scholarly journals Comparison of Rate of Canine Retraction and Secondary Outcomes Associated With Conventional Fixed Orthodontic Treatment and Minimally Invasive Techniques (MOPs): A Randomized Control Trial

2020 ◽  
pp. 030157422096350
Author(s):  
Ajit Vikram Parihar ◽  
Shivam Verma ◽  
TP Chaturvedi ◽  
Naresh Kumar ◽  
A Kavin Prasanth ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Control Group ◽  
P Value ◽  
Pain Level ◽  
Canine Retraction ◽  
Significant Difference ◽  
Secondary Outcomes ◽  
Anchorage Loss

Introduction: The objective of the study was to assess the rate of canine retraction and secondary outcomes associated with conventional fixed orthodontic treatment (CFO) and CFO with micro-osteoperforation (CFO + MOP), that is, anchorage loss, root resorption, vitality of tooth, pain and discomfort level during the procedure. Methods: A total of 16 patients with Class II Division 1 malocclusion who required upper first premolar extraction with lower non-extraction/single incisor extraction were divided into the test group (MOP) and positive control group (CFO + MOP) for a split-mouth study. Both maxillary canines were retracted with nickel–titanium (NiTi) closed coil springs. Patients were reviewed after 24 hours, 7 days, 28 days, and 4, 8, and 16 weeks to assess the rate of tooth movement, anchorage loss, root resorption, vitality of tooth, pain and discomfort level. Results: There was a statistically significant difference in the rate of tooth movement between the CFO and CFO + MOP groups after the first 4 weeks ( P-value = .026), whereas no statistically significant difference was observed at 8, 12, and 16 weeks ( P-value = .33, .99, and .08, respectively). In the CFO group, there was no statistically significant difference in tooth movement between different time intervals ( P-value > .05). There was no significant difference in root resorption between the groups. The pain level was higher in the MOP group in the first 24 hours ( P-value < .05) after the procedure. Later on, the difference in pain level between the groups was not significant ( P-value > .05). The vitality of retracted canines in both groups was healthy. Conclusion: The study recommends that the CFO + MOP procedure has substantial potential to be used as an adjunct to the routine mechanotherapy for faster tooth movement, as it may reduce the treatment time by half in the first 4 weeks after the MOP procedure. There are no potential differences in anchorage loss, tipping, vitality, and apical and lateral root resorption between the CFO and CFO + MOP groups. This trial was registered at Clinical Trial Registry, India.

scholarly journals The effect of alcohol-containing mouthwash and alcohol-free mouthwash towards the power chains force decay

2017 ◽  
Vol 29 (3) ◽  
Author(s):  
Willem Santana ◽  
Bergman Thahar ◽  
Endah Mardiati ◽  
Jono Salim
Keyword(s):  
Orthodontic Treatment ◽  
Artificial Saliva ◽  
Chlorhexidine Gluconate ◽  
Comparative Approach ◽  
Control Group ◽  
Force Decay ◽  
Significant Difference ◽  
The Common ◽  
Common Device

Introduction: Power chains is the common device used in fixed orthodontic treatment. Force decay in power chains is a problem that can affect the teeth movement due to a continuous force cannot be maintained. Force decay in power chain can be affected by the use of alcohol-containing mouthwash or alcohol-free mouthwash. The objective of this study was to determine the effect of alcoholic-containing mouthwash, alcohol-free mouthwash, and artificial saliva towards the power chains force decay. Methods: This research was an experimental analytic laboratory in-vitro with the comparative approach. The sample in this study were 40 power chain, short A (SA); 40 power chain, short B (SB); 40 power chain, long A (LA); and 40 power chain, long B (LB), which divided into 5 groups that were consecutively exposed to the artificial saliva as control group; Minosep® with 0.1% of chlorhexidine gluconate; Listerine® with 0% of alcohol; Hexadol® with 9% of alcohol; and Listerine® with 26.9% of alcohol. The measurement of force decay was performed with digital force gauge on day 0, 1, 14, and 28. The statistical analysis was done by using the Wilcoxon and Mann-Whitney tests. Result: There was a significant difference (p<0.05) between the force decay of power chain that exposed to the alcohol-containing mouthwash, alcohol-free mouthwash, and the artificial saliva. Conclusion: The force decay level of power chain that exposed to an alcohol-containing mouthwash was higher compared to the force decay level of power chain that exposed to an alcohol-free mouthwash and an artificial saliva.

scholarly journals Effects of remote digital monitoring on oral hygiene of orthodontic patients: a prospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Linda Sangalli ◽  
Fabio Savoldi ◽  
Domenico Dalessandri ◽  
Stefano Bonetti ◽  
Min Gu ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Group Differences ◽  
Control Group ◽  
Study Group ◽  
Remote Monitoring System ◽  
Carious Lesions ◽  
Significant Difference ◽  
Digital Monitoring ◽  
Plaque Control

Abstract Background Remote digital monitoring during orthodontic treatment can help patients in improving their oral hygiene performance and reducing the number of appointments due to emergency reasons, especially in time of COVID-19 pandemic where non-urgent appointments might be discouraged. Methods Thirty patients scheduled to start an orthodontic treatment were divided into two groups of fifteen. Compared to controls, study group patients were provided with scan box and cheek retractor (Dental Monitoring®) and were instructed to take monthly intra-oral scans. Plaque Index (PI), Gingival Index (GI), and White Spot Lesions (WSL) were recorded for both groups at baseline (t0), every month for the first 3 months (t1, t2, t3), and at 6 months (t4). Carious Lesions Onset (CLO) and Emergency Appointments (EA) were also recorded during the observation period. Inter-group differences were assessed with Student's t test and Chi-square test, intra-group differences were assessed with Cochran’s Q-test (significance α = 0.05). Results Study group patients showed a significant improvement in plaque control at t3 (p = 0.010) and t4 (p = 0.039), compared to control group. No significant difference was observed in the number of WSL between the two groups. No cavities were detected in the study group, while five CLO were diagnosed in the control group (p = 0.049). A decreased number of EA was observed in the study group, but the difference was not significant. Conclusions Integration of a remote monitoring system during orthodontic treatment was effective in improving plaque control and reducing carious lesions onset. The present findings encourage orthodontists to consider this technology to help maintaining optimal oral health of patients, especially in times of health emergency crisis.

scholarly journals EFFECTIVENESS OF KATUK LEAVES ETHANOL EXTRACT AMOUNT OF OSTEOBLAST AND OSTEOCLAST ON ALVEOLAR BONE IN ORTHODONTIC TREATMENT Research On Alveolar Bone Of Guinea Pigs

2021 ◽  
Vol 1 (Volume 1 No 1) ◽  
pp. 38-48
Author(s):  
Hillda Herawati ◽  
Fahrauk Paramayudh ◽  
Rudi Satria Darwis ◽  
Sarah Syarifah
Keyword(s):  
Guinea Pigs ◽  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Ethanol Extract ◽  
Control Group ◽  
Control Groups ◽  
Significant Difference ◽  
Bone Remodelling Process ◽  
Treatment Research ◽  
And Control

The optimal achievement of orthodontic treatment is determined by a bone remodelling process involving osteoblast, osteoclasts, and the estrogen hormone. Estrogen deficiency can increase osteoclast age and decrease osteoblast, resulting in an imbalance between osteoclasts and osteoblasts. One natural alternative that can replace the role of the hormone estrogen is phytoestrogens. Sauropus androgynus (L.) Merr (katuk) is a phytoestrogen that contains isoflavones with many similarities with estrogens. This research aims to determine the effectiveness of the various doses of ethanol extract of katuk leaves orally on the number of osteoblasts and osteoclasts. This research was conducted using experimental laboratory methods using 24 female Guinea pigs divided into a control group and three groups with various doses of 39.15 mg/BW, 78.3 mg/BW, and 156.5 mg/BW. The observations made in this test were the number of osteoblasts and osteoclasts on the alveolar guinea pig on day 14 and analysed using the one way ANOVA test (p <0.05). All guinea pigs have applied a rubber separator to the left incisor and given a dose according to the group, and after 14th days, histological preparations were made. The results showed that the highest number of osteoblasts was at a dose of 78.3 mg/BW, and the lowest number of osteoclasts was at a dose of 39.15 mg/BW with values of 15.03 ± 2.27 and 1.73 ± 0.56, respectively. Statistically, the number of osteoblasts between the treatment and control groups significantly differed (p = 0.04), while the number of osteoclasts between the treatment and control groups had no significant difference (p = 0.228). This study concludes that katuk leaves extract has effectiveness in increasing the number of osteoblasts in orthodontic treatment, while the decrease in osteoclasts is not statistically proven.

Effect of Tongue and Lip Motor Training for Cognitive Function in Older People: -The Relationship of Oral Function and Cognitive Function

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Minoru Innami ◽  
Masayo Okumura ◽  
Junichi Otogoto ◽  
Eiji Kondo ◽  
Norio Sogawa ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Older People ◽  
Whole Body ◽  
Motor Training ◽  
Health Maintenance ◽  
Occlusal Force ◽  
Oral Function ◽  
Masticatory Function ◽  
Relationship Of ◽  
The Relationship

Introduction: The oral function with many teeth affects the health maintenance of the whole body and brain activation of the older people. This study investigates the relationship between cognitive and oral functions, and the effect of tongue and lip motor training on cognitive function. Methods: One hundred subjects (age > 65) were investigated Mini-Mental State Examination (MMSE), their number of present teeth, masticatory function, occlusal force, and oral diadochokinesis (ODK), and correlations between their MMSE scores and the other factors were discussed. Fifteen subjects (5 non-impairment group: NIG, 10 impairment group: IG) participated in tongue and lip motor training three times daily for 15 months. Their MMSE scores, masticatory function, occlusal force, and ODK times were measured every three months. Results: Their MMSE scores correlated with age, number of present teeth, masticatory function, and ODK. Furthermore, multiple regression analysis showed that MMSE scores were strongly related to age and ODK. MMSE scores of IG were significantly higher after 15 months of pronunciation than before training and three months after training started. In both groups, ODK times after 15 months of training were significantly higher than before the training and three months training started. Their masticatory function and occlusal force in the IG showed no significant differences during the 15 months of training. Conclusions: The findings suggest that cognitive function may be related to oral function, especially pronunciation, and those 15 months of tongue and lip motor training is effective in improving cognitive and pronunciation functions.

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