دورية أكاديمية
Clinical effects of twin-block combined with maxillary expansion on the upper airway in adolescents with Class II malocclusion.
| العنوان: | Clinical effects of twin-block combined with maxillary expansion on the upper airway in adolescents with Class II malocclusion. |
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| المؤلفون: | Zhao H; Dental Clinic, Cangzhou Central Hospital, No. 16 Xinhua West Road, Cangzhou, Hebei, 061000, China. kqmzzhaohuanhuan@163.com., Sun R; Dental Clinic, Cangzhou Central Hospital, No. 16 Xinhua West Road, Cangzhou, Hebei, 061000, China., Cao S; Dental Clinic, Cangzhou Central Hospital, No. 16 Xinhua West Road, Cangzhou, Hebei, 061000, China., Han J; Dental Clinic, Cangzhou Central Hospital, No. 16 Xinhua West Road, Cangzhou, Hebei, 061000, China. |
| المصدر: | Clinical oral investigations [Clin Oral Investig] 2024 Jul 24; Vol. 28 (8), pp. 442. Date of Electronic Publication: 2024 Jul 24. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9707115 Publication Model: Electronic Cited Medium: Internet ISSN: 1436-3771 (Electronic) Linking ISSN: 14326981 NLM ISO Abbreviation: Clin Oral Investig Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Berlin : Springer-Verlag Original Publication: Berlin : Springer, c1997- |
| مواضيع طبية MeSH: | Malocclusion, Angle Class II*/therapy , Malocclusion, Angle Class II*/diagnostic imaging , Cephalometry* , Palatal Expansion Technique*, Humans ; Adolescent ; Female ; Male ; Treatment Outcome |
| مستخلص: | Background: Class II malocclusion, particularly class II division 1, poses a significant orthodontic challenge with implications for both aesthetics and health. This study aimed to explore the impact of twin-block (TB) combined with maxillary expansion treatment (TB-ME) on upper airway dimensions and inflammatory profiles in adolescents with skeletal Class II Division 1 malocclusion in adolescent. Methods: Ninety-two eligible patients were randomly assigned to two groups: TB-ME treatment and traditional McLaughlin Bennett Trevisi (MBT) straight-wire orthodontic treatment (Control). Cephalometric lateral X-ray scans were conducted before and after treatment to assess skeletal changes, including SNA, ANB, and SNB angles, which are essential to assess the anteroposterior relationships of the maxilla and mandible to the cranial base. We also measured the upper airway volumes and areas. Concentrations of inflammatory factors including intercellular adhesion molecule 1 (ICAM-1), matrix metallopeptidase 2 (MMP2), and interleukin 8 (IL-8) of gingival crevicular fluid analysis (GCF) were detected by enzyme-linked immunosorbent assay. Results: TB-ME treatment induced significant improvement in cephalometric parameters, including a decrease in SNA and ANB angles and an increase in SNB angle. Upper airway volumes and areas increased significantly in both groups, with TB-ME showing greater improvements. GCF analysis revealed a reduction in ICAM-1, MMP2, and IL-8 concentrations in the TB-ME group compared to the Control group. Conclusions: TB-ME treatment demonstrates multifaceted improvements in skeletal malocclusion, upper airway dimensions, and inflammatory profiles in adolescents with class II division 1 malocclusion, showing the promise of TB-ME in addressing the complexities associated with class II malocclusion. (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
| References: | Backer S, Nirayath KJ (2023) Growth modulation therapy in skeletal class II malocclusion. BMJ Case Rep 16. https://doi.org/10.1136/bcr-2022-249784. Varrela J (1998) Early developmental traits in class II malocclusion. Acta Odontol Scand 56:375–377. https://doi.org/10.1080/000163598428356. (PMID: 10.1080/00016359842835610066120) Gandhi V, Mehta F, Patel D, Joshi H, Tadinada A, Yadav S, Malek F (2023) Evaluation of skeletal and dentoalveolar changes in patients with class II div 1 malocclusion treated with Twin Block Appliance. Cureus 15:e49364. https://doi.org/10.7759/cureus.49364. (PMID: 10.7759/cureus.493643802401110673708) Perinetti G, Contardo L (2017) Reliability of growth indicators and efficiency of functional treatment for skeletal class II malocclusion: current evidence and controversies. Biomed Res Int 2017:1367691. https://doi.org/10.1155/2017/1367691. (PMID: 10.1155/2017/1367691281681955266812) Guo B, Lu RJ (2020) [Morphological change analysis based on cone beam CT of the upper airway for obstructive sleep apnea syndrome patients treated with oral appliance in skeletal class II malocclusion with different vertical patterns]. Hua Xi Kou Qiang Yi Xue Za Zhi 38:419–424. https://doi.org/10.7518/hxkq.2020.04.012. (PMID: 10.7518/hxkq.2020.04.01232865362) Raffaini M, Pisani C (2013) Clinical and cone-beam computed tomography evaluation of the three-dimensional increase in pharyngeal airway space following maxillo-mandibular rotation-advancement for class II-correction in patients without sleep apnoea (OSA). J Craniomaxillofac Surg 41:552–557. https://doi.org/10.1016/j.jcms.2012.11.022. (PMID: 10.1016/j.jcms.2012.11.02223312953) Yeghiazarians Y, Jneid H, Tietjens JR, Redline S, Brown DL, El-Sherif N, Mehra R, Bozkurt B, Ndumele CE, Somers VK (2021) Obstructive Sleep Apnea and Cardiovascular Disease: A Scientific Statement from the American Heart Association. Circulation 144:e56–e67. https://doi.org/10.1161/CIR.0000000000000988. (PMID: 10.1161/CIR.000000000000098834148375) Remy F, Boyer E, Daniel C, Rousval E, Moisdon P, Burgart P, Bonnaure P, Godio-Raboutet Y, Guyot L, Meuric V, Thollon L (2022) Management of the pediatric OSAS: what about simultaneously expand the maxilla and advance the mandible? A retrospective non-randomized controlled cohort study. Sleep Med 90:135–141. https://doi.org/10.1016/j.sleep.2022.01.007. (PMID: 10.1016/j.sleep.2022.01.00735158293) Ioan I, Weick D, Sevin F, Sanlaville D, De Freminville B, Schweitzer C, Akkari M, Coutier L, Putois B, Plancoulaine S, Thieux M, Franco P (2022) Neurocognitive evaluation of children with down syndrome and obstructive sleep apnea syndrome. Sleep Med 100:542–549. https://doi.org/10.1016/j.sleep.2022.09.009. (PMID: 10.1016/j.sleep.2022.09.00936308912) Huo B, Che X, Li X (2023) Timing of early correction of mandibular hypoplasia in skeletal class II malocclusion: a review. J Clin Pediatr Dent 47:11–20. https://doi.org/10.22514/jocpd.2023.077. (PMID: 10.22514/jocpd.2023.07737997230) Zhang JN, Chen S, Huang CY, Zhong C, Jin J, Yu FY, Zhang ZZ, Lu HP (2020) Comparison of the effects of rapid maxillary expansion versus Twin Block appliance on mandibular growth in skeletal class II patients. BMC Oral Health 20:350. https://doi.org/10.1186/s12903-020-01344-8. (PMID: 10.1186/s12903-020-01344-8332615947709330) Lima Filho RM, de Oliveira Ruellas AC (2007) Mandibular behavior with slow and rapid maxillary expansion in skeletal class II patients: a long-term study. Angle Orthod 77:625–631. https://doi.org/10.2319/071406-294. (PMID: 10.2319/071406-29417605498) Lin J (2011) Modern orthodontics: the unity of science and art (4th Edition). Peking University Medical Press. Stuani AS, Silvano PRA, Arnez MFM, Mira P, Gorita MC, Monteiro PM, Marsumoto MAN, Hirata MH, Menezes LM, Stuani MBS (2021) VEGF and FGF-2 released in Palatal suture after Rapid Maxillary Expansion (RME). Braz Dent J 32:98–103. https://doi.org/10.1590/0103-6440202103527. (PMID: 10.1590/0103-644020210352733914010) Wang H, Feng J, Lu P, Shen G (2015) Correction of a skeletal class II malocclusion with severe crowding by a specially designed rapid maxillary expander. Am J Orthod Dentofac Orthop 147:242–251. https://doi.org/10.1016/j.ajodo.2013.12.032. (PMID: 10.1016/j.ajodo.2013.12.032) Lombardo EC, Franchi L, Lione R, Chiavaroli A, Cozza P, Pavoni C (2020) Evaluation of sagittal airway dimensions after face mask therapy with rapid maxillary expansion in Class III growing patients. Int J Pediatr Otorhinolaryngol 130:109794. (PMID: 10.1016/j.ijporl.2019.109794) Pavoni C, Lombardo EC, Lione R, Bollero P, Ottaviani F, Cozza P (2017) Orthopaedic treatment effects of functional therapy on the sagittal pharyngeal dimensions in subjects with sleep-disordered breathing and class II malocclusion. Acta Otorhinolaryngol Ital 37:479. (PMID: 10.14639/0392-100X-1420293277335782425) Pavoni C, Lombardo EC, Franchi L, Lione R, Cozza P (2017) Treatment and post-treatment effects of functional therapy on the sagittal pharyngeal dimensions in class II subjects. Int J Pediatr Otorhinolaryngol 101:47–50. (PMID: 10.1016/j.ijporl.2017.07.03228964309) Bajrovic N, Nakas E, Dzemidzic V, Tiro A (2021) The Link between Obstructive Sleep Apnea and Orthodontic anomalies in obese Adult Population. Mater Sociomed 33:65–69. https://doi.org/10.5455/msm.2021.33.65-69. (PMID: 10.5455/msm.2021.33.65-69340123548116106) Sutherland K, Cistulli PA (2019) Oral Appliance Therapy for Obstructive Sleep Apnoea: state of the art. J Clin Med 8. https://doi.org/10.3390/jcm8122121. Lim J, Lasserson TJ, Fleetham J, Wright J (2006) Oral appliances for obstructive sleep apnoea. Cochrane Database Syst Rev 2006:CD004435. https://doi.org/10.1002/14651858.CD004435.pub3. (PMID: 10.1002/14651858.CD004435.pub3164374888080100) Zhao Z, Zheng L, Huang X, Li C, Liu J, Hu Y (2021) Effects of mouth breathing on facial skeletal development in children: a systematic review and meta-analysis. BMC Oral Health 21:108. https://doi.org/10.1186/s12903-021-01458-7. (PMID: 10.1186/s12903-021-01458-7336916787944632) Macari AT, Karam IA, Tabri D, Sarieddine D, Hamdan AL (2014) Correlation between the length and sagittal projection of the upper and lower jaw and the fundamental frequency. J Voice 28:291–296. https://doi.org/10.1016/j.jvoice.2013.10.003. (PMID: 10.1016/j.jvoice.2013.10.00324321586) Zhao H, Sun R, Cao S, Han J (2023) Treatment of Class II Malocclusion with Orthodontic Microimplant Anchorage. Int Dent J doi. https://doi.org/10.1016/j.identj.2023.11.008. (PMID: 10.1016/j.identj.2023.11.008) Kamran MA, Alnazeh AA, Almagbol M, Almoammar S, Alhaizaey AHA, Alshahrani I (2023) Role of six cytokines and bone metabolism biomarkers in gingival crevicular fluid in patients undergoing fixed orthodontic appliance treatment in comparison with aligners: a clinical study. Angle Orthod 93:335–340. https://doi.org/10.2319/091722-649.1. (PMID: 10.2319/091722-649.13680740110117209) |
| فهرسة مساهمة: | Keywords: Class II malocclusion; Maxillary expansion; Orthodontic treatment; Twin-block; Upper airway dimensions |
| تواريخ الأحداث: | Date Created: 20240724 Date Completed: 20240724 Latest Revision: 20240724 |
| رمز التحديث: | 20240726 |
| DOI: | 10.1007/s00784-024-05837-6 |
| PMID: | 39046570 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1436-3771 |
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| DOI: | 10.1007/s00784-024-05837-6 |