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At least 955 records · Page 53Linked to original sources
PubMed1995

Long-term stability of two-jaw surgery for treatment of mandibular deficiency and vertical maxillary excess.

Changes in cephalometric landmark positions and relationships were evaluated more than 5 years postsurgically in 26 patients whose long-face condition had been treated with a combination of superior repositioning of the maxilla and mandibular advancement. All the patients had a least 2-mm surgical intrusion of the maxilla and 2-mm lengthening of the mandible with wire osteosynthesis, maxillomandibular fixation, and skeletal suspension wires. On the average, a small amount of downward and backward rotation of the mandible occurred long term. The mean change in overjet was less than 1 mm. Most of the changes occurred in a minority of the patients: 20% of the group had 2 to 4-mm downward movement of menton, and the mandibular plane angle increased more than 2 degrees in 25% of the patients. On clinical evaluation, a tendency toward opening of the bite beyond 1 year postsurgery was noted in 5 of the 26 patients (19%), and one patient had a greater than 4-mm decrease in overbite. The condylion-pogonion distance decreased 2 to 4 mm in three patients, two of whom had shown greater than 4-mm shortening of this distance during the first postsurgical year. It appears that long-term shortening of the condylar process is not a highly prevalent problem, but changes of 2 to 4 mm in condylion-pogonion associated with modest clinical relapse may occur beyond 1 year postsurgery in 5 to 10% of these two-jaw surgery patients.

Adolescent↗
PubMedDate not supplied

Changes in the dentition secondary to palatal crib therapy in digit-suckers: a preliminary study.

This study investigated the effect of the palatal crib appliance used in the correction of open bite malocclusions secondary to fingersucking. Twelve experimental and 12 control subjects were studied for an average of 3.9 months. The sample consisted of patients who were both growing and not growing. Study models taken before and after the study period were analyzed for changes in the following dimensions: overbite, overjet, arch perimeter, arch length, and incisor angulation. Data were analyzed with student t-tests to determine statistical significance. Partial or complete closure of the open bite was achieved averaging 3.7 mm +/- 1.9 mm during the observation period in the experimental group treated with palatal crib therapy. In contrast, the control group displayed a mean bite opening of 0.4 mm +/- 0.8. These values were statistically significant at the P < 0.001 level. Open bite decreased as incisor angulation (P < 0.02), arch length (P < 0.05), and arch perimeter (P < 0.01) decreased. Overjet changes were minimal and statistically insignificant.

Adolescent↗
PubMed1997

Unilateral cleft lip and palate. Relationship between morphology of the dentition and functional parameters of the tongue.

The relationship between orthodontic and logopedic findings was evaluated with statistical contingency analysis. The investigation was focused on selected dentomorphologic parameters and oral function/malfunction of 100 patients between 3 and 7 years of age with unilateral cleft lip and palate. For further classification into contingency tables "normal" and "abnormal" attributes were defined. Interdependencies between observed findings and their probable frequencies were calculated and represented in diagrams by means of statistical parameters such as the contingency coefficient. Scatterplots of the calculated coefficients showed a characteristic pattern corresponding to clinical experience. While overjet and transversal occlusion are strongly associated with oral functions, overbite tends not to be associated with oral functions. The contingency coefficient calculated from sagittal and transversal orthodontically relevant conditions of occlusion and incorrect tongue position as well as incorrect swallowing tends to be stronger than that of "abnormal" morphologic parameters and an incorrect tongue position during speech. The longitudinal study of lip position and the 3 investigated morphologic parameters revealed strongly associated contingency coefficients.

Child↗
PubMed1996

Profile changes following orthodontic correction of bimaxillary protrusion with a preadjusted edgewise appliance.

This study aimed to determine the changes in soft tissue and skeletal profiles following orthodontic correction of bimaxillary protrusion in 50 Chinese adult patients. Treatment involved extractions of four premolars and use of the preadjusted edgewise appliance. The average treatment time was 2.2 years. Cephalometric analysis was carried out on pretreatment and posttreatment cephalograms. The result of treatment was a more harmonious soft tissue profile; with a less acute nasolabial angle (following a 10.55-degree change), 2.75- and 2.09-mm reductions in upper and lower lip protrusions, respectively, and a 3.41-mm decrease in interlabial gap. Effects on dental relationships included a 0.90-mm reduction in incisal show, a reduction of overbite, and an improvement in the inclination of maxillary and mandibular incisors. Therefore, orthodontic correction of bimaxillary protrusion achieved favorable soft tissue changes without causing undesirable effects on the underlying hard tissues.

Adolescent↗
PubMed1994

Occlusal status and permanent teeth eruption in Libyan children.

The occlusal status was assessed in 2015 Libyan children. Angle class I was found to be the predominant type (94.5%), overbite relationship in the majority (50.6%) were within the incisal third. The mean overjet measurements ranged from 2 mm. to 8 mm. Small proportion (13.4%) of the children examined were assessed to have a signs of crowding. Only 18.7% of the children were found to require orthodontic treatment. Eruption of permanent teeth was earlier in girls than in boys. The interval of rest between the mandibular lateral incisors and canines was 2.68 years for boys and 2.76 years for girls.

Adolescent↗
PubMed1998

Stability of transverse maxillary dental arch dimensions following orthodontic-surgical correction of anterior open bites.

A sample of 130 patients with vertical maxillary hyperplasia; mandibular hypoplasia with a high mandibular plane angle; narrow, tapered maxillary dental arch form; and anterior vertical open bite were collected from three different institutions to evaluate the stability of transverse maxillary arch dimensions after correction of the open bite. Surgical treatment consisted of Le Fort I or bimaxillary osteotomies. Intermolar, interpremolar, and anterior arch widths were measured three-dimensionally on dental casts using a Reflex microscope, and transverse stability after orthodontic or surgical maxillary expansion was analyzed. Orthodontic expansion followed by a one-piece Le Fort I intrusion osteotomy was performed in 77 patients, and surgical maxillary expansion by a multisegment Le Fort I intrusion osteotomy was performed in 53 patients. The increase of transverse arch width and the relapse after orthodontic or surgical expansion were not significantly different. The transverse arch width in these two groups did not relapse in 20% of the patients after a mean follow-up of 69 months. An additional bilateral sagittal split osteotomy had no detectable effect on stability. Patients who underwent a multisegment Le Fort I osteotomy stabilized with rigid internal fixation showed better transverse stability than those with intraosseous wire fixation and maxillomandibular fixation. Maxillary intermolar and interpremolar arch width relapses were not correlated with tongue interposition or loss of interdigitation. The relapse of these arch widths showed significant correlations with clockwise rotation of the mandible but not with changes of overbite or overjet.

Adolescent↗
PubMed1993

Cephalometric evaluation of maxillary retrognathism cases treated with FR-3 appliance.

The purpose of this investigation was to evaluate the efficiency of the FR-3 appliance on functional Cl III malocclusion cases. A total of 45 functional Cl III cases were chosen from a general clinic intake of which 25 were treated with the FR-3 appliance and 20 were untreated and were taken as a control group. Patients that were treated with FR-3 had the following characteristics: Cl III with maxillary deficiency; functional anterior cross-bite; absence of anterior open-bite; patients in mixed dentition. The mean age in the treatment group was 8.4 years 8.8 years in the control group. The observation period was one year for both groups. The results were as follows: Sagittal forward growth stimulation was not observed in the maxilla. Mandibular growth was redirected in the vertical direction. The SNB angle decreased in that the mandible rotated downward and backward. The ANB angle increased. There was an increase in total and lower anterior facial height and reduction in the overbite. Another skeletal change observed was the increase in the cranial flexure angle. Improved dental results were a significant amount of overjet increase and a decrease in the IMPA. There was also a beneficial effect on the soft tissue profile.

Cephalometry↗
PubMed1993

Occlusal survey in a group of Tanzanian adults.

The aim of this study was to describe the occlusion pattern among Tanzanian adults. A total of 906 subjects aged 19-84 years from Ilala District, in Dar es Salaam were clinically examined. The variables studied included molar occlusion, overjet, overbite, open bite, crossbite, crowding, spacing and diastema mediale. Most of the subjects, 94%, had Angle's Class I molar occlusion. Transversal occlusal anomalies were rare. Spacing was more prevalent than crowding. Diastema mediale occurred in 32% of the subjects. Anterior open bite and spacing were the most prevalent conditions in the study group. Although crowding was prevalent, the results indicate an optimal sagittal occlusion with spacious maxilla and mandible. The frequencies found in this study were of a different pattern when compared with those reported previously in different populations. This suggests the need for a more comprehensive inter-ethnic groups study to confirm the differences and examine their implications to clinical and anthropological use.

Adult↗
PubMedDate not supplied

Fluoride release from a light-cured bonding material in openbite orthodontic patients.

This study was undertaken to clarify whether the salivary fluoride concentration on the anterior and premolar teeth, released from an orthodontic bonding material, differed between openbite and non-openbite patients. Using fluoride-releasing bonding materials, brackets were bonded to the teeth in openbite and in non-openbite patients. Saliva films on the tooth surfaces near the brackets were collected with filter paper and fluoride concentrations in the saliva were determined by using a fluoride electrode technique. Saliva was collected and analyzed at different periods after the bonding. Fluoride concentrations in the saliva increased sharply immediately after bonding, decreased gradually thereafter, then leveled off. Fluoride concentrations in the saliva on the tooth surfaces were higher in openbite patients for one day to as long as one week. The results of the two-way analysis (ANOVA) showed that the differences in the overbite factor (openbite, non-openbite) contributed to the variances the most (p < 0.001; contribution, 59.50 percent after one day and p < 0.01; contribution, 49.63 percent after 3 days). In conclusion, the fluoride released from the bonding materials on the tooth surfaces was retained more in openbite than in non-openbite patients, suggesting their lower flow rate of saliva.

Adhesives↗
PubMedDate not supplied

An analysis of malocclusion in children with otitis media.

PURPOSE: The purpose of this study was to examine the occlusion of children younger than 6 years with a diagnosis of otitis media. METHODS: The study consisted of 112 children diagnosed with otitis media by their pediatrician. Parents were surveyed regarding their child's history of pacifier use, thumb/finger-sucking habit, mouthbreathing habit, method of feeding, day care attendance, snoring, allergies, asthma, upper respiratory infections, otitis media in the family, and the number of people who smoke in the home. The children's occlusions were examined. RESULTS: In this study, 52% of the population presented with some type of malocclusion, with anterior open bite (17%) and an overbite measuring greater than 70% (17%) being the most prominent. This study showed that the following factors were common in children with otitis media: bottle feeding, smoking in the home, day care attendance, upper respiratory infection, history of otitis media with a sibling, pacifier habit, snoring, and mouthbreathing habit. CONCLUSION: A logistic regression analysis showed no significant association between malocclusion and factors related to otitis media.

Asthma↗
PubMed2005

Cornelia de-Lange syndrome.

Cornelia De Lange syndrome is a relatively uncommon, multiple congenital anomaly / mental retardation disorder of unknown etiology. Its incidence has been reported to vary from 1 : 30,000 to 1 : 50,000 of live births, without any known racial predilection. However, it has been considered to be due to a new dominant mutation. Main clinical features of this syndrome include growth retardation, developmental delay, hirsutism, structural limb abnormalities, mental retardation and facial growth discrepancies. Main causes of death in such patients include pneumonia along with cardiac, respiratory and GI abnormalities.

Child↗