Cleft lip and palate: developmental abnormalities of the face, mouth and jaws
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie in Bailey & Love's Short Practice of Surgery, 2018
The principal dentofacial deformity associated with cleft lip and palate is underdevelopment in both the horizontal and vertical direction of the maxilla. This jaw size discrepancy can be corrected with orthognathic surgery (Figure45.21)
A comparison of self-esteem and social appearance anxiety levels of individuals with different types of malocclusions
Published in Acta Odontologica Scandinavica, 2021
Ezgi Atik, Mehmet Mert Önde, Silvi Domnori, Saliha Tutar, Okan Can Yiğit
Sun and Jiang [13] evaluated the relationship between the malocclusion type classified by Angle’s classification and self-esteem of adolescents aged between 12 and 18 years. In similar to our results, they concluded that Class II malocclusion presented higher risk for low appearance of self-esteem. Gavric et al. [27] studied the interaction between the dentofacial aesthetic and self-esteem in adolescents and young adults. According to their results, there was not a correlation between malocclusion and self-esteem. Similarly, different studies also confirmed the result that dentofacial deformity does not strictly have an impact on self-esteem [14,28]. Inconsistent and contradictory results in relation to the malocclusion and self-esteem interaction could be explained with the fact that there are variable factors which may also effect self-esteem besides malocclusion such as obesity, social life activity, school success, family approach to child, health situation, family income and personality traits.
Obstructive sleep apnea: personalizing CPAP alternative therapies to individual physiology
Published in Expert Review of Respiratory Medicine, 2022
Brandon Nokes, Jessica Cooper, Michelle Cao
Skeletal surgery includes 1) hyoid advancement 2) genioplasty/genioglossus advancement 3) maxillary expansion 4) maxillomandibular advancement 5) mandibular distraction and 6) maxillomandibular expansion. The two most common are maxillomandibular advancement (MMA) and genioglossus advancement (GGA), which are often described as tongue base surgery [91]. Predictors of success for skeletal surgery are complete concentric collapse (CCC) and lateral pharyngeal wall collapse (LPW) on DISE, or congenital dentofacial deformity on physical exam [91]. Previously, MMA was used as a salvage surgical therapy for OSA, but now has more predictable clinical outcomes through visualizing the pattern of collapse at the velum during DISE [91]. The OSA cure rate for MMA is approximately 38%, but again can be optimized through careful patient selection [92].
Improving treatment of the temporomandibular joint in juvenile idiopathic arthritis: let’s face it
Published in Expert Review of Clinical Immunology, 2019
Peter Stoustrup, Marinka Twilt
Orthodontic treatment with orthopedic devices can be used either in parallel with systemic or local therapy in children with active TMJ arthritis or can be used as single treatment of arthritis induced dentofacial deformity and symptoms. Unilateral TMJ involvement in JIA often leads to asymmetric dentofacial growth. Orthopedic functional appliance treatment such as the distraction splint can lead to reduced mandibular asymmetry and normalize the mandibular vertical growth in the affected side [19]. Another study has shown the positive effect of oral stabilization splint application on orofacial pain frequency and intensity and significant improvement of TMJ function [20]. The use of oral splints for JIA associated TMJ arthritis and its sequalae is very dependent on the healthcare system the patient depends on. In countries where orthopedic devices are covered by health care insurance or government programs the uptake and implementation of these devices is much higher with promising results. However, these treatments can be expensive for the individual patient if not covered and when pricing is not governed. The development and use of these orthopedic devices is not part of most dental/orthodontic official training programs and extra training might be necessary, limiting this option for some patient populations.
Related Knowledge Centers
- Malocclusion
- Orthodontics
- Prognathism
- Orthognathic Surgery