Results in the treatment with twin block polymeric appliance of the retrognathic mandible in sleep apnea patients
Open accessAbstract
Obstructive sleep apnea syndrome (OSAS) in children is characterized by recurrent events of partial or complete upper airway obstruction during sleep. Functional orthopedics has been used for patients who have OSAS and craniofacial anomalies because they change the mandible posture forwards, improving the respiratory function. In present, much attention is accorded to the relationship between respiratory function and facial morphology. This study combines the cephalometric measurements and cardio-respiratory polygraphy, in order to analyze the effects of a modified functional Twin Block polymeric appliance on respiratory variables in OSAS patients. The chief complaints of the included in study patients was the crooked teeth and the teasing about their smile. Pretreatment facial photographs show labial position of anterior teeth, gummy smile, a large overjet, incompetent lips and retrognathic mandible. The patients underwent overnight cardio-respiratory polygraphic tests in the same Sleep Laboratory, before and after mandibular advancement device treatment. At the end of the orthopedic treatment phase, the beneficial result of this study was the mandible correction, the maxilla restrained, over jet decreased, improving the facial profile and reintegration of the patient in the school social environment. The education of the parents and of the small patients to recognize the symptoms of sleep apnea and to apply the available effective treatments with a positive social impact on self-esteem and which recovers the facial aesthetics and functionality is a stringent necessity.
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All included studies except Rădescu et al. showed a reduction in the apnea-hypopnea index after mandibular advancement appliance treatment in pediatric obstructive sleep apnea.
“All studies presented a reduction in the AHI after treatment with MAAs, except those in the study by Rădescu et al. 31”
From Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review (2023) · cites this paper as [31]
Rădescu et al. (2017) reported that snoring intensity indexes increased from 4.2 to 51.3 events/h.
“Snoring intensity indexes increased from 4.2 to 51.3 events/h”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as Rădescu et al.26 2017
Rădescu et al. (2017) reported that in an 8-year-old girl with obstructive sleep apnea treated with a Twin Block for 12 months, the AHI increased significantly from 2.6 to 10.2 events per hour of sleep.
“The AHI increased significantly from 2.6 to 10.2 events per hour of sleep.”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as Rădescu et al.26 2017
Rădescu et al. (2017) reported that the oxygen desaturation index had significantly variable changes from 3.2 to 10.8 events/h.
“the oxygen desaturation index has significantly variable changes from 3.2 to 10.8 events/h.”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as Rădescu et al.26 2017
Rădescu et al. (2017) reported that the initial pre-treatment rate for apnea-hypopnea was 34 events/h of sleep and increased to 81 events/h in the sleep period when polymer appliances were used.
“The initial pre-treatment rate for apnea-hypopnea was 34 events/h of sleep and increased to 81 events/h in the sleep period, when the polymer appliances were used.”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as Rădescu et al.26 2017
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Orthodontic treatment of patients with obstructive sleep apnea syndrome (OSAS)
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- Authors
- Radescu, O. D., Albu, S., Baciut, M., Bran, S., Coman, A. C., Bechir, E. S., Pacurar, M., & Todea, D. A.
- Affiliations
- Iuliu Hațieganu University of Medicine and Pharmacy (RO)
- Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș (RO)
- Venue
- Materiale Plastice
- Publisher
- Revista de Chimie SRL
- Published
- 2017-09-30
- Volume
- 54
- Issue
- 3
- Pages
- 473-476
- ISSN
- 0025-5289 (ISSN-L)
- 2668-8220
- OpenAlex
- W3004025672
- Cited by
- 12
- References
- 4
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 7
- FWCI
- 3.60
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Materiale Plastice (publishedVersion, cc-by)
- Topics
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Keywords
- obstructive sleep apnea, pediatric sleep apnea, retrognathic mandible, Twin Block appliance, functional orthopedics, mandibular advancement device, cardiorespiratory polygraphy, overjet reduction, facial profile, gummy smile, craniofacial anomalies, self-esteem
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