Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Dental and skeletal changes associated with long-term mandibular advancement
Autore:
Robertson, CJ;
Indirizzi:
Univ Otago, Dept Oral Sci & Orthodont, Sch Dent, Dunedin, New Zealand UnivOtago Dunedin New Zealand rthodont, Sch Dent, Dunedin, New Zealand
Titolo Testata:
SLEEP
fascicolo: 5, volume: 24, anno: 2001,
pagine: 531 - 537
SICI:
0161-8105(20010801)24:5<531:DASCAW>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
OBSTRUCTIVE SLEEP-APNEA; APPLIANCE; HERBST;
Keywords:
mandibular advancement; cephalometric; obstructive sleep apnea; dental side effects; longitudinal;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Robertson, CJ Univ Otago, Dept Oral Sci & Orthodont, Sch Dent, Dunedin, New Zealand Univ Otago Dunedin New Zealand Dent, Dunedin, New Zealand
Citazione:
C.J. Robertson, "Dental and skeletal changes associated with long-term mandibular advancement", SLEEP, 24(5), 2001, pp. 531-537

Abstract

Study Objectives: Little is known of the possible dental or skeletal side effects following the use of mandibular advancement in the treatment of obstructive sleep apnea. A study has subsequently been designed to investigatethese issues. Design: 100 consecutively treated medically referred patients were reviewed cephalometrically in 6-month intervals (6-30 months) following mandibularadvancement therapy. Setting: Orthodontic Private Practice. Patients: 87 males, 13 females (mean age 49 years, SD 8.5, range 33-74 years). Interventions: N/AMeasurements and Results: Reference points and planes in the cranial base,maxilla, and mandible were digitized with a reflex metrograph and their means converted to linear and angular measurements. Significant changes following mandibular advancement were observed in lower face height, vertical condylar position, incisor angulation, overbite, and overjet. Skeletal changes were attributed to a vertical repositioning of the mandibular condyle relative to the cranial base and were present at the first review period (6 months). Dental changes occurred later with treatment with the most significant changes occurring at the final review period (30 months) which resulted in a 4.9 degrees proclination of the mandibular incisors and a reduction inoverbite of 1.82mm. Conclusion: The data suggests that long-term use of mandibular advancementcan cause dental and skeletal changes which may be progressive over time. As many consider mandibular advancement a treatment for life, it is strongly recommended that all patients be fully informed of the potential for suchchanges prior to treatment and undergo mandatory dental reviews with long-term mandibular advancement.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/08/20 alle ore 15:50:23