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A retrospective cephalometric study on pharyngeal airway space changes after rapid palatal expansion and Herbst appliance with or without skeletal anchorage

Background The aim of this study is to investigate the pharyngeal airway space changes in patients treated with rapid palatal expansion (RPE) and Herbst appliance with or without skeletal anchorage. Methods A 40-patient study group treated with the Herbst RME combination was included; moreover, a co...

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Published in:Progress in orthodontics 2016-09, Vol.17 (1), p.29-29, Article 29
Main Authors: Manni, Antonio, Pasini, Marco, Giuca, Maria Rita, Morganti, Riccardo, Cozzani, Mauro
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description Background The aim of this study is to investigate the pharyngeal airway space changes in patients treated with rapid palatal expansion (RPE) and Herbst appliance with or without skeletal anchorage. Methods A 40-patient study group treated with the Herbst RME combination was included; moreover, a comparison between two subgroups based on whether miniscrews were used was evaluated. A subgroup 1 included 20 patients who were treated with RPE and an acrylic splint Herbst with miniscrews, and subgroup 2 included 20 patients who were treated with RPE and an acrylic splint Herbst. A cephalometric analysis was performed before (T1) and after (T2) treatment. The skeletal parameters of the sagittal occlusion analysis of Pancherz were utilized together with some extra measurements to evaluate the airways. Results An increased nasopharyngeal airway space was observed in group 1 ( p  
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Methods A 40-patient study group treated with the Herbst RME combination was included; moreover, a comparison between two subgroups based on whether miniscrews were used was evaluated. A subgroup 1 included 20 patients who were treated with RPE and an acrylic splint Herbst with miniscrews, and subgroup 2 included 20 patients who were treated with RPE and an acrylic splint Herbst. A cephalometric analysis was performed before (T1) and after (T2) treatment. The skeletal parameters of the sagittal occlusion analysis of Pancherz were utilized together with some extra measurements to evaluate the airways. Results An increased nasopharyngeal airway space was observed in group 1 ( p  &lt; 0.05) from T1 to T2. Furthermore, the increase in nasopharyngeal airway space was significantly higher in subgroup 1 ( p  &lt; 0.05) in comparison to the subgroup 2. Oropharyngeal (OA) and laryngopharyngeal (LA) dimensions were significantly increased in the subgroup 1 at the end of the treatment. In the subgroup 1, a significant decrease in SNA, a significant increase in SNB, and a significant decrease in ANB were observed from T1 to T2. In the subgroup 2, the treatment resulted in a significant decrease in ANB. In both groups, Pogonion increased significantly from T1 to T2. Conclusions The results suggest that the RPE and the Herbst appliance allow a slight improvement of the sagittal dimensions of the airways. The oropharyngeal dimension increased significantly more in the skeletal anchorage group.</description><identifier>ISSN: 2196-1042</identifier><identifier>ISSN: 1723-7785</identifier><identifier>EISSN: 2196-1042</identifier><identifier>DOI: 10.1186/s40510-016-0141-1</identifier><identifier>PMID: 27641421</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Airway space ; Anatomic Landmarks - diagnostic imaging ; Anatomy, Cross-Sectional ; Cephalometry - methods ; Child ; Class II treatment ; Dentistry ; Female ; Humans ; Hypopharynx - anatomy &amp; histology ; Hypopharynx - diagnostic imaging ; Male ; Malocclusion, Angle Class II - therapy ; Mandible ; Maxilla ; Medicine ; Nasal Bone ; Oropharynx - anatomy &amp; histology ; Oropharynx - drug effects ; Orthodontic Appliance Design ; Orthodontic Appliances ; Orthodontic Appliances, Functional ; Palatal Expansion Technique - instrumentation ; Palate ; Pharynx - anatomy &amp; histology ; Pharynx - diagnostic imaging ; Retrospective Studies ; Skeletal anchorage</subject><ispartof>Progress in orthodontics, 2016-09, Vol.17 (1), p.29-29, Article 29</ispartof><rights>The Author(s). 2016</rights><rights>Progress in Orthodontics is a copyright of Springer, 2016.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c569t-a6e72a0344c841c9c77a19a506d8f197a31f777cbf5b1c121b1e109416e962873</citedby><cites>FETCH-LOGICAL-c569t-a6e72a0344c841c9c77a19a506d8f197a31f777cbf5b1c121b1e109416e962873</cites><orcidid>0000-0002-1430-7535</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5035718/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5035718/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27641421$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manni, Antonio</creatorcontrib><creatorcontrib>Pasini, Marco</creatorcontrib><creatorcontrib>Giuca, Maria Rita</creatorcontrib><creatorcontrib>Morganti, Riccardo</creatorcontrib><creatorcontrib>Cozzani, Mauro</creatorcontrib><title>A retrospective cephalometric study on pharyngeal airway space changes after rapid palatal expansion and Herbst appliance with or without skeletal anchorage</title><title>Progress in orthodontics</title><addtitle>Prog Orthod</addtitle><addtitle>Prog Orthod</addtitle><description>Background The aim of this study is to investigate the pharyngeal airway space changes in patients treated with rapid palatal expansion (RPE) and Herbst appliance with or without skeletal anchorage. Methods A 40-patient study group treated with the Herbst RME combination was included; moreover, a comparison between two subgroups based on whether miniscrews were used was evaluated. A subgroup 1 included 20 patients who were treated with RPE and an acrylic splint Herbst with miniscrews, and subgroup 2 included 20 patients who were treated with RPE and an acrylic splint Herbst. A cephalometric analysis was performed before (T1) and after (T2) treatment. The skeletal parameters of the sagittal occlusion analysis of Pancherz were utilized together with some extra measurements to evaluate the airways. Results An increased nasopharyngeal airway space was observed in group 1 ( p  &lt; 0.05) from T1 to T2. Furthermore, the increase in nasopharyngeal airway space was significantly higher in subgroup 1 ( p  &lt; 0.05) in comparison to the subgroup 2. Oropharyngeal (OA) and laryngopharyngeal (LA) dimensions were significantly increased in the subgroup 1 at the end of the treatment. In the subgroup 1, a significant decrease in SNA, a significant increase in SNB, and a significant decrease in ANB were observed from T1 to T2. In the subgroup 2, the treatment resulted in a significant decrease in ANB. In both groups, Pogonion increased significantly from T1 to T2. Conclusions The results suggest that the RPE and the Herbst appliance allow a slight improvement of the sagittal dimensions of the airways. 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histology</topic><topic>Pharynx - diagnostic imaging</topic><topic>Retrospective Studies</topic><topic>Skeletal anchorage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Manni, Antonio</creatorcontrib><creatorcontrib>Pasini, Marco</creatorcontrib><creatorcontrib>Giuca, Maria Rita</creatorcontrib><creatorcontrib>Morganti, Riccardo</creatorcontrib><creatorcontrib>Cozzani, Mauro</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health &amp; 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Methods A 40-patient study group treated with the Herbst RME combination was included; moreover, a comparison between two subgroups based on whether miniscrews were used was evaluated. A subgroup 1 included 20 patients who were treated with RPE and an acrylic splint Herbst with miniscrews, and subgroup 2 included 20 patients who were treated with RPE and an acrylic splint Herbst. A cephalometric analysis was performed before (T1) and after (T2) treatment. The skeletal parameters of the sagittal occlusion analysis of Pancherz were utilized together with some extra measurements to evaluate the airways. Results An increased nasopharyngeal airway space was observed in group 1 ( p  &lt; 0.05) from T1 to T2. Furthermore, the increase in nasopharyngeal airway space was significantly higher in subgroup 1 ( p  &lt; 0.05) in comparison to the subgroup 2. Oropharyngeal (OA) and laryngopharyngeal (LA) dimensions were significantly increased in the subgroup 1 at the end of the treatment. In the subgroup 1, a significant decrease in SNA, a significant increase in SNB, and a significant decrease in ANB were observed from T1 to T2. In the subgroup 2, the treatment resulted in a significant decrease in ANB. In both groups, Pogonion increased significantly from T1 to T2. Conclusions The results suggest that the RPE and the Herbst appliance allow a slight improvement of the sagittal dimensions of the airways. The oropharyngeal dimension increased significantly more in the skeletal anchorage group.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27641421</pmid><doi>10.1186/s40510-016-0141-1</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-1430-7535</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Airway space
Anatomic Landmarks - diagnostic imaging
Anatomy, Cross-Sectional
Cephalometry - methods
Child
Class II treatment
Dentistry
Female
Humans
Hypopharynx - anatomy & histology
Hypopharynx - diagnostic imaging
Male
Malocclusion, Angle Class II - therapy
Mandible
Maxilla
Medicine
Nasal Bone
Oropharynx - anatomy & histology
Oropharynx - drug effects
Orthodontic Appliance Design
Orthodontic Appliances
Orthodontic Appliances, Functional
Palatal Expansion Technique - instrumentation
Palate
Pharynx - anatomy & histology
Pharynx - diagnostic imaging
Retrospective Studies
Skeletal anchorage
title A retrospective cephalometric study on pharyngeal airway space changes after rapid palatal expansion and Herbst appliance with or without skeletal anchorage
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