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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 |
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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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doi_str_mv | 10.1186/s40510-016-0141-1 |
format | article |
fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_2e4ff477202148318c965c9b733d0cc5</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_2e4ff477202148318c965c9b733d0cc5</doaj_id><sourcerecordid>1821791895</sourcerecordid><originalsourceid>FETCH-LOGICAL-c569t-a6e72a0344c841c9c77a19a506d8f197a31f777cbf5b1c121b1e109416e962873</originalsourceid><addsrcrecordid>eNqNUk1v1DAQjRCIlsIP4IIsceES8DhOHF-QqgpopUpc4GxNnMmul2wcbKcf_4Ufi7dbqi0SEgdrrJn3nmfGryheA38P0DYfouQ18JJDk4-EEp4UxwJ0UwKX4unB_ah4EeOGc1Ba8ufFkVCNBCnguPh1ygKl4ONMNrkrYpbmNY5-m5POspiW_pb5ieVkuJ1WhCNDF67xlsUZbYavMWcjwyFRYAFn17MZR0wZSDczTtFlNk49O6fQxcRwnkeHU6Zeu7RmPtxFvyQWf9BIO16urn3AFb0sng04Rnp1H0-K758_fTs7Ly-_frk4O70sbd3oVGJDSiCvpLStBKutUggaa9707QBaYQWDUsp2Q92BBQEdEHAtoSHdiFZVJ8XFXrf3uDFzcNs8rPHozF3Ch5XBkJwdyQiSwyCVElyAbCtorW5qqztVVT23ts5aH_da89Jtqbc0pYDjI9HHlcmtzcpfmZpXtYI2C7y7Fwj-50Ixma2LlsYRJ_JLNNAKpYG3Uv4PNP84tHrX1tu_oBu_hClvNaOaWkio690iYI-y2REx0PDQN3Czs5zZW85ky5md5QxkzpvDgR8YfzyWAWIPiLmUzRIOnv6n6m8YJeNp</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1865241557</pqid></control><display><type>article</type><title>A retrospective cephalometric study on pharyngeal airway space changes after rapid palatal expansion and Herbst appliance with or without skeletal anchorage</title><source>Springer Nature - SpringerLink Journals - Fully Open Access </source><source>PubMed Central</source><creator>Manni, Antonio ; Pasini, Marco ; Giuca, Maria Rita ; Morganti, Riccardo ; Cozzani, Mauro</creator><creatorcontrib>Manni, Antonio ; Pasini, Marco ; Giuca, Maria Rita ; Morganti, Riccardo ; Cozzani, Mauro</creatorcontrib><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
< 0.05) from T1 to T2. Furthermore, the increase in nasopharyngeal airway space was significantly higher in subgroup 1 (
p
< 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 & 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</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
< 0.05) from T1 to T2. Furthermore, the increase in nasopharyngeal airway space was significantly higher in subgroup 1 (
p
< 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><subject>Adolescent</subject><subject>Airway space</subject><subject>Anatomic Landmarks - diagnostic imaging</subject><subject>Anatomy, Cross-Sectional</subject><subject>Cephalometry - methods</subject><subject>Child</subject><subject>Class II treatment</subject><subject>Dentistry</subject><subject>Female</subject><subject>Humans</subject><subject>Hypopharynx - anatomy & histology</subject><subject>Hypopharynx - diagnostic imaging</subject><subject>Male</subject><subject>Malocclusion, Angle Class II - therapy</subject><subject>Mandible</subject><subject>Maxilla</subject><subject>Medicine</subject><subject>Nasal Bone</subject><subject>Oropharynx - anatomy & histology</subject><subject>Oropharynx - drug effects</subject><subject>Orthodontic Appliance Design</subject><subject>Orthodontic Appliances</subject><subject>Orthodontic Appliances, Functional</subject><subject>Palatal Expansion Technique - instrumentation</subject><subject>Palate</subject><subject>Pharynx - anatomy & histology</subject><subject>Pharynx - diagnostic imaging</subject><subject>Retrospective Studies</subject><subject>Skeletal anchorage</subject><issn>2196-1042</issn><issn>1723-7785</issn><issn>2196-1042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNqNUk1v1DAQjRCIlsIP4IIsceES8DhOHF-QqgpopUpc4GxNnMmul2wcbKcf_4Ufi7dbqi0SEgdrrJn3nmfGryheA38P0DYfouQ18JJDk4-EEp4UxwJ0UwKX4unB_ah4EeOGc1Ba8ufFkVCNBCnguPh1ygKl4ONMNrkrYpbmNY5-m5POspiW_pb5ieVkuJ1WhCNDF67xlsUZbYavMWcjwyFRYAFn17MZR0wZSDczTtFlNk49O6fQxcRwnkeHU6Zeu7RmPtxFvyQWf9BIO16urn3AFb0sng04Rnp1H0-K758_fTs7Ly-_frk4O70sbd3oVGJDSiCvpLStBKutUggaa9707QBaYQWDUsp2Q92BBQEdEHAtoSHdiFZVJ8XFXrf3uDFzcNs8rPHozF3Ch5XBkJwdyQiSwyCVElyAbCtorW5qqztVVT23ts5aH_da89Jtqbc0pYDjI9HHlcmtzcpfmZpXtYI2C7y7Fwj-50Ixma2LlsYRJ_JLNNAKpYG3Uv4PNP84tHrX1tu_oBu_hClvNaOaWkio690iYI-y2REx0PDQN3Czs5zZW85ky5md5QxkzpvDgR8YfzyWAWIPiLmUzRIOnv6n6m8YJeNp</recordid><startdate>20160926</startdate><enddate>20160926</enddate><creator>Manni, Antonio</creator><creator>Pasini, Marco</creator><creator>Giuca, Maria Rita</creator><creator>Morganti, Riccardo</creator><creator>Cozzani, Mauro</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7QP</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1430-7535</orcidid></search><sort><creationdate>20160926</creationdate><title>A retrospective cephalometric study on pharyngeal airway space changes after rapid palatal expansion and Herbst appliance with or without skeletal anchorage</title><author>Manni, Antonio ; Pasini, Marco ; Giuca, Maria Rita ; Morganti, Riccardo ; Cozzani, Mauro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c569t-a6e72a0344c841c9c77a19a506d8f197a31f777cbf5b1c121b1e109416e962873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Airway space</topic><topic>Anatomic Landmarks - diagnostic imaging</topic><topic>Anatomy, Cross-Sectional</topic><topic>Cephalometry - methods</topic><topic>Child</topic><topic>Class II treatment</topic><topic>Dentistry</topic><topic>Female</topic><topic>Humans</topic><topic>Hypopharynx - anatomy & histology</topic><topic>Hypopharynx - diagnostic imaging</topic><topic>Male</topic><topic>Malocclusion, Angle Class II - therapy</topic><topic>Mandible</topic><topic>Maxilla</topic><topic>Medicine</topic><topic>Nasal Bone</topic><topic>Oropharynx - anatomy & histology</topic><topic>Oropharynx - drug effects</topic><topic>Orthodontic Appliance Design</topic><topic>Orthodontic Appliances</topic><topic>Orthodontic Appliances, Functional</topic><topic>Palatal Expansion Technique - instrumentation</topic><topic>Palate</topic><topic>Pharynx - anatomy & 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 & 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 & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Science Journals</collection><collection>ProQuest Biological Science Journals</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Progress in orthodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Manni, Antonio</au><au>Pasini, Marco</au><au>Giuca, Maria Rita</au><au>Morganti, Riccardo</au><au>Cozzani, Mauro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A retrospective cephalometric study on pharyngeal airway space changes after rapid palatal expansion and Herbst appliance with or without skeletal anchorage</atitle><jtitle>Progress in orthodontics</jtitle><stitle>Prog Orthod</stitle><addtitle>Prog Orthod</addtitle><date>2016-09-26</date><risdate>2016</risdate><volume>17</volume><issue>1</issue><spage>29</spage><epage>29</epage><pages>29-29</pages><artnum>29</artnum><issn>2196-1042</issn><issn>1723-7785</issn><eissn>2196-1042</eissn><abstract>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
< 0.05) from T1 to T2. Furthermore, the increase in nasopharyngeal airway space was significantly higher in subgroup 1 (
p
< 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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