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What Are We Missing In Adult Obstructive Sleep Apnea Clinical Evaluation? Review Of Official Guidelines, Eduardo J. Correa, Carlos O´Connor-Reina, Laura Rodriguez-Alcalá, Diego M. Conti, Alberto Rabino, Peter M. Baptista, Maria-Teresa Garcia-Iriarte, Guillermo Plaza 2023 Otorhinolaryngology Department Hospital Quironsalud Marbella. Spain

What Are We Missing In Adult Obstructive Sleep Apnea Clinical Evaluation? Review Of Official Guidelines, Eduardo J. Correa, Carlos O´Connor-Reina, Laura Rodriguez-Alcalá, Diego M. Conti, Alberto Rabino, Peter M. Baptista, Maria-Teresa Garcia-Iriarte, Guillermo Plaza

International Journal of Orofacial Myology and Myofunctional Therapy

Purpose: This article presents a narrative review of current recommendations for the clinical evaluation and management of adult patients with obstructive sleep apnea (OSA) to identify points missing from a myofunctional perspective.

Methods: The authors reviewed current official guidelines for adult patients with OSA, searching clinical evaluation and treatment recommendations for myofunctional therapy.

Results: None of the current guidelines for evaluation of adult OSA recommend performing a myofunctional evaluation. Only two guidelines consider myofunctional therapy (MFT) as a treatment modality for adult patients with OSA.

Conclusion: Despite the role of the pharyngeal dilator muscles as an essential contributor to the ...


Factors Influencing The Decision To Initiate Orthodontic Treatment And The Choice Of Appliance Type In A Lebanese Sample During The Covid-19 Pandemic And The Economic Crisis. A Cross-Sectional Study., Liliane ALAMEH, Elie KHOURY, Elie AMM 2022 Saint Joseph University of Beirut

Factors Influencing The Decision To Initiate Orthodontic Treatment And The Choice Of Appliance Type In A Lebanese Sample During The Covid-19 Pandemic And The Economic Crisis. A Cross-Sectional Study., Liliane Alameh, Elie Khoury, Elie Amm

International Arab Journal of Dentistry

Background: The spread of Coronavirus Disease 2019 (COVID-19) has led to a major public health issue. This study aimed to assess the factors that influence the Lebanese people in undergoing an orthodontic treatment after the outbreak of COVID-19, as well as the factors that influence their choice of orthodontic appliance type. Methods: 489 Lebanese participants (199 men and 290 women) were invited to fill a questionnaire developed on Google Forms. Eligible participants were simply Lebanese people including those who immigrated during the crisis. Dentists, dental students and foreigners were excluded from the study. The link for the questionnaire was sent ...


Proceedings Of The 2022 Iaom Convention, International Association of Orofacial Myology 2022 International Association of Orofacial Myology

Proceedings Of The 2022 Iaom Convention, International Association Of Orofacial Myology

International Journal of Orofacial Myology and Myofunctional Therapy

The International Association of Orofacial Myology (IAOM) held its 2022 Convention in Kansas City, Missouri from October 21 - 23. The Proceedings of the Convention contain abstracts and summaries of podium and poster presentations.


Using Clear Aligners For Asymmetric Dental Decompensation In Skeletal Class Iii Facial Asymmetry Before Orthognathic Surgery, Yu-Ming Liang, Szu-Ching Lee, Fong Jenny, Tzu-Ying Wu 2022 Division of Orthodontic, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC

Using Clear Aligners For Asymmetric Dental Decompensation In Skeletal Class Iii Facial Asymmetry Before Orthognathic Surgery, Yu-Ming Liang, Szu-Ching Lee, Fong Jenny, Tzu-Ying Wu

Taiwanese Journal of Orthodontics

In this case report of orthodontic combined with orthognathic surgery, we demonstrate the effectiveness of an aligner system in the treatment of asymmetric arch form. Without the help of temporary anchorage device and inter-arch elastic, unilateral arch expansion and opposite side arch constriction were achieved successfully. Cone-beam computed tomography was used to assess to evaluate the outcome and key to success was discussed.


Substitution Of A Dilacerated Impacted Maxillary Central Incisor With A Deep Horizontal Impacted Canine, Wei-Lun Chang, Szu-Ching Lee, Hsuan-Hung Chen, Man-Tin Lui, Tzu-Ying Wu 2022 Section of Orthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan

Substitution Of A Dilacerated Impacted Maxillary Central Incisor With A Deep Horizontal Impacted Canine, Wei-Lun Chang, Szu-Ching Lee, Hsuan-Hung Chen, Man-Tin Lui, Tzu-Ying Wu

Taiwanese Journal of Orthodontics

The treatment of multiple impacted anterior teeth is challenging. Proper treatment plan, meticulous biomechanics design and close collaboration with interdisciplinary team work are key factors to achieve better esthetic and periodontal outcomes. For impacted tooth cases, CBCT images can provide more detailed information about the location of the impacted tooth and its surrounding periodontal conditions during treatment. This case report described the treatment of a mild skeletal Class III, facial asymmetry teenager with dilacerated impacted maxillary left central incisor. Because of the unpredictable prognosis of dilacerated impacted central incisor, our treatment goal was to forced erupt the deeply horizontal impacted ...


Correction Of Extruded Upper First Molars And Bimaxillary Protrusion By Temporary Anchorage Device, Ignatia Wulandari, Retno Widayati 2022 Department of Orthodontic, Faculty of Dentistry, University of Indonesia

Correction Of Extruded Upper First Molars And Bimaxillary Protrusion By Temporary Anchorage Device, Ignatia Wulandari, Retno Widayati

Taiwanese Journal of Orthodontics

Early loss of the lower first molar may cause extrusion of the upper first molar and mesial tipping of the lower second molar. It could be locked by the mesial contour of the upper second molar, causing the door-wedge effect which impedes the intrusion of the upper first molar. Skeletal Class II malocclusion, canting, and the need for anterior retraction on the upper arch was adding space requirement and anchorage problem to the case. Treatment by using absolute anchorage would be the most efficient way to treat this case. This case report aims to show how to manage molar extrusion ...


Mandibular Expansion Appliances And Their Activation Protocols, Tivanani Venkata Durga Mahendra, Vyshnavi Mulakala, Manda Anoosha 2022 Assistant Professor, Department of Orthodontics and Dentofacial Orthopedics, Vishnu Dental College, Vishnupur, Bhimavaram, India

Mandibular Expansion Appliances And Their Activation Protocols, Tivanani Venkata Durga Mahendra, Vyshnavi Mulakala, Manda Anoosha

Taiwanese Journal of Orthodontics

A tooth size-arch length discrepancy (TSALD) occurs when there is an imbalance between the size of the teeth and the space available in the dental arches to accommodate them. Relief of crowding through expanding the arch is the most employed non-extraction method in orthodontics. Because of the absence of a midline suture and the resistance of the mandibular body, resolving crowding in the lower arch is more complex than in the upper arch. However, numerous researchers have devised innovative techniques and methods to successfully bring about the desired and stable changes through mandibular expansion. The advantage of this procedure was ...


Factors Affecting Mandibular Growth And Displacement And Their Effect On Treatment Outcome, Ib Leth Nielsen 2022 Division of Orthodontics, University of California, San Francisco

Factors Affecting Mandibular Growth And Displacement And Their Effect On Treatment Outcome, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

Orthodontists often have difficulty distinguishing between growth and displacement when it comes to the mandible and often the two are merged into one and referred to as just mandibular growth. It is clinically important to distinguish between the two as it can greatly affect the choice of treatment protocol and mechanics. In this review we shall attempt to clarify the issue with clinical examples in the hope of bringing more understanding to the problem. Controlling the factors that are involved in determining the outcome of orthodontic treatment in a growing patient can often be a difficult task and is affected ...


A New Cephalometric Innovation For Assessing Vertical Skeletal Discrepancy: The Msg Angle, Mahamad Irfanulla Khan, Praveen Kumar Neela 2022 Dept of Orthodontics & Dentofacial Orthopedics

A New Cephalometric Innovation For Assessing Vertical Skeletal Discrepancy: The Msg Angle, Mahamad Irfanulla Khan, Praveen Kumar Neela

Taiwanese Journal of Orthodontics

Purpose: The aim of the study was to introduce a new cephalometric parameter, the MSG angle; and to assess the effectiveness of the MSG angle to diagnose the vertical skeletal discrepancy of the face.

Methods: One hundred and fifty pretreatment Lateral Cephalometric Radiographs (LCRs) of patients between 14 to 35years (Mean ± SD: 19.6 ± 4.93) were included. Based on the FMA, Sn-Go-Gn, and R - angle, all the LCRs were subdivided into three groups: low angle (28 female and 22 male); average angle (29 female and 21 male); and high angle (27 female and 23 male), with 50 samples in ...


The Effect Of Disc Displacement On Temporomandibular Joint Morphology In Patients With Disc Displacement, Melike Yurttaş, Esin Bozdemir, Şehnaz Evrimler 2022 Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Kutahya Health Sciences University, Kutahya, Turkey

The Effect Of Disc Displacement On Temporomandibular Joint Morphology In Patients With Disc Displacement, Melike Yurttaş, Esin Bozdemir, Şehnaz Evrimler

Journal of Dentistry Indonesia

Objective: To examine the morphological properties of temporomandibular joint structures by magnetic resonance imaging (MRI) on patients with and without disc displacement (DD). Methods: Thirty-eight patients with disc displacement and 13 patients without disc displacement were included. Age, gender, and clinical findings such as pain, joint sounds of patients were recorded. The patients were classified as anterior disc displacement with reduction (ADDWR) group, anterior disc displacement without reduction (ADDWoR) group, and control group on MRI. Disc morphology was categorized as biconcave, hemiconvex, biconvex, biplanar, or folded. Condyle morphology was characterized as convex, angled, flat, or rounded. Articular eminence morphology was ...


Electromyographic Activity Of Masticatory Muscles In Asymptomatic Young Adults, Aneta Wieczorek, Malgorzata Pihut, Jolanta E. Loster 2022 Jagiellonian University Medical College, Faculty of Medicine, Institute of Dentistry, Department of Prosthodontics and Orthodontics, Krakow, Poland

Electromyographic Activity Of Masticatory Muscles In Asymptomatic Young Adults, Aneta Wieczorek, Malgorzata Pihut, Jolanta E. Loster

Journal of Dentistry Indonesia

Introduction: The masseter and the anterior part of the temporalis are the muscles mainly responsible for the clenching function. Clenching patterns and the activity of these muscles are not expected to differ between male and females, nor between different occlusal classes. Objective: The aim of this study was to determine whether the activity index of the masseter and temporalis muscles is related to occlusal class and gender. Methods: This study involved 145 eighteen-year-old Caucasian volunteers who underwent surface electromyography. The sEMG was analyzed at the moment of 100% occlusal contact. Occlusal classes were determined used plaster casts. Results: The Class ...


Effects Of Lime (Citrus Aurantifolia Swingle) Peel Extract Addition To Periodontal Dressing On The Number Of Blood Vessels In The Gingival Wound Healing Process, Malianawati Fauzia, Savira Pratista Oktaviana 2022 Department of Periodontics, Faculty of Dentistry, Universitas Brawijaya, Malang, Indonesia

Effects Of Lime (Citrus Aurantifolia Swingle) Peel Extract Addition To Periodontal Dressing On The Number Of Blood Vessels In The Gingival Wound Healing Process, Malianawati Fauzia, Savira Pratista Oktaviana

Journal of Dentistry Indonesia

Background: Periodontal dressings that are currently available can only protect wounds from mechanical trauma, but have no ability to accelerate wound healing. Lime (Citrus aurantifolia Swingle) peel extract added to periodontal dressing contains flavonoids which can stimulate the formation of new blood vessels, thus accelerating the healing process. Objective: To determine the effects of adding lime (Citrus aurantifolia Swingle) peel extract to periodontal dressing on the number of blood vessels in the gingival wound healing process. Methods: 32 rabbits with 2 mm wound made on the gingiva were divided into 8 groups. For the control groups of K1(n=4 ...


Early Eruption Of All Permanent Teeth, Including The Upper Canines, In A Nine-Year-Old Child Who Was Born Prematurely; Case Report, Bassam Ali Al-Turaihi, Israa Hussein Ali 2022 University College / Department of dentistry / Iraq / Babylon Al-Mustaqbal

Early Eruption Of All Permanent Teeth, Including The Upper Canines, In A Nine-Year-Old Child Who Was Born Prematurely; Case Report, Bassam Ali Al-Turaihi, Israa Hussein Ali

Maaen Journal for Medical Sciences

The world health organization (WHO) define the premature birth as a birth occur before 37 weeks of gestation or if the birth weight is below 2500 g. Our case subjected for both criteria of the preterm definition. ((1)) ((2)) The case was born before 31st week with 1300 g birth weight with stormy beginning of life in the first three months in the hospital according to the history taken from general practitioner (GP) for that reason their parents tack care about his general health and specifically oral health and development. Throughout his life he developed healthy with no medical problem ...


Intraosseous Movement Of Multiple Impacted Teeth Occurred In Unilateral Maxilla During Orthodontic Treatment – A Case Report, Chun-Hsiu Yang, Chun-Liang Kuo 2022 Orthodontic Department, Chi-Mei Medical Center

Intraosseous Movement Of Multiple Impacted Teeth Occurred In Unilateral Maxilla During Orthodontic Treatment – A Case Report, Chun-Hsiu Yang, Chun-Liang Kuo

Taiwanese Journal of Orthodontics

The orthodontic treatment of unilateral multiple impacted teeth is challenging. It is often accompanied with a wide range of surgical exposure for impacted teeth. We reported a 14-year-old male patient who had a retained primary canine, first and second molars in left maxilla, complicated with proximal caries and gingival abscess over the primary first molar. The panoramic radiography revealed with a horizontally impacted canine, first premolar and vertically impacted second premolar in left maxilla. After relive the underlined pathogenesis of the tooth impaction by removing the primary teeth and abscess, the second premolar erupted subsequently. During traction of the inferiorly ...


Camouflage Orthodontic Correction In An Adult Patient With Skeletal Class Iii Malocclusion – A Case Report, Yun-Fang Chen, Yuh-Jia Hsieh, Yu-Fang Liao 2022 Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taipei, Taiwan; Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan

Camouflage Orthodontic Correction In An Adult Patient With Skeletal Class Iii Malocclusion – A Case Report, Yun-Fang Chen, Yuh-Jia Hsieh, Yu-Fang Liao

Taiwanese Journal of Orthodontics

The case report described the camouflage treatment of an adult patient with skeletal Class III, anterior cross bite, open bite tendency and dental crowding. A 19-year-old male patient presented with chief complaint of anterior crooked teeth. The clinical examination showed a straight to concave profile, midface retrusion, mandibular protrusion, slightly high mandibular plane angle, upper and lower lip protrusion, lip incompetence, Class III molar and canine relationships. Because the patient refused to receive orthognathic surgery, the camouflage orthodontic treatment was planned along with extraction of bilateral upper second premolars and lower first premolars and modest backward-rotation of the mandible to ...


Orthopedic-Orthodontic Intervention For A Skeletal Class Iii Malocclusion With An Inverted Maxillary Central Incisor Impaction – A Case Report, Hsin-Ho Chen, Sheng-Chin Lin, Shin-Huei Wang, Yuan-Yi Tung, Hsuan-Yi Hsiao, Yi-Jane Chen 2022 Orthodontic Department, National Taiwan University Hospital; Taoyuan Armed Forces General Hospital, Department of Dentistry

Orthopedic-Orthodontic Intervention For A Skeletal Class Iii Malocclusion With An Inverted Maxillary Central Incisor Impaction – A Case Report, Hsin-Ho Chen, Sheng-Chin Lin, Shin-Huei Wang, Yuan-Yi Tung, Hsuan-Yi Hsiao, Yi-Jane Chen

Taiwanese Journal of Orthodontics

The etiologies of Class III malocclusions may result from mandibular prognathism, maxilla deficiency, or both. For growing children with Class III malocclusions characterized with deficient maxilla, the treatment of choice would be protraction of the maxilla. Successful orthopedic treatment through growth modification has increased the possibility to correct developing Class III malocclusion with non-surgical method. In addition, maxillary expansion is frequently required in treatment of Class III malocclusions by increase the transverse width of the maxilla, and possibly enhance the protraction effect of the facemask through disrupting the maxillary suture system. Herein we report a case of 8-year-old boy presenting ...


Corticotomy Assisted Lower Molar Protraction Treatment For A Periodontally Compromised Patient – A Case Report, Cheng-Hsun Shih, Ming-Chu Huang, Yuen-Yung Tsang 2022 Teamwork Orthodontic Center, Taipei, Taiwan

Corticotomy Assisted Lower Molar Protraction Treatment For A Periodontally Compromised Patient – A Case Report, Cheng-Hsun Shih, Ming-Chu Huang, Yuen-Yung Tsang

Taiwanese Journal of Orthodontics

This is a case of a 51 years old female with skeletal Class I malocclusion, suffered from root fracture of #46 & moderate generalized periodontitis. She asked for molar protraction of #47 #48 to close the extraction space of #46 without any prosthesis or dramatic change of profile. Treatment planning was removal of #46 & protraction of #47 #48 with mini screw. It became difficult to close the residual space of #46 after 17 months of treatment due to narrow edentulous ridge. Therefore corticotomy plus bone grafting was performed. After treatment, her occlusion was stable and profile was satisfied. Selective alveolar corticotomy ...


Long-Term Evaluation And Treatment For A Patient With Costochondral Graft Reconstruction In Hemifacial Microsomia – A Case Report, Shih-Wen Fan, Wen-Ching Ko, Kuo-Ting Chen 2022 Craniofacial Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan; Craniofacial Research Center, Department of Medical Research, Chang Gung Memorial Hospital, Linkou, Taiwan

Long-Term Evaluation And Treatment For A Patient With Costochondral Graft Reconstruction In Hemifacial Microsomia – A Case Report, Shih-Wen Fan, Wen-Ching Ko, Kuo-Ting Chen

Taiwanese Journal of Orthodontics

A 17-year-old girl who was diagnosed as Pruzansky Grade III hemifacial microsomia (HFM) at right side, came with chief complaint of face asymmetry and occlusal deviation. The patient was regularly followed up in the Chang Gung Craniofacial Center. She had her affected right side ramus and condyle reconstructed with costochondral graft (CCG) around 6 years of age. The extraoral examinations indicated severe facial asymmetry with longer right face and prominent left face; the lower jaw was severely deviated to the left side due to overgrowth of the CCG at right mandible; besides, the right reconstructed condyle was ankylosed. The presurgical ...


Methods Of Gaining Dental Space – A Literature Review, Wei-Ting Chang, Hsuan-Yi Hsiao, Chi-Ying Huang, Yi-Jane Chen 2022 Division of Orthodontic and Dentofacial Orthopedic, Department of Dentistry, National Taiwan University Hospital

Methods Of Gaining Dental Space – A Literature Review, Wei-Ting Chang, Hsuan-Yi Hsiao, Chi-Ying Huang, Yi-Jane Chen

Taiwanese Journal of Orthodontics

When treating patients with teeth mal-alignment and crowding, orthodontists have many strategies to gain the space. This article reviews the conventional methods which focus on molar distalization and arch expansion, rather than tooth extraction and temporary anchorage devices. The outcome of treatment with pendulum, distal jet, rapid maxillary expansion, and lip bumper were evaluated from various aspects. The aims of the literature review are to help orthodontists formulate an optimized treatment plan and predict treatment outcome and limitation in acquiring space by molar distalization and arch expansion.


Orthodontic Treatment To Improve Periodontal Defect In A Patient With Lower First Molar Extraction– A Case Report, Yu-Ling Cheng, Yuen-Yung Tsang, Chia-Yi Pan, Ming-Juean Su 2022 Teamwork Orthodontic Center, Taipei, Taiwan

Orthodontic Treatment To Improve Periodontal Defect In A Patient With Lower First Molar Extraction– A Case Report, Yu-Ling Cheng, Yuen-Yung Tsang, Chia-Yi Pan, Ming-Juean Su

Taiwanese Journal of Orthodontics

A 23 year-old male came with chief complaint of lower anterior crowding and protrusive lower lip. Dental examination revealed missing teeth 14, 24 and 34 and horizontally impacted 38 and 48. Poor prognosis of tooth 36 was found after evaluation. Anterior cross bite and open bite at his left side occlusion were also seen. In this case, removal of teeth 36 and 38 were selected instead of 44 extraction. Thus the timing and proper sequence of tooth extraction become critical. The biomechanics of tooth movement was designed to ensure that all teeth are in functional occlusion and the lower left ...


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