nach oben

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

Erschienen in:

24.05.2022 | Original Article

Relationship between craniofacial and dental arch morphology with pharyngeal airway space in adolescents

verfasst von: Izabel de Oliveira, Raysa Pinheiro, Benedito Freitas, Peter Reher, Vandilson Rodrigues

Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Sonderheft 2/2023

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim of the study was to investigate a possible relationship between pharyngeal airway space, craniofacial variables, and dental arch form in adolescents grouped by sex.

Methods

This cross-sectional study included 108 adolescents aged between 12 and 17 years. Lateral cephalometric radiographs were used to analyze sagittal craniofacial variables and the pharyngeal airway space. For evaluation of the dental arch form, we used plaster models. Statistical analysis included Student’s t‑test and Pearson’s correlation coefficient (r).

Results

Maxillary length was directly proportional to upper nasopharyngeal airway dimensions in males (r = 0.312, p = 0.021) and females (r = 0.310, p = 0.022). In the female group, upper oropharyngeal measurements showed an inverse correlation with a labial inclination of the upper incisors (r = −0.415, p = 0.001), protrusion of the upper incisors (r = −0.364, p = 0.006), and soft palate thickness (r = −0.27, p = 0.043). In the male group, upper nasopharynx measurements showed an inverse correlation with soft palate thickness (r = −0.277, p = 0.042). The upper arch form appeared to be related to oropharyngeal measurements in females, while the lower arch form was related to oropharyngeal dimensions in males.

Conclusion

The findings suggest that there are sex-dependent correlations of the nasopharyngeal and oropharyngeal airway space with the sagittal craniofacial morphology and the transversal dental arch form.

Moscarino S, Kötter F, Brandt M, Modabber A, Kniha K, Hölzle F, Wolf M, Möhlhenrich SC (2019) Influence of different surgical concepts for moderate skeletal class II and III treatment on the nasopharyngeal airway space. J Craniomaxillofac Surg 47:1489–1497. https://doi.org/10.1016/j.jcms.2019.07.006CrossRefPubMed

do Vale F, Rodrigues ML, Francisco I, Roseiro A, Santos I, Caramelo F, Rodrigues MJ (2019) Short-term pharyngeal airway space changes after mandibular advancement surgery in Class II patients—a two-dimensional retrospective study. Orthod Craniofac Res 22:81–86. https://doi.org/10.1111/ocr.12264CrossRefPubMed

Amuk GN, Kurt G, Baysal A, Turker G (2019) Changes in pharyngeal airway dimensions following incremental and maximum bite advancement during Herbst-rapid palatal expander appliance therapy in late adolescent and young adult patients: a randomized non-controlled prospective clinical study. Eur J Orthod 41:322–330. https://doi.org/10.1093/ejo/cjz011CrossRef

Daraze A, Delatte M, Liistro G, Majzoub Z (2018) Cephalometric evaluation of the hyoid bone position in lebanese healthy young adults. J Contemp Dent Pract 19:490–501. https://doi.org/10.5005/jp-journals-10024-2289CrossRefPubMed

Behrents RG, Shelgikar AV, Conley RS et al (2019) Obstructive sleep apnea and orthodontics: an American Association of Orthodontists White Paper. Am J Orthod Dentofacial Orthop 156:13–28. https://doi.org/10.1016/j.ajodo.2019.04.009CrossRefPubMed

Oz U, Orhan K, Rubenduz M (2013) Two-dimensional lateral cephalometric evaluation of varying types of Class II subgroups on posterior airway space in postadolescent girls: a pilot study. J Orofac Orthop 74:18–27. https://doi.org/10.1007/s00056-012-0121-0CrossRefPubMed

Dalmau E, Zamora N, Tarazona B, Gandia JL, Paredes V (2015) A comparative study of the pharyngeal airway space, measured with cone beam computed tomography, between patients with different craniofacial morphologies. J Craniomaxillofac Surg 43:1438–1446. https://doi.org/10.1016/j.jcms.2015.06.016CrossRefPubMed

Avci S, Lakadamyali H, Lakadamyali H, Aydin E, Tekindal MA (2019) Relationships among retropalatal airway, pharyngeal length, and craniofacial structures determined by magnetic resonance imaging in patients with obstructive sleep apnea. Sleep Breath 23:103–115. https://doi.org/10.1007/s11325-018-1667-xCrossRefPubMed

Kolokitha OE, Topouzelis N (2011) Cephalometric methods of prediction in orthognathic surgery. J Maxillofac Oral Surg 10:236–245. https://doi.org/10.1007/s12663-011-0228-7CrossRefPubMedPubMedCentral

10.

Pirilä-Parkkinen K, Löppönen H, Nieminen P, Tolonen U, Pääkkö E, Pirttiniemi P (2011) Validity of upper airway assessment in children: a clinical, cephalometric, and MRI study. Angle Orthod 81:433–439. https://doi.org/10.2319/063010-362.1CrossRefPubMedPubMedCentral

11.

Jodeh DS, Kuykendall LV, Ford JM, Ruso S, Decker SJ, Rottgers SA (2019) Adding depth to cephalometric analysis: comparing two- and three-dimensional angular cephalometric measurements. J Craniofac Surg 30:1568–1571. https://doi.org/10.1097/SCS.0000000000005555CrossRefPubMed

12.

Ansar J, Maheshwari S, Verma SK, Singh RK, Agarwal DK, Bhattacharya P (2015) Soft tissue airway dimensions and craniocervical posture in subjects with different growth patterns. Angle Orthod 85:604–610. https://doi.org/10.2319/042314-299.1CrossRefPubMed

13.

Christovam IO, Lisboa CO, Ferreira DMTP, Cury-Saramago AA, Mattos CT (2016) Upper airway dimensions in patients undergoing orthognathic surgery: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 45:460–471. https://doi.org/10.1016/j.ijom.2015.10.018CrossRefPubMed

14.

Buck LM, Dalci O, Darendeliler MA, Papageorgiou SN, Papadopoulou AK (2017) Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis. Eur J Orthod 39:463–473. https://doi.org/10.1093/ejo/cjw048CrossRefPubMed

15.

Tanikawa C, Zere E, Takada K (2016) Sexual dimorphism in the facial morphology of adult humans: a three-dimensional analysis. Homo 67:23–49. https://doi.org/10.1016/j.jchb.2015.10.001CrossRefPubMed

16.

Grippaudo C, Oliva B, Greco AL, Sferra S, Deli R (2013) Relationship between vertical facial patterns and dental arch form in class II malocclusion. Prog Orthod 14:43. https://doi.org/10.1186/2196-1042-14-43CrossRefPubMedPubMedCentral

17.

Handelman CS, Osborne G (1976) Growth of the nasopharynx and adenoid development from one to eighteeen years. Angle Orthod 46:243–259. https://doi.org/10.1043/0003-3219(1976)046<0243:GOTNAA>2.0.CO;2PubMed

18.

Papaioannou G, Kambas I, Tsaoussoglou M, Panaghiotopoulou-Gartagani P, Chrousos G, Kaditis AG (2013) Age-dependent changes in the size of adenotonsillar tissue in childhood: implications for sleep-disordered breathing. J Pediatr 162:269–274.e4. https://doi.org/10.1016/j.jpeds.2012.07.041CrossRefPubMed

19.

Lee JW, Park KH, Kim SH, Park YG, Kim SJ (2011) Correlation between skeletal changes by maxillary protraction and upper airway dimensions. Angle Orthod 81:426–432. https://doi.org/10.2319/082610-499.1CrossRefPubMedPubMedCentral

20.

Brito FC, Brunetto DP, Nojima MC (2019) Three-dimensional study of the upper airway in different skeletal Class II malocclusion patterns. Angle Orthod 89:93–101. https://doi.org/10.2319/112117-806.1CrossRefPubMed

21.

Wang T, Yang Z, Yang F, Zhang M, Zhao J, Chen J, Li Y (2014) A three dimensional study of upper airway in adult skeletal Class II patients with different vertical growth patterns. Plos One 9:e95544. https://doi.org/10.1371/journal.pone.0095544CrossRefPubMedPubMedCentral

22.

Uslu-Akcam O (2017) Pharyngeal airway dimensions in skeletal class II: a cephalometric growth study. Imaging Sci Dent 47:1–9. https://doi.org/10.5624/isd.2017.47.1.1CrossRefPubMedPubMedCentral

23.

Pavoni C, Cretella Lombardo E, Franchi L, Lione R, Cozza P (2017) Treatment and post-treatment effects of functional therapy on the sagittal pharyngeal dimensions in Class II subjects. Int J Pediatr Otorhinolaryngol 101:47–50. https://doi.org/10.1016/j.ijporl.2017.07.032CrossRefPubMed

24.

Wang Q, Jia P, Anderson NK, Wang L, Lin J (2012) Changes of pharyngeal airway size and hyoid bone position following orthodontic treatment of Class I bimaxillary protrusion. Angle Orthod 82:115–121. https://doi.org/10.2319/011011-13.1CrossRefPubMed

25.

Germec-Cakan D, Taner T, Akan S (2011) Uvulo-glossopharyngeal dimensions in non-extraction, extraction with minimum anchorage, and extraction with maximum anchorage. Eur J Orthod 33:515–520. https://doi.org/10.1093/ejo/cjq109CrossRefPubMed

26.

Ozdemir F, Ulkur F, Nalbantgil D (2014) Effects of fixed functional therapy on tongue and hyoid positions and posterior airway. Angle Orthod 84:260–264. https://doi.org/10.2319/042513-319.1CrossRefPubMed

27.

Wan F, Wang M, Guan M, Wang J, Liu M, Pan X (2019) Analysis of three dimensional oropharyngeal airway and hyoid position in retrognathic adolescent patients. Orthod Waves 78:102–110. https://doi.org/10.1016/j.odw.2019.04.003CrossRef

28.

Cretella Lombardo E, Franchi L, Lione R, Chiavaroli A, Cozza P, Pavoni C (2020) Evaluation of sagittal airway dimensions after face mask therapy with rapid maxillary expansion in Class III growing patients. Int J Pediatr Otorhinolaryngol 130:109794. https://doi.org/10.1016/j.ijporl.2019.109794CrossRefPubMed

29.

Alves M Jr, Baratieri C, Nojima LI, Nojima MC, Ruellas AC (2011) Three-dimensional assessment of pharyngeal airway in nasal- and mouth-breathing children. Int J Ped Otorhinolaryngol 75:1195–1199. https://doi.org/10.1016/j.ijporl.2011.06.019CrossRef

30.

Feng X, Li G, Qu Z, Liu L, Näsström K, Shi XQ (2015) Comparative analysis of upper airway volume with lateral cephalograms and cone-beam computed tomography. Am J Orthod Dentofacial Orthop 147:197–204. https://doi.org/10.1016/j.ajodo.2014.10.025CrossRefPubMed

31.

Mortazavi S, Asghari-Moghaddam H, Dehghani M, Aboutorabzade M, Yaloodbardan B, Tohidi E, Hoseini-Zarch SH (2018) Hyoid bone position in different facial skeletal patterns. J Clin Exp Dent 10:e346. https://doi.org/10.4317/jced.54657CrossRefPubMedPubMedCentral

32.

Chiang CC, Jeffres MN, Miller A, Hatcher DC (2012) Three-dimensional airway evaluation in 387 subjects from one university orthodontic clinic using cone beam computed tomography. Angle Orthod 82:985–992. https://doi.org/10.2319/122811-801.1CrossRefPubMedPubMedCentral

33.

Pavoni C, Cretella LE, Lione R, Bollero P, Ottaviani F, Cozza P (2017) Orthopaedic treatment effects of functional therapy on the sagittal pharyngeal dimensions in subjects with sleep-disordered breathing and Class II malocclusion. Effetti del trattamento ortopedico-funzionale sulle dimensioni sagittali faringee in soggetti con disturbi respiratori del sonno e malocclusione di Classe II. Acta Otorhinolaryngol Ital 37:479–485. https://doi.org/10.14639/0392-100X-1420CrossRefPubMedPubMedCentral

34.

Chen YJ, Chen HH, Hsu LF, Wang SH, Chen YJ, Lai EHH, Chang JZC, Yao CCJ (2018) Airway increase after open bite closure with temporary anchorage devices for intrusion of the upper posteriors: Evidence from 2D cephalometric measurements and 3D magnetic resonance imaging. J Oral Rehabil 45:939–947. https://doi.org/10.1111/joor.12712CrossRefPubMed

Titel: Relationship between craniofacial and dental arch morphology with pharyngeal airway space in adolescents
verfasst von: Izabel de Oliveira
Raysa Pinheiro
Benedito Freitas
Peter Reher
Vandilson Rodrigues
Publikationsdatum: 24.05.2022
Verlag: Springer Medizin
Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Ausgabe Sonderheft 2/2023
Print ISSN: 1434-5293
Elektronische ISSN: 1615-6714
DOI: https://doi.org/10.1007/s00056-022-00403-9

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Relationship between craniofacial and dental arch morphology with pharyngeal airway space in adolescents

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet Zahnmedizin

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Parodontalbehandlung verbessert Prognose bei Katheterablation

Newsletter

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Sonderheft 2/2023

In vitro study of structural and mechanical properties of latex and non-latex intermaxillary orthodontic elastics

Skeletal maturation in different anteroposterior and vertical skeletal growth patterns in female subjects

Does puberty affect oxidative stress levels and antioxidant activity of saliva in patients with fixed orthodontic appliances?

Friction and archwire engagement in contemporary self-ligating appliance systems

Ramal inclination in the frontal plane after bimaxillary orthognathic surgery in skeletal class III facial asymmetry

Impact of phosphorylation of heat shock protein 27 on the expression profile of periodontal ligament fibroblasts during mechanical strain

Neu im Fachgebiet Zahnmedizin

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Parodontalbehandlung verbessert Prognose bei Katheterablation

Newsletter