International journal of orthodontics (Milwaukee, Wis.) · 2013
Enhanced increase in pharyngeal airway size in Japanese class II children following a 1-year treatment with an activator appliance.
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Horihata Atsushi, Ueda Hiroshi, Koh Myongsun, Watanabe Genki, Tanne Kazuo
Аннотация
OBJECTIVE: The aim of this study was to assess the upper airway soft-tissue structures in Class IIJapanese children following activator treatment by means of cephalometric analysis.
STUDY DESIGN: A lateral cephalometric radiograph was taken of each patient at Ti (prior to the placement of the activator; mean age: 11 years, 5 months) and T2 (after 1 year of activator treatment; mean age: 12 years, 5 months). Tracings of the lateral cephalometric radiographs were made on acetate paper, and several soft-tissue points and contours of the tongue, soft palate, hyoid, and pharynx were digitised.
RESULTS: The sizes of the oropharynx and hypopharynx were significantly smaller in Class II patients than in Class I patients. Moreover, significant differences were observed in the sizes of the tongue and soft palate between Class I and II patients at the age of 12. In terms of the ratio of change relative to the initial values between the 2 skeletal patterns, the width and dimension of the pharyngeal airway in Class II patients showed considerable increases after activator use.
CONCLUSION: The pharyngeal airway soft tissue structures of Class I patients using the activator exceeded normal growth after 1 year. This finding suggests that correction ofskeletal Class II discrepancies by the activator in orthodontic treatment could reduce the risk of respiratory problems, such as severe snoring, obstructive sleep apnoea, and excessive daytime sleepiness in the future.
STUDY DESIGN: A lateral cephalometric radiograph was taken of each patient at Ti (prior to the placement of the activator; mean age: 11 years, 5 months) and T2 (after 1 year of activator treatment; mean age: 12 years, 5 months). Tracings of the lateral cephalometric radiographs were made on acetate paper, and several soft-tissue points and contours of the tongue, soft palate, hyoid, and pharynx were digitised.
RESULTS: The sizes of the oropharynx and hypopharynx were significantly smaller in Class II patients than in Class I patients. Moreover, significant differences were observed in the sizes of the tongue and soft palate between Class I and II patients at the age of 12. In terms of the ratio of change relative to the initial values between the 2 skeletal patterns, the width and dimension of the pharyngeal airway in Class II patients showed considerable increases after activator use.
CONCLUSION: The pharyngeal airway soft tissue structures of Class I patients using the activator exceeded normal growth after 1 year. This finding suggests that correction ofskeletal Class II discrepancies by the activator in orthodontic treatment could reduce the risk of respiratory problems, such as severe snoring, obstructive sleep apnoea, and excessive daytime sleepiness in the future.