Download or read book Functional Breathing Improvement Following Treatment with Maxillary Skeletal Expander written by Boshi Zhang and published by . This book was released on 2018 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving breathing for patients with obstructed airway has been heavily researched in recent years but continues to be a challenge clinically for medical practitioners including otolaryngologists, plastic surgeons, and dentists. In children with enlarged tonsils, adenotonsillectomy, partial tonsillectomy and lingual tonsillectomy are effective treatments. There are also various non-surgical treatments for obstructive sleep apnea in children including intra-nasal steroids, other anti-inflammatory medications, and oral appliances, but none of them are proven to be safe and effective. Various forms of rapid maxillary expansion have demonstrated airway improvement but further studies are necessary to show consistent and reproducible results. The Maxillary Skeletal Expander (MSE), anchored by four palatal mini-implants, has become an increasingly more common option for patients who may not respond to traditional RME. Additionally, expansion of the maxilla by the MSE occurs more by horizontal translation and less tipping than a RME expander. The goal of the study is to investigate the role of MSE in airway improvement using objective measurements including Peak Nasal Inspiratory Flow (PNIF) and Peak Oral Inspiratory Flow (POIF) as well as subjective measures of breathing such as the Visual Analog Scale (VAS) and Nasal Obstruction Symptom Evaluation (NOSE). Furthermore, nasal septum deviation will be measured and correlated with objective measurements of breathing. The results indicated that MSE produced improved functional breathing. Following MSE treatment, increases in total PNIF, left PNIF and right PNIF were significant at p

Download or read book Long Term Functional Breathing Improvement Following Maxillary Skeletal Expander Treatment written by Andrew Combs and published by . This book was released on 2021 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: Maxillary transverse deficiency is a highly prevalent skeletal problem characterized by a narrow maxilla in relation to the mandible. Although the etiology is multifactorial, the malocclusion develops during facial growth and usually progresses to the permanent dentition if there is no intervention. Furthermore, serious health problems are thought to be related to the occlusal disharmony including narrowing of the pharyngeal airway and nasal cavity, increased nasal resistance, and alteration of tongue posture.In patients with the desire to avoid surgery, a new design of palatal expansion termed the Maxillary Skeletal Expander (MSE) has been utilized to achieve maxillary expansion. MSE utilizes bone borne temporary anchorage devices (TADs) to expand maxillary transverse deficient patients with an interdigitated palatal suture. A preliminary study performed at UCLA demonstrated that patients treated with MSE had significant breathing improvement immediately following skeletal expansion. This study investigated the long-term effects of MSE in airway improvement using peak nasal inspiratory flow (PNIF), peak oral inspiratory flow (POIF), and subjective measures of breathing such as the Visual Analog Scale (VAS) and Nasal Obstruction Symptom Evaluation (NOSE). We examined seventeen patients at the UCLA Orthodontics Clinic at three timepoints: pre-expansion (T0), post-expansion (T1), and post orthodontic treatment (T2). Following MSE expansion, increases in PNIF total, PNIF left, PNIF right and POIF total were found to be significantly improved at the post orthodontic timepoint T2 when compared to T0. Also, VAS total, VAS left, and VAS right were significantly improved at T2 showing a decrease in the feeling of troubled breathing. Additionally, several of the objective and subjective clinical measures positively correlate with the magnitude of expansion determined by critical landmarks on Cone beam computed tomography radiographs (CBCTs). Overall, MSE treatment produces an increased objective and subjective airway improvement that continues to remain stable post expansion. Based on the clinical improvement and correlations with CBCT data, MSE offers a non-surgical alternative to achieve skeletal expansion that may benefit patients with airway issues.

Download or read book Measuring Airway Changes After Treatment with the Maxillary Skeletal Expander Using Three Dimension Cone Beam Computed Tomography and Computational Fluid Dynamic Analysis written by Zachary Philip Hollander and published by . This book was released on 2021 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Transverse maxillary deficiency is a common skeletal malocclusion that is diagnosed when the maxilla is narrow in relation to the mandible. The malocclusion develops during growth and usually does not correct without treatment. Some health problems thought to be associated with a narrow maxilla include narrowing of the pharyngeal airway and the nasal cavity and increased nasal resistance. In short, problems that make it more difficult to breath. Adult patients seeking an alternative to surgical expansion can now turn to bone-borne expanders utilizing Temporary Anchorage Devices (TADs) such as the maxillary skeletal expander (MSE) which is able to orthopedically expand the maxilla transversely at any age. A preliminary study performed at UCLA suggested that patients treated with MSE had improvement in airway volume and airflow immediately following expansion. This study investigated the effects of MSE on airway improvement using three-dimensional cone beamed computed tomography (CBCT) to measure volume changes in the upper airway and a computational fluid dynamic model (CFD) to evaluate the changes in airflow for sixteen patients at the UCLA Orthodontics Clinic at two timepoints: pre-expansion (T0) and post-expansion (T1). Treatment with the MSE caused a statistically significant increase in the volume of the airway after expansion as compared with the control group. Furthermore, CFD analysis showed that treatment with the MSE caused a statistically significant reduction in the airway resistance. The airway resistance of the MSE group was no longer statistically different from the control group after expansion. There was no correlation between the volume increase and the decrease in airway resistance. Overall, there was a significant increase in total airway volume, oropharyngeal volume, nasopharyngeal volume, and nasal cavity volume with MSE treatment immediately after expansion, but there was no correlation between volume increase and the improvement in breathing metrics, namely airway resistance. These results suggest that treatment of maxillary constriction using the MSE appliance may show positive effects in improvement of the upper airway volumes and reduction of the upper airway resistance.

Download or read book Rapid Maxillary Expansion written by Donald J. Timms and published by . This book was released on 1981 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Cleft and Craniofacial Orthodontics written by Pradip R. Shetye and published by John Wiley & Sons. This book was released on 2023-03-28 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive reference work for managing patients with orofacial clefts and complex craniofacial conditions from birth to skeletal maturity Cleft and Craniofacial Orthodontics is a comprehensive and detailed reference work on the management of patients with orofacial clefts and complex craniofacial conditions. Covering patients ranging from birth to skeletal maturity, the book provides orthodontists, plastic and oral and maxillofacial surgeons, speech and language therapist, pediatric dentists, and prosthodontists with the information they need to evaluate and treat these conditions. Highlighting the multidisciplinary team approach, the book aids clinicians in developing a complete plan for their patients. Each chapter is organized to reflect clinical practice, making it easy to apply the information to the treatment setting. Additionally, a companion website offers video clips of surgical and orthodontic procedures to further aid in reader comprehension and application. Sample topics covered within the work include: Introduction to orofacial clefting: cleft lip and palate anatomy, cleft types and classification, epidemiology, and genetics of cleft lip and palate Early management of orofacial clefting: prenatal diagnosis and counselling, feeding infants with clefts, and development of nasoalveolar molding therapy Orthodontic treatment: interceptive orthodontics, management of anteroposterior and transverse discrepancies, preparation for alveolar bone grafting, and combined orthodontic-orthognathic management. Orthodontic and multidisciplinary management of twenty complex craniofacial conditions including craniofacial microsomia, Treacher-Collins syndrome, and syndromic craniosynostosis Orthodontists, plastic surgeons, craniofacial surgeons, oral and maxillofacial surgeons, speech and language therapist, pediatric dentists, prosthodontists, and otolaryngologists can use this book to attain essential knowledge on managing patients with orofacial clefts and complex craniofacial conditions and understand how to apply that knowledge to practical patient settings.

Download or read book Temporary Anchorage Devices in Clinical Orthodontics written by Jae Hyun Park and published by John Wiley & Sons. This book was released on 2020-02-25 with total page 808 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides the latest information on all aspects of using temporary anchorage devices in clinical orthodontics, from diagnosis and treatment planning to appliances and applications Written by some of the world’s leading experts in orthodontics, Temporary Anchorage Devices in Clinical Orthodontics is a comprehensive, up-to-date reference that covers all aspects of temporary anchorage device (TAD) use in contemporary orthodontics. Taking a real-world approach to the subject, it covers topics ranging from diagnosis and treatment planning to the many applications and management of complications. Case studies demonstrate the concepts, and high-quality clinical photographs support the text throughout. The book begins with an overview of clinical applications and fundamental principles of TADs. It then goes on to cover biomechanical considerations for controlling target tooth movement with TADs. Biomechanical simulations for various clinical scenarios treated with TADs are addressed next, followed by an examination of histological aspects during the healing process and anatomical considerations with TADs. Other chapters cover: Class II Correction with TADs, Distalization with TADs, TAD-anchored Maxillary Protraction, Maxillary Expansion with TADs, Anterior Open Bite Correction with TADs, TAD-assisted Aligner Therapy, TADs vs. Orthognathic Surgery; Legal Considerations When Using TADs; and much more. Provides evidence-based information on the use of TADs, with a focus on improving outcomes for patients Considers topics ranging from diagnosis and treatment planning to specific clinical applications and appliances Takes a real-world clinical approach, with case studies demonstrating concepts Written by international experts in the field Presents hundreds of high-quality clinical photographs to support the text Temporary Anchorage Devices in Clinical Orthodontics is an essential resource for orthodontists and orthodontic residents.

Download or read book Neuromuscular Orthodontics written by Fabio Savastano and published by Springer Nature. This book was released on 2023-12-03 with total page 349 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a practical guide for applying neuromuscular principles to orthodontics. It is designed to meet the needs of dental students and practitioners. The book provides a solid foundation in neuromuscular dentistry, explaining the basic anatomy and ideal functioning of the mouth and jaw. It covers important techniques like mandibular tracking, TENS, and surface EMG, which are used for diagnosing, planning treatment, and monitoring progress. The last chapter features case studies with Kinesiography, showing the long-term outcomes after treatment. The information in the book is presented clearly and written in an easy-to-understand style.

Download or read book Rethinking Rhinoplasty and Facial Surgery written by Howard D. Stupak and published by Springer Nature. This book was released on 2020-05-05 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents a novel logic-based, simplified understanding and approach to the external nose and face for aesthetics, airway, and sleep treatments that have mostly been under-recognized in the past. Key features of the text include an engineer’s approach to simple rhinoplasty, (Release, Resize, Reposition, Reinforce) instead of the typical step-wise procedure algorithm. It also includes a logical explanation of how facial skeletal anatomy is the true cause of sleep apnea and aesthetic deformity with the physics and evidence of how this works, and a review of conventional rhinoplasty/facial structural treatments, with an analysis of why these are flawed and need improvement. Finally, rhinoplasty surgical strategy is discussed using a Rhinoplasty Compass(TM) diagram. Rethinking Rhinoplasty and Facial Surgery appeals to the surgeon who has grown frustrated with the aesthetic and breathing results of the conventional treatment paradigm. It also appeals to the otolaryngologist, plastic or oral surgeon who avoids working on the external nose and nasal valve because of the perceived complexity of graft-style rhinoplasty or oversimplicity and limitations of basic septoplasty and turbinate reduction. This book provides a hybrid approach to the nose and face that provides more reliable and straightforward outcomes via an understanding of framework.

Download or read book Upper Airway Disorders and Noninvasive Mechanical Ventilation written by Antonio M. Esquinas and published by Springer Nature. This book was released on 2023-09-26 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book analyses the basic rationale of noninvasive respiratory management in upper airways medical and perioperative disorders and key interactions and clinical implications. It offers key diagnostic tools to detect early and late failure of upper airway disorders whit a noninvasive approach. Furthermore, all medical and post-operative clinical indications of acute and chronic diseases in upper airway respiratory disorders and outcomes are summarized. The book can be considered unique from various perspectives: from the physiological and practical point of view as well as from the side of the therapeutic approach. As a matter of fact, from the physiological perspective, noninvasive mechanical ventilation has been shown to have several beneficial effects on the elasticity, musculature, and resistance of the upper and lower airways. Then, in the book the relationships between noninvasive respiratory management options and upper airway disorders in medical and postoperative conditions are also considered. Finally, the book provides information and analysis of the interaction of upper airways in the interaction of noninvasive mechanical ventilation management, which are the determining factors in the response in various clinical settings. Considering the growing evidence of the role of upper airways disorders in influencing the outcomes of noninvasive mechanical ventilation, in this book is presented a unique multidisciplinary approach to better understand the role of upper airways in noninvasive mechanical ventilation. The volume – richly illustrated – offers an exhaustive analysis of the role of the upper airways in patients who require treatment with noninvasive mechanical ventilation and can be considered a scientific reference for several specialists such as intensivists and anesthesiologists, pneumologists-sleep medicine professionals as well as otorhinolaryngologists.

Download or read book Orthodontics Diagnosis and Management of Malocclusion and Dentofacial Deformities E Book written by Om Prakash Kharbanda and published by Elsevier Health Sciences. This book was released on 2019-11-14 with total page 1022 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition is expanded and rejuvenated with a greater focus on PG students, orthodontic educators, UG students and practitioners. The book covers entire panorama of science and clinical practice of orthodontics, from basics to clinical, presented in 58 chapters organised in 15 sections. The information is provided in-depth, literature supported, complimented with real life scenarios and case reports. A special effort has been made to include structured information on subjects of relevance which are much talked about but found only in journals. Contains a balanced blend of texts, graphics, boxes and clinical case reports encountered in clinical practice A comprehensive coverage of cephalometric radiology, ethnic norms and advances in three-dimensional imaging A detailed step by step approach to orthodontic treatment with contemporary fixed appliances, from diagnosis to finishing Provides an up-to-date information on topics of day-to-day relevance such as epidemiology of malocclusion and orthodontic indices, psychological aspects of orthodontics, debonding, care and maintenance of occlusion after orthodontic treatment Presents updated information on temporary anchorage devices (TAD), impacted and transposed teeth, inter-disciplinary treatment, management of cleft lip and palate and orthognathic surgery Emerging fields such as surgically facilitated rapid tooth movement, distraction osteogenesis and obstructive sleep apnoea (OSA) are included with up-to-date clinically relevant information Includes Companion Website containing procedural videos

Download or read book The Herbst Appliance written by Hans Pancherz and published by Quintessence Publishing (IL). This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a research-based book on the clinical use of the Herbst appliance in the management of Class 2 malocclusions. Different clinical problems and questions are addressed in the light of the corresponding research existing. Thus, in contrast to other Class 2 alternative treatments, the Herbst appliance approach is based on scientific research.

Download or read book Twin Block Functional Therapy written by William Clark and published by JP Medical Ltd. This book was released on 2014-09-30 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: Twin Block appliances are simple bite blocks that are designed for full-time wear. They achieve rapid functional correction of malocclusion (misalignment of upper and lower teeth) by the transmission of favourable occlusal forces to occlusal inclined planes that cover the posterior teeth. The forces of occlusion are used as the functional mechanism to correct the malocclusion (www.twinblocks.com). Beginning with an introduction to orthodontics and twin blocks, the next chapters describe growth studies and diagnosis and treatment planning. Each of the following sections discusses the use of twin blocks for different types of malocclusion. With a focus on the latest developments in functional therapy, the book offers guidance on diagnosis, treatment planning, case selection, appliance design and clinical management. Written by the internationally recognised Orthodontist William Clark from Fife, UK, who also invented Twin Blocks, this comprehensive guide includes nearly 600 clinical photographs and illustrations. Key points Comprehensive guide to use of Twin Blocks in treatment of malocclusion Focus on latest developments in functional therapy Written by UK-based inventor of Twin Blocks Includes nearly 600 images and illustrations

Download or read book Surgically Facilitated Orthodontic Therapy written by George A. Mandelaris and published by Springer Nature. This book was released on 2023-07-04 with total page 831 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book covers all aspects of Surgically Facilitated Orthodontic Therapy and is intended to guide practitioners involved in dental interdisciplinary therapy to managing complex cases. It demonstrates the next level of collaboration through managing core problems of the patients and planning cases using digital dentistry for enhanced disclosed and more ideal outcomes. Methods for regaining space appropriation and dentoalveolar bone engineering are illustrated. Emphasis is placed on corticotomy assisted orthodontic therapy and 3D planning in order to help practitioner to achieve outcomes that were previously unrecognized. The book is written by leading experts in the field and is a rich source for periodontists, oral and maxillofacial surgeons, orthodontists and restorative clinicians interested in the subject.

Download or read book Cleft Lip and Palate written by Samuel Berkowitz and published by Springer Science & Business Media. This book was released on 2006-05-20 with total page 796 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reviews the treatment concepts in several areas of cleft involvement. This text consists of longitudinal facial and palatal growth studies of dental casts, photographs, panorexes and cephalographs from birth to adolescence. Throughout the growth and treatment concepts, the need for differential diagnosis in treatment planning has been underscored.

Download or read book Management of Obstructive Sleep Apnea written by Ki Beom Kim and published by Springer Nature. This book was released on 2021-01-04 with total page 646 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides comprehensive information on the etiology, pathophysiology, medical implications, diagnosis, and surgical and nonsurgical treatment of obstructive sleep apnea (OSA). Divided into five parts, the book begins with principles and fundamentals of OSA and its diagnostic considerations. Subsequent parts then address non-surgical management, surgical management, and maxillomandibular advancements for OSA. Chapters seek to approach this common disorder from the viewpoint of multiple specialties, thereby promoting the development of a broad strategy for the evaluation and management of OSA patients that draws on each of them. An invaluable reference, Management of Obstructive Sleep Apnea: An Evidence-Based, Multidisciplinary Textbook meets the needs of advanced dental and medical students, orthodontic, maxillofacial, ENT, neurology, and plastic surgery residents, and sleep medicine and pulmonary physicians.​​

Download or read book Integrated Clinical Orthodontics written by Vinod Krishnan and published by John Wiley & Sons. This book was released on 2012-01-30 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrated Clinical Orthodontics provides an important new resource on the clinical interactions between the practice of orthodontics and other areas of clinical dentistry and medicine. Having at its heart the paradigm of patient-centred care, the book not only integrates the knowledge, skills, and experience of all the disciplines of dentistry and medicine, but also eases the work of orthodontists in arriving at an accurate diagnosis and a comprehensive treatment plan. Presented in a highly visual and practical format, Integrated Clinical Orthodontics uses clinical case presentations to illustrate the rationale and application of the integrated approach to a variety of clinical scenarios. Integrated Clinical Orthodontics covers areas of complexity in clinical orthodontics, specifically the role of the orthodontist as a member of a multidisciplinary team. The book outlines and details the management of congenital orofacial deformities, sleep disorders, esthetic smile creation and temporomandibular joint problems, and additionally and importantly includes specific protocols for effective communication with experts in other specialties.

Download or read book Temporomandibular Joint and Airway Disorders written by G. Gary Demerjian and published by Springer. This book was released on 2018-11-03 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book on the local and systemic manifestations and correlates of temporomandibular joint disorders (TMDs) encompasses the two intertwined facets of translational science – translational research and translational effectiveness – as they relate specifically to TMDs. The first part of the book, on recent translational research, focuses on topics such as the neuroanatomy and neurophysiology of the trigeminal nerve and trigeminal network system, the manifestations of neuroinflammation in TMDs, and the molecular mechanisms underlying TMDs. The second part discusses the clinical effectiveness of treatment approaches from the perspective of evidence-based dentistry, with careful attention to the critical relationships between dental malocclusions, the signs and symptoms of TMDs, and airway/breathing disorders. Interventions to correct for malocclusal conditions that lead to TMDs are examined, with explanation of the ways in which they can ameliorate a variety of local and systemic symptoms. This will be an excellent reference book for established practitioners, residents, interns, and students as well as a powerful cutting-edge document for researchers in the field.