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Volumetric changes in the upper airway on CBCT after dentofacial orthopedic interventions - a systematic review

OBJECTIVE: To provide a critical overview of the effect of various orthodontic and/or dentofacial orthopedic interventions on three-dimensional volumetric changes in the upper airway. MATERIALS AND METHODS: Four databases were searched for clinical studies concerning 3D volumetric assessments based...

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Autores principales: Steegman, Ralph M., Renkema, Anne-Marie, Schoeman, Adriaan, Kuijpers-Jagtman, Anne Marie, Ren, Yijin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560168/
https://www.ncbi.nlm.nih.gov/pubmed/37723313
http://dx.doi.org/10.1007/s00784-023-05207-8
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author Steegman, Ralph M.
Renkema, Anne-Marie
Schoeman, Adriaan
Kuijpers-Jagtman, Anne Marie
Ren, Yijin
author_facet Steegman, Ralph M.
Renkema, Anne-Marie
Schoeman, Adriaan
Kuijpers-Jagtman, Anne Marie
Ren, Yijin
author_sort Steegman, Ralph M.
collection PubMed
description OBJECTIVE: To provide a critical overview of the effect of various orthodontic and/or dentofacial orthopedic interventions on three-dimensional volumetric changes in the upper airway. MATERIALS AND METHODS: Four databases were searched for clinical studies concerning 3D volumetric assessments based on CBCT before and after orthodontics interventions. The quality of the studies was assessed using the quality assessment tool of the National Heart, Lung and Blood Institute. After the use of inclusion and exclusion criteria, the pre-and post-treatment volumes were used to visualize the effect of various orthodontics interventions. RESULTS: A total of 48 studies were included in this review and none of which were RCTs. The quality of all included studies was assessed as medium. Overall, there is a tendency for an increase in airway volumes after various orthodontic interventions, except for studies concerning extraction therapy with fixed appliances in adults, in which both increases and decreases in airway volumes have been reported. CONCLUSION: Orthodontic treatment by growth modification and non-extraction therapy with fixed appliances, regardless of the malocclusion, generally showed positive effects on the airway volume. Orthodontic treatment in combination with extractions does not provide an unambiguous insight. A consensus on the methodology of the airway measurement and nomenclature is urgently needed in order to gain insight into the effect of different interventions on three-dimensional airway changes. CLINICAL RELEVANCE: Various orthodontic treatments do not negatively influence the upper airway volume. However, extraction therapy in adults should be chosen with caution, especially in subjects belonging to a group susceptible to airway obstruction. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00784-023-05207-8.
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spelling pubmed-105601682023-10-09 Volumetric changes in the upper airway on CBCT after dentofacial orthopedic interventions - a systematic review Steegman, Ralph M. Renkema, Anne-Marie Schoeman, Adriaan Kuijpers-Jagtman, Anne Marie Ren, Yijin Clin Oral Investig Review OBJECTIVE: To provide a critical overview of the effect of various orthodontic and/or dentofacial orthopedic interventions on three-dimensional volumetric changes in the upper airway. MATERIALS AND METHODS: Four databases were searched for clinical studies concerning 3D volumetric assessments based on CBCT before and after orthodontics interventions. The quality of the studies was assessed using the quality assessment tool of the National Heart, Lung and Blood Institute. After the use of inclusion and exclusion criteria, the pre-and post-treatment volumes were used to visualize the effect of various orthodontics interventions. RESULTS: A total of 48 studies were included in this review and none of which were RCTs. The quality of all included studies was assessed as medium. Overall, there is a tendency for an increase in airway volumes after various orthodontic interventions, except for studies concerning extraction therapy with fixed appliances in adults, in which both increases and decreases in airway volumes have been reported. CONCLUSION: Orthodontic treatment by growth modification and non-extraction therapy with fixed appliances, regardless of the malocclusion, generally showed positive effects on the airway volume. Orthodontic treatment in combination with extractions does not provide an unambiguous insight. A consensus on the methodology of the airway measurement and nomenclature is urgently needed in order to gain insight into the effect of different interventions on three-dimensional airway changes. CLINICAL RELEVANCE: Various orthodontic treatments do not negatively influence the upper airway volume. However, extraction therapy in adults should be chosen with caution, especially in subjects belonging to a group susceptible to airway obstruction. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00784-023-05207-8. Springer Berlin Heidelberg 2023-09-19 2023 /pmc/articles/PMC10560168/ /pubmed/37723313 http://dx.doi.org/10.1007/s00784-023-05207-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review
Steegman, Ralph M.
Renkema, Anne-Marie
Schoeman, Adriaan
Kuijpers-Jagtman, Anne Marie
Ren, Yijin
Volumetric changes in the upper airway on CBCT after dentofacial orthopedic interventions - a systematic review
title Volumetric changes in the upper airway on CBCT after dentofacial orthopedic interventions - a systematic review
title_full Volumetric changes in the upper airway on CBCT after dentofacial orthopedic interventions - a systematic review
title_fullStr Volumetric changes in the upper airway on CBCT after dentofacial orthopedic interventions - a systematic review
title_full_unstemmed Volumetric changes in the upper airway on CBCT after dentofacial orthopedic interventions - a systematic review
title_short Volumetric changes in the upper airway on CBCT after dentofacial orthopedic interventions - a systematic review
title_sort volumetric changes in the upper airway on cbct after dentofacial orthopedic interventions - a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10560168/
https://www.ncbi.nlm.nih.gov/pubmed/37723313
http://dx.doi.org/10.1007/s00784-023-05207-8
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