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Author: Daniel Chenman
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Objectives: The aim of this systematic review was to collect and review literature that used cone beam computer tomography (CBCT) imaging to study changes in the upper airway of adults who have undergone orthodontic treatment which retracted incisors. Methods: Pubmed, Mbase, Dentistry and Oral Science Source, and Web of Science databases were searched for relevant articles in English which met the inclusion criteria. Included articles had adult subjects orthodontically treated to retract incisors with pre- and post- treatment CBCT images. Excluded studies were case studies, opinion pieces, studies with adolescent subjects under 18 years old, or subjects with medical conditions or respiratory diseases. Studies were appraised using Joanna Briggs Institute appraisal index for cohort studies. Data collected included the sample size, age, treatment type, changes in airway volume, minimum cross-sectional area, and incisor retraction. Outcomes were analyzed using Forest Plots. Results: Of the 1,314 studies found through search, 3 retrospective cohort studies were included. These studies represented 229 total participant, 154 extraction and 75 non-extraction. All studies found no significance between incisor retraction and airway dimensions between extraction and non-extraction groups. However, within the extraction group, one study found an increase in oropharyngeal volume, while another found a significant inverse correlation of maxillary distalization and airway volume. One study found significant posterior position of hyoid in the extraction group. The studies had moderate risk of bias. Conclusion: Included studies have varying results on airway dimensions and volume that are small, and risk of bias cannot be ignored. The latest evidence for changes in arch length and incisor position on the airway with 3D imaging is weak. There is evidence that airway dimensions change in an adaptive manner to compensate for arch length and incisor position changes, which explains lack of significant changes in airway volume.
Author: Daniel Chenman
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Objectives: The aim of this systematic review was to collect and review literature that used cone beam computer tomography (CBCT) imaging to study changes in the upper airway of adults who have undergone orthodontic treatment which retracted incisors. Methods: Pubmed, Mbase, Dentistry and Oral Science Source, and Web of Science databases were searched for relevant articles in English which met the inclusion criteria. Included articles had adult subjects orthodontically treated to retract incisors with pre- and post- treatment CBCT images. Excluded studies were case studies, opinion pieces, studies with adolescent subjects under 18 years old, or subjects with medical conditions or respiratory diseases. Studies were appraised using Joanna Briggs Institute appraisal index for cohort studies. Data collected included the sample size, age, treatment type, changes in airway volume, minimum cross-sectional area, and incisor retraction. Outcomes were analyzed using Forest Plots. Results: Of the 1,314 studies found through search, 3 retrospective cohort studies were included. These studies represented 229 total participant, 154 extraction and 75 non-extraction. All studies found no significance between incisor retraction and airway dimensions between extraction and non-extraction groups. However, within the extraction group, one study found an increase in oropharyngeal volume, while another found a significant inverse correlation of maxillary distalization and airway volume. One study found significant posterior position of hyoid in the extraction group. The studies had moderate risk of bias. Conclusion: Included studies have varying results on airway dimensions and volume that are small, and risk of bias cannot be ignored. The latest evidence for changes in arch length and incisor position on the airway with 3D imaging is weak. There is evidence that airway dimensions change in an adaptive manner to compensate for arch length and incisor position changes, which explains lack of significant changes in airway volume.
Author: Ki Beom Kim
Publisher: Springer Nature
ISBN: 3030541460
Category : Medical
Languages : en
Pages : 646
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Book Description
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.
Author:
Publisher: ScholarlyEditions
ISBN: 1490106480
Category : Medical
Languages : en
Pages : 1174
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Book Description
Issues in Dentistry, Oral Health, Odontology, and Craniofacial Research: 2013 Edition is a ScholarlyEditions™ book that delivers timely, authoritative, and comprehensive information about Endodontics. The editors have built Issues in Dentistry, Oral Health, Odontology, and Craniofacial Research: 2013 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Endodontics in this book to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Dentistry, Oral Health, Odontology, and Craniofacial Research: 2013 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.
Author: Onur Kadioglu
Publisher: Springer
ISBN: 3030007227
Category : Medical
Languages : en
Pages : 251
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Book Description
This book is designed to serve as an up-to-date reference on the use of cone-beam computed tomography for the purpose of 3D imaging of the craniofacial complex. The focus is in particular on the ways in which craniofacial 3D imaging changes how we think about conventional diagnosis and treatment planning and on its clinical applications within orthodontics and oral and maxillofacial surgery. Emphasis is placed on the value of 3D imaging in visualizing the limits of the alveolar bone, the airways, and the temporomandibular joints and the consequences for treatment planning and execution. The book will equip readers with the knowledge required in order to apply and interpret 3D imaging to the benefit of patients. All of the authors have been carefully selected on the basis of their expertise in the field. In describing current thinking on the merits of 3D craniofacial imaging, they draw both on the available scientific literature and on their own translational research findings.
Author: Boyu Pan
Publisher:
ISBN:
Category : Maxillary expansion
Languages : en
Pages : 0
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Book Description
Obstructive sleep apnea (OSA) affects more than 900 million people around the world (Benjafield et al., 2019). OSA occurs due to obstruction of the airway at different levels of the airway, including upper and lower pharyngeal constrictions due to narrow upper jaw and underdeveloped/backward positioned lower jaw. Treatment modalities of OSA include active oxygen infusion, oral appliances or surgical expansion of the upper arch and/or surgical advancement of the lower and upper jaws; however, these modalities have many challenges and complications (Benjafield et al., 2019; American Academy of Sleep Medicine, 2015; Schwengel et al., 2014; Yaggi et al., 2005). Previous research has shown that rapid maxillary expansion can improve the nasal airway, thereby improving OSA (Peppard et al., 2000; Cordasco et al., 2012; Mônego Moreira et al., 2017). Orthodontic appliances such as clear aligners can be used for slow maxillary expansion; however, the effect of this type of treatment on both the nasal airway volume and morphology has not been investigated. Therefore, the objective of this study was to investigate the effect of clear aligners on the nasal airway volume and morphology of pediatric patients undergoing maxillary expansion. In addition, a pilot study was conducted to investigate the effect of clear aligners on the volume of the nasal airway in adults. We conducted a retrospective study on 13 pediatric patients (ages 6-13 years old). These patients had treatment of their malocclusion using clear aligners and their treatment involved upper arch expansion as well as initial and after treatment CBCTs (Cone Beam Computed Tomography) as part of their routine orthodontic records. We set up a control group of 8 children (7-12 years) without clear aligner treatment but having two CBCTs. Based on the treatment and control groups, we investigated whether pediatric patients treated with clear aligners had a significant increase in upper arch expansion and nasal airway volume and morphology. Secondly, we conducted a retrospective pilot study to investigate the effect of upper arch expansion using clear aligners in the adult population. We studied 6 adults (31-52 years) who were treated with clear aligners for maxillary expansion. The results showed a significant increase in nasal airway volume as well as intermolar distance in the treatment group of pediatric patients, but not in the control group. No correlation was found between the changes in intermolar distance and nasal airway volume in the treatment group. In the adult population, the results suggest a trend of increased nasal airway volume after maxillary expansion with clear aligners, however, the results were not statistically significant. Further study with an increased sample size may confirm the suggested trends. This work provides a method to investigate changes in nasal airway volume and morphology and demonstrates the potential for slow maxillary expansion with clear aligners to improve nasal airway parameters. This suggests that such treatment may be a possible solution to improve outcomes for OSA patients.
Author: Anita Sadeghpour
Publisher: Springer
ISBN: 1447163834
Category : Medical
Languages : en
Pages : 383
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Book Description
In the United States, there are approximately 1 million adults with congenital heart disease, with 20,000 new patients reaching adolescence each year. With early pediatric diagnosis, improved medical, surgical and post operative care, it is now expected that 90% of patients born with congenital heart disease (CHD) will survive to adulthood. Therefore, the number of adult CHD (ACHD) patients will continue to rise. In fact, it is now estimated that for the first time in history, there are more adults living with CHD than children. The cardiologist who deals with these patients must therefore be familiar with congenital heart lesions in their uncomplicated state and know appropriate testing and follow-up methods. Also the inherent complexity of this type of cardiovascular disease really needs a comprehensive, multimedia included, practical and case base approach and assessment. The aim of this book is to provide a case base approach to adult patients with congenital heart disease including all diagnostic and treatment methods focus on physical exam, ECG, chest X-Ray, heart sounds, advanced echocardiography including of TTE & TEE, cardiac CT, CMR, catheterization, interventional procedures, surgery and also anesthesia highlights in these patients.
Author: Jae Hyun Park
Publisher: John Wiley & Sons
ISBN: 1119513650
Category : Medical
Languages : en
Pages : 808
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Book Description
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.
Author: Lee W. Graber
Publisher: Elsevier Health Sciences
ISBN: 8131247163
Category : Medical
Languages : en
Pages : 1203
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Book Description
Comprehensive, cutting-edge content prepares you for today's orthodontics! Orthodontics: Current Principles and Techniques: 1st South Asia Edition provides evidence-based coverage of orthodontic diagnosis, planning strategies, and treatment protocols, including esthetics, genetics, temporary anchorage devices, aligners, technology-assisted biomechanics, and much more. From respected editors Lee Graber, Robert Vanarsdall, Katherine Vig, and Greg Huang, along with a veritable Who's Who of expert contributors, this classic reference has a concise, no-nonsense approach to treatment that makes it the go-to book for orthodontic residents and practitioners - Comprehensive coverage provides a one-stop resource for the field of orthodontics, including foundational theory and the latest on the materials and techniques used in today's practice. - Experienced, renowned editors lead a team of expert, international contributors, bringing the most authoritative clinical practice and supporting science from the best and brightest in the industry. - More than 3,400 images include a mixture of radiographs, full-color clinical photos, and anatomic or schematic line drawings, showing examples of treatment, techniques, and outcomes. - Extensive references make it easy to look up the latest in orthodontic research and evidence-based information, and all references also appear online. - Detailed, illustrated case studies show the decision-making process, showing the consequences of various treatment techniques over time
Author: Donald J. Timms
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 152
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Book Description
Author: Meir H. Kryger
Publisher: Elsevier Health Sciences
ISBN: 0323675050
Category : Medical
Languages : en
Pages : 3188
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Book Description
Offering today's most authoritative, comprehensive coverage of sleep disorders, Kryger's Principles and Practice of Sleep Medicine, 7th Edition, is a must-have resource for sleep medicine specialists, fellows, trainees, and technicians, as well as pulmonologists, neurologists, and other clinicians who see patients with sleep-related issues. It provides a solid understanding of underlying basic science as well as complete coverage of emerging advances in management and treatment for a widely diverse patient population. Evidence-based content, hundreds of full-color illustrations, and a wealth of additional resources online help you make well-informed clinical decisions and offer your patients the best possible care. - Contains new chapters on sleep in intersex and transgender individuals; sleep telemedicine and remote PAP adherence monitoring; and sleep and the menstrual cycle, as well as increased coverage of treatment and management of pediatric patients. - Includes expanded sections on pharmacology, sleep in individuals with other medical disorders, and methodology. - Discusses updated treatments for sleep apnea and advancements in CPAP therapy. - Offers access to 95 video clips online, including expert interviews and sleep study footage of various sleep disorders. - Meets the needs of practicing clinicians as well as those preparing for the sleep medicine fellowship examination or recertification exams, with more than 950 self-assessment questions, answers, and rationales online. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
