Obstructive sleep apnea syndrome (OSAS) in children is characterized by recurrent events of partial or complete upper airway obstruction during sleep. Functional orthopedics has been used for patients who have OSAS and craniofacial anomalies because they change the mandible posture forwards, improving the respiratory function. In present, much attention is accorded to the relationship between respiratory function and facial morphology. This study combines the cephalometric measurements and cardio-respiratory polygraphy, in order to analyze the effects of a modified functional Twin Block polymeric appliance on respiratory variables in OSAS patients. The chief complaints of the included in study patients was the crooked teeth and the teasing about their smile. Pretreatment facial photographs show labial position of anterior teeth, gummy smile, a large overjet, incompetent lips and retrognathic mandible. The patients underwent overnight cardio-respiratory polygraphic tests in the same Sleep Laboratory, before and after mandibular advancement device treatment. At the end of the orthopedic treatment phase, the beneficial result of this study was the mandible correction, the maxilla restrained, over jet decreased, improving the facial profile and reintegration of the patient in the school social environment. The education of the parents and of the small patients to recognize the symptoms of sleep apnea and to apply the available effective treatments with a positive social impact on self-esteem and which recovers the facial aesthetics and functionality is a stringent necessity.

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Labio-palatin clefts are the most common type of craniofacial malformation encountered in practice and among the most common congenital abnormalities; it represent morphological and functional defects in newborns caused by genetically changes or environmental factors; those of the cervico-facial region have an increased incidence due to local embryological complexity and multifactorial etiology. The anomaly, with its variants, results from an inherent defect between the internal and external nasal buds, both from the frontal and upper maxillary bud. Labio-palatine clefts are characterized by a tissue deficiency as well as an abnormal disposition of the present tissues. It is believed that the labial clefts are consecutive to the lack of apoptosis of the ectoderm which envelops the internal maxillary and nasal buds, thus constituting a barrier to the fusion process of buds. Depending on the location and the extentension of the cleft, the labial cleft occurs, or the more frequent, the labial-alveolar cleft. The study group consisted of 22 patients with labio-palatine clefts, of which 16 boys (72.72%) and 6 girls (27.27%), who presented in the clinic for treatment. When the causative factor acts earlier, the clfet develops posteriorly, since mesodermization begins from the posterior to the anterior. The more disturbing factor acts, the greater the cleft. The increase in the incidence of labial-palatine cleft is believed to be mainly due to the increase in the number of women of older gestational age in women; women over 35 years of age have a double risk of having children with labio-palatine clefts, the risk being three times higher for mothers over the 39 years.

Background: For the past two and half years, dentists all across the world, along with their patients, have faced numerous challenges. In this context, the aim of this integrative review was to assess if dentists’ and patients’ attitudes regarding teledentistry (TD) have changed since the COVID-19 outbreak, and if the use of TD will continue to rise, even in the post-pandemic period; (2) Methods: A literature search was performed between August 2021 and January 2022. The PubMed, Scopus, and Science Direct databases were searched for articles published between 2012 and 2022 using a combination of the following Mesh terms: “COVID-19”, “pandemic”, “oral telemedicine”, “teledentistry”; (3) Results: Among the 52 included papers, nine papers were published between 2011 and 2019, and 43 articles were published after 2020 (12 were published in 2020, 29 papers were published in 2021, and two in 2022). Among the articles published before 2020, seven out of nine included papers were reviews, and two were original research. Among the 43 papers published after 2020, 18 were reviews and 25 original research. (4) Conclusions: Based on the results of this integrative review, there is clear evidence that the interest in teledentistry and teleassistance in the dental field has increased rapidly, especially in the context of the COVID-19 pandemic. Therefore, while dental practitioners should be encouraged to keep themselves updated about new technologies, patients should also be constantly informed about their options for receiving special oral health care.

The prevalence of dental caries in Romania remains high. The objective of this study is to analyse the link between dental caries, salivary pH and buffer capacity and the nutritional status in children. This cross-sectional study used a sample of 162 children, between the ages of 6 and 12 years, from Mures County, Romania. The prevalence of caries was measured using the decayed, missing, and filled teeth index for deciduous teeth (dmft index) and for permanent teeth (DMFT index). In addition, height and weight were assessed for each subject, and their body mass index (BMI) was calculated. The buffer capacity and the pH was determined after collecting stimulated saliva. Undernourished children presented a higher caries incidence and a lower salivary pH value compared with the normal weight and overweight children. Further longitudinal studies should be conducted in order to study the relationship between BMI, pH, dental caries and salivary buffer capacity. Future preventive programs should include nutrition control in order to prevent both the apparition of dental caries and of malnutrition.

The use of maxillary expanders has the effect of distancing the maxillary bones at the level of the median palatal suture. During maxillary expansion, the main resistance forces occur at the zygomatico-maxillary sutures, and not in the median palatal suture, which is the basic principle on which this method is based. In this observational study, we evaluated possible complications at the skeletal and dentoalveolar level after palatal split using miniscrew-assisted rapid palatal expansion (MARPE) associated or not with corticopuncture (CP) therapy. The study included 27 patients with maxillary transverse deficiency and unilateral or bilateral cross-bite. Skeletal and dentoalveolar changes were evaluated using cone beam computed tomography (CBCT) images acquired before and after expansion. The mid-palatal suture was separated in 88.88% of cases, buccal bone height of the alveolar crest had decreased at first molar both at oral and palatal level by approximately 2.07 mm in 40.7% of cases whilst the remaining 59.3% showed insignificant bone loss, with canines exhibiting buccal tipping of 4.10° in 62.5% of cases. Changes of the occlusal planes were observed in 10 cases (37%). Maxillary canines tended to show symmetric buccal inclinations relative to the maxillary basal bone. Six patients; 22.22% showed hypertrophy/hyperplasia of the palatal mucosa associated with ulcerations, erythema, itching, and discomfort in the area. Swelling at the mid-palatal suture after split was observed in all cases and was caused by the resultant force. No cases of necrosis of the palatal mucosa were observed. Although occlusal modifications occur after palatal split, especially in unilateral cross-bite cases, these changes can be treated with the help of fixed orthodontic appliances.

Orthodontically induced external apical root resorption (OIEARR) is a major concern regarding periodontal status after nonsurgical orthodontic treatment. The aim of this study was to assess this sequel by a systematic review of published data. For assessment, we performed an electronic search of one database for comprehensive data, using keywords in different combinations: “root resorption”, “periodontics” and “nonsurgical orthodontic treatment”. We supplemented the results searching by hand in published journals and we cross-referenced with the accessed articles. Patients included in the results presented a good general health status, with no previous history of OIEARR and no other associated pathologies. Finally, twenty-three studies were selected and included in this review. A high prevalence (69–98%) and moderate severity of OIEARR (<5 mm and <1/3 from original root length) were reported. No difference in root resorption was found regarding the sex of the patients. A moderate positive correlation between treatment duration and root resorption was found. Also, a mild correlation regarding antero-posterior apical displacement and root resorption was found.

Orthodontics is a specialty of dental medicine that discovers and treat dento - maxillary abnormalities (or lack of teeth alignment - malocclusions - unsightly dental rotation, lack of congruence of the two dental arches) solving both aesthetic and functional problems ;contributes to improving dental and facial aesthetics, and implicitly to improving psychological well-being, self-esteem and quality of life. Orthodontic treatment is a support for multidisciplinary approach with other dental specialties in order to obtain facial and dental aesthetics; seeks to improve the appearance of smile and occlusion (bite) so that the teeth can bear without trauma the daily forces sore from the time of mastication; has the potential to eliminate future dental problems, including abnormal teeth wear. Dento-maxillary abnormalities synthesize current concepts of normal occlusion and explain the mechanisms by which dento-maxillary abnormalities occur, the morphological differences that allow classification and how they can affect the individual�s appearance. The study includes a wider group of pediatric patients aged between 7 and 11 years, growing showing a diverse pathology, periodontal dental trauma, dental abnormalities, which may require the prosthesis. It can be argued that in most chromosomal syndromes, oro-facial abnormalities are major symptoms as pathognomonic value for clinical diagnosis; involvement of other body regions in these syndromes are frequently nonspecific and common to several syndromes.The great variability of their treatment measures used in dental abnormalities requires knowledge of their causal factors, as well as their mechanism of action and production.