Correlation between upper airway dimension and TMJ position in patients with sleep disordered breathing

Truong, L.; Reher, Peter; Doan, Ninh

doi:10.1080/08869634.2020.1853465

Cited by 4 publications

(6 citation statements)

References 31 publications

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“…The presence of a posteriorly positioned condyle added to arthritic changes are shown to cause a reduction in the airway. 7,[35][36][37] The same criteria were corroborated in our study, as all patients had posteriorly positioned condyle on CBCT evaluation.…”

Section: Discussionsupporting

confidence: 70%

Comparison of Pre- and Posttreatment Airway Volume in Patients with Temporomandibular Joint Disorders Treated with Ultra-Low Frequency Transcutaneous Electrical Nerve Stimulation Using Cone Beam Computed Tomography

Verghese,

Jose,

Ramachandran

et al. 2023

Int Arch Otorhinolaryngol

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Introduction Temporomandibular joint disorders (TMD) present with a multitude of symptoms that can range from headaches to shoulder pain. Patients frequently present with pain in the ear, dizziness, and vertigo. It is noted that some patients who report TMDs also have a history of sleep disturbances, which is noted in cone beam computed tomography (CBCT) as a reduction in the oropharyngeal airway volume. Objective To evaluate the airway volume in pre- and posttreatment of TMD with the use of neuromuscular orthotics made with ultra-low frequency transcutaneous electrical nerve stimulation (ULF-TENS). Methods A total of 15 patients were evaluated for TMDs using the related criteria. Those included were treated with ULF-TENS with evaluation of the airway volume both pre- and posttreatment using CBCT and the Dolphin 3D volume analysis software. Results While the symptoms were shown to be significantly reduced in patients who were treated with this particular modality, the airway volume varied in those who reported a reduction after a period of 3 months and those that reported after a period of 6 months. Conclusion Posttreatment evaluation of the airway should be done after a period of 6 months for a more objective evaluation. A multidisciplinary evaluation of the patient is required in such cases.

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Section: Discussionsupporting

confidence: 70%

Comparison of Pre- and Posttreatment Airway Volume in Patients with Temporomandibular Joint Disorders Treated with Ultra-Low Frequency Transcutaneous Electrical Nerve Stimulation Using Cone Beam Computed Tomography

Verghese,

Jose,

Ramachandran

et al. 2023

Int Arch Otorhinolaryngol

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show abstract

“…Although the literature has demonstrated a strong relationship between sleep quality and TMD (Sanders et al, 2013;Truong et al, 2020) the authors believe that this relationship was not observed in this study due to the size of the studied population. It is important to highlight that this study has certain limitations, such as the absence of clinical and complementary tests that confirmed the diagnosis in the studied sample.…”

Section: Discussioncontrasting

confidence: 55%

Analysis of the relationship between temporomandibular dysfunction and sleep quality: A cross-sectional study

Santos

Prates

Barros

et al. 2021

RSD

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Considered as a set of disorders, temporomandibular disorder (TMD) involves several anatomical structures such as the temporomandibular joint, masticatory muscles and attached structures. Its etiology is multifactorial, and the psychobehavioral factor, especially sleep disorders, is relevant in this context. This study aimed to assess the prevalence of temporomandibular dysfunction (TMD), sleep quality, and possible associations between these variables, in first to fifth year students of the Dental School. A sample of 182 students participated in this study and a questionnaire proposed by the American Academy of Orofacial Pain and the Pittsburgh Sleep Quality Index questionnaire were used to obtain the data. 75.27% of the students were females and 24.72% males. TMD was observed in 45.60% of students, and 68.13% of the students reported poor sleep quality. However, there was no significant association between the variables (TMD and sleep quality, p=0.114). Regarding the severity of TMD, the mild form was more prevalent (34.61%), being more prevalent in females (79.16%). However, there was no significant association between TMD and sleep quality (p=0.317). There was no association between TMD and sleep quality in the studied population.

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“…This was due to size of the upper airway, which was influenced by the position of the head and breathing patterns. 18 The study by Uslu Akcam, which was conducted on 40 subjects, who were treated with premolar extraction, showed no alteration in the upper airway although inclination of incisor teeth, tongue length, arch length, and intermolar width changed significantly. This was due to the growth effect, which affected the dimensions of the pharyngeal upper airway.…”

Section: One Of Treatments For Class II Skeletal Malocclusion In Adul...mentioning

confidence: 99%

“…The alteration of soft tissue on posterior pharyngeal wall occurred at the age 6 and 9 years old of and at 12 and 15 years of age. 18 This study was conducted on patients aged 18-23 years old, whose upper airway had reached adult size, and thus the effect of growth will not affect the results. 19 Previous studies showed that the retraction of the upper incisors did not have any significant relationship with the upper airway MAS, IAS and VAL.…”

Section: One Of Treatments For Class II Skeletal Malocclusion In Adul...mentioning

confidence: 99%

Relationship between premolar extraction on the dimension of upper airway and tongue posture in skeletal class II malocclusion

Rangkuti

Rachmawati²,

Sufarnap³

2022

Majalah Kedokteran Gigi Indonesia

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Correction of skeletal Class II malocclusion with camouflage orthodontic treatment generally requires the extraction of the maxillary first premolars to provide space for retraction of the maxillary incisors. Retraction of incisors changes the position of the incisors and the dimensions of the dental arch, which can cause changes in tongue posture and affect the upper airway. The purpose of this study was to determine the relationship between premolar extraction on the dimensions of upper airway and tongue posture in skeletal Class II malocclusion. This study was designed as a retrospective cohort using lateral cephalometric radiographs before and after orthodontic treatment. The samples in this study consisted of 44 samples of adult patients (n = 44) aged 18-40 years, who were divided into 2 groups: 22 subjects treated without premolar extraction and 22 subjects treated with premolar extraction. Lateral cephalometric radiographic analysis were used to measure the dimensions of the upper airway by analyzing superior posterior airway space (SPAS), middle airway space (MAS), inferior airway space (IAS), vertical airway length (VAL), and tongue posture (tongue length and height tongue) using imageJ software. No Statistically significant different changes were observed as seen from the following results: SPAS (p = 0.709), MAS (p = 0.365), IAS (p = 0.562), (p = 0.401), tongue length (p = 0.578), tongue height (p = 0.086) in the sample group without extraction premolar. No significant alterations in the upper airway and tongue posture measurement were observed in the sample group with extraction premolar. Premolar extraction with retraction on upper incisors did not affect upper airway dimensions and toung posture in skeletal Class II malocclusion.

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Correlation between upper airway dimension and TMJ position in patients with sleep disordered breathing

Cited by 4 publications

References 31 publications

Comparison of Pre- and Posttreatment Airway Volume in Patients with Temporomandibular Joint Disorders Treated with Ultra-Low Frequency Transcutaneous Electrical Nerve Stimulation Using Cone Beam Computed Tomography

Comparison of Pre- and Posttreatment Airway Volume in Patients with Temporomandibular Joint Disorders Treated with Ultra-Low Frequency Transcutaneous Electrical Nerve Stimulation Using Cone Beam Computed Tomography

Analysis of the relationship between temporomandibular dysfunction and sleep quality: A cross-sectional study

Relationship between premolar extraction on the dimension of upper airway and tongue posture in skeletal class II malocclusion

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