Skin irritation from a facial mask in Class III malocclusion: evaluation of individual silicone chin cups in a group of 100 children

Ierardo, Gaetano; Luzzi,; Vozza, Iole; Polimeni, Antonella; Bossù, Maurizio

doi:10.23736/s0026-4970.17.04073-0

Cited by 4 publications

(4 citation statements)

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“…While most of the adverse reactions to intraoral appliances are immunological reactions to allergens such as nickel, latex, or other components of orthodontic devices, skin changes in patients undergoing facemask therapy are often due to pressure on the skin or friction [19][20][21] . Although uncommon, allergic contact dermatitis associated with facemasks has been reported 22,23 .…”

Section: Discussionmentioning

confidence: 99%

Skin irritation in children undergoing orthodontic facemask therapy

Kim

Kim²,

Kim³

et al. 2023

Sci Rep

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Orthodontic facemasks are extraoral orthodontic appliances that influence maxillary and mandibular development in children with skeletal Class III malocclusion. While a facemask is most effective in patients before the growth spurt, skin irritation is common during the treatment. Therefore, this retrospective study aimed to investigate the prevalence and pattern of such skin changes and identify their possible associated risk factors. We included 177 patients with skeletal Class III malocclusion who underwent facemask therapy. Patient age and sex, orthodontic parameters expressing the severity of malocclusion, the presence of complaints in the temporomandibular joint (TMJ) areas, and the level of patient cooperation were evaluated. Additionally, the severity and onset time of skin reactions were further analyzed. The results indicated that 43.5% of patients developed skin changes typical of irritant contact dermatitis. Skin irritation was significantly associated with the presence of TMJ complaints and female sex. Furthermore, skin irritation was more common in younger patients. Clinicians should pay special attention to the skin areas that come into contact with the appliance during each follow-up visit to detect potential problems. Moreover, patients and their parents should be given adequate information about the possibility, prevention, and management of skin problems during facemask therapy.

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Section: Discussionmentioning

confidence: 99%

Skin irritation in children undergoing orthodontic facemask therapy

Kim

Kim²,

Kim³

et al. 2023

Sci Rep

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“…[14][15][16][17][18] While most of the adverse reactions caused by intraoral appliances are immunological reactions to allergens such as nickel, latex or other components of orthodontic devices, the skin changes in facemask patients are often due to pressure on the skin or friction. [19][20][21] Although rare, allergic contact dermatitis in association with facemask has also been reported. 22,23 Allergic contact dermatitis is a pruritic, eczematous eruption, which may be acute (blistering, weeping and/or edema) or chronic (licheni ed or scaly plaques).…”

Section: Discussionmentioning

confidence: 99%

A Study on Skin Irritation in Children undergoing Orthodontic Facemask Therapy

Kim

Kim²,

Kim³

et al. 2022

Preprint

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Orthodontic facemask is an extraoral orthodontic appliance used in children with skeletal Class III malocclusion to influence the maxillary and mandibular developments in a favorable direction. While the use of facemask is the most effective in patients before the growth peak, skin irritation is often observed during the treatment. Thus, the present retrospective study aimed to investigate the prevalence and pattern of such skin changes and distinguish the possible factors associated with them. Patient age and sex; orthodontic parameters, expressing the severity of malocclusion; the presence of complaints in the temporomandibular joint (TMJ) areas; and the level of patient cooperation were evaluated. Additionally, in patients with skin reactions the severity and onset time were further analyzed. The results indicated that 43.5% of the patients experienced skin changes, which were characteristic for irritant contact dermatitis. The presence of TMJ complaints, and female sex were found to have a statistically significant correlation with the occurrence of skin irritation. Furthermore, skin irritation was observed more frequently in younger patients. Clinicians should give a particular attention to the skin areas, which come in contact with the appliance at every visit in order to detect any potential problems. Moreover, patients and parents should be provided with sufficient information, regarding the possibility, prevention and management of skin problems during facemask therapy.

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“…Among several intra- and extraoral orthodontic appliances assessed for acceptability and attractiveness, facemasks had the worst patient rating [ 13 ]. Typical complaints regard facemask’s bulkiness and instability, while the most common undesirable effect is the occurrence of skin irritations, particularly at the chin level, due to the pressure applied by the pads [ 15 ]. Sores can be produced at the mouth corners or on the lower lip by impinging elastics [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Typical complaints regard facemask’s bulkiness and instability, while the most common undesirable effect is the occurrence of skin irritations, particularly at the chin level, due to the pressure applied by the pads [ 15 ]. Sores can be produced at the mouth corners or on the lower lip by impinging elastics [ 15 ]. Additionally, gingival recessions of the lower incisors have been observed due to the pressure applied by a chin cup accidentally dislodged toward the gingival margin.…”

Section: Introductionmentioning

confidence: 99%

3D Printed Customized Facemask for Maxillary Protraction in the Early Treatment of a Class III Malocclusion: Proof-of-Concept Clinical Case

et al. 2022

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In order to improve fit and comfort, a maxillary protraction facemask customized to the patient’s anatomy was produced by means of 3D face scanning, digital design and additive manufacturing. An 8-year-old patient in need of early treatment for the Class III malocclusion received a rapid palatal expander and a Petit-type facemask, whose components were digitally designed on a 3D scan of the patient’s face. For face scanning, the iPad Pro 2018 tablet (Apple, Cupertino, CA, USA) with the Bellus3D DentalPro application (Bellus3D, Campbell, CA, USA) was used. Facemask components were modelled with 3D Blender software. The rests were 3D printed in BioMed Clear biocompatible resin (Formlabs, Somerville, MA, USA), and the bar in stainless steel. For greater comfort, the internal surface of the rests was lined with a polymer gel pad (Silipos, Niagara Falls, NY, USA). The manufacturing procedure of the customized facemask is patented. The patient wore the facemask at night for a period of 9 months. The patient’s experience was evaluated with a questionnaire at 1 week, 3, 6, and 10 months of treatment. The customized facemask was well accepted by the patient and obtained the expected treatment outcome. Furthermore, 3D face scanning, 3D modelling and 3D printing allow for the manufacturing of customized facemasks with improved fit and comfort, favoring patient compliance and treatment success.

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Skin irritation from a facial mask in Class III malocclusion: evaluation of individual silicone chin cups in a group of 100 children

Cited by 4 publications

References 0 publications

Skin irritation in children undergoing orthodontic facemask therapy

Skin irritation in children undergoing orthodontic facemask therapy

A Study on Skin Irritation in Children undergoing Orthodontic Facemask Therapy

3D Printed Customized Facemask for Maxillary Protraction in the Early Treatment of a Class III Malocclusion: Proof-of-Concept Clinical Case

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