The Benefits of Consulting with an Ear, Nose, and Throat (Ent) Specialist Before and During Orthodontic Treatment

Ghafari, Joseph G.; Macari, Anthony T.

doi:10.1002/9781118702901.ch12

Cited by 4 publications

(2 citation statements)

References 59 publications

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“…Given that growth pattern, including the inclination of mandibular plane to anterior cranial base, tend to remain the same throughout development, 19 a similar pattern might exist with the STC. If developmental adaptation of the STC occurs, it appears to be differential along the chin contour, materializing mostly at the levels of Gn and Me.…”

Section: Growth Issuesmentioning

confidence: 99%

Comparisons of soft tissue chin thickness in adult patients with various mandibular divergence patterns

Macari

Hanna

2014

The Angle Orthodontist

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Objective: To evaluate the association between soft tissue at the chin (STC) thickness and mandibular divergence. Materials and Methods: Nongrowing patients seeking orthodontic treatment (n 5 190; 113 women and 77 men), who had an average age of 26.94 years (range 5 18.10-53.50 years), were stratified in four subgroups based on cephalometric mandibular plane inclination to anterior cranial base (MP/SN): low 5 MP/SN # 27u (n 5 48); medium-low 5 27u , MP/SN # 32u (n 5 60); medium-high 5 32u , MP/SN , 37u (n 5 37); and high 5 MP/SN $ 37u (n 5 45). The STC thicknesses were measured at pogonion (Pog), gnathion (Gn), and menton (Me). Group differences were evaluated with two-way analysis of variance and Student's t-test. The Pearson product moment correlation gauged associations between parameters. Results:The STC values were greater in men than women (P , .02) and were smaller in the high group (7.47 6 2.42 mm) than in all other groups at Gn (mean values 5 9.00 mm , STC , 9.58 mm; P , .001) and at Me (high group 5 6.30 6 1.89 mm; other groups 5 7.15 mm , STC, 7.57 mm; P 5 .011). Conclusion: The STC is thinner at Gn and Me in hyperdivergent facial patterns, apparently in contrast to Pog. This differential thickness warrants focused research as it implies that it is possible (1) to vertically grow hard tissues impinging on the inferior soft tissue envelope in patients with severe hyperdivergence and (2) to plan for genioplasty in such patients when more advancement of the chin might be needed to compensate for the increased vertical height. (Angle Orthod. 2014;84:708-714.)

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Section: Growth Issuesmentioning

confidence: 99%

Comparisons of soft tissue chin thickness in adult patients with various mandibular divergence patterns

Macari

Hanna

2014

The Angle Orthodontist

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“…8 Dealing with hypertrophied turbinates (often the inferior turbinates) is a more contested issue, because the problem may be grafted on that associated with adenoids and tonsils, or stand alone, and research is lacking relative to that on adenoids and tonsils. Interaction between orthodontist and laryngologist is crucial for mutual education and practice.…”

Section: Respiration and Sleep Disordersmentioning

confidence: 99%