The effects of Face mask and Tongue Appliance on Maxillary Deficiency in growing patients: A randomized clinical trial

Showkatbakhsh, Rahman; Jamilian, Abdolreza; Taban, Tannaz; Golrokh, Mahsa

doi:10.1016/j.pio.2011.12.004

Cited by 17 publications

(41 citation statements)

References 25 publications

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“…Tongue appliance [10] used for the treatment of the samples was constructed by Adams clasps for first upper molars and c clasps in the anterior teeth in order to increase the retention. Three to five separate spurs incorporated in the palatal between canine to canine areas.…”

Section: Methodsmentioning

confidence: 99%

“…Numerous appliance designs such as endosseous implants [1], ankylozed teeth [2], surgically assisted orthopedic protraction [3], distraction osteogenesis [4,5], Hybrid Hyrax appliance [6], reverse chin cup [7,8], face mask [9], tongue appliance [10][11][12], and tongue plate [13] have been used for treatment of skeletal Cl III malocclusions. Forward displacement of the maxilla, labial tipping of the maxillary incisors, counter clockwise rotation of the palatal plane, inhibition of anterior mandibular growth, increase of face height, clockwise rotation of the mandible and lingual tipping of the lower incisors have all been shown to take place [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

“…SNB ≤80. ANB ≤0 Edge to edge incisor relationship or anterior crossbite, flat or concave facial profile.The patients were treated with tongue appliance alone.4-No other congenital anomalies, endocrine, nasopharyngeal disorders, tonsillitis, adenitis, previous orthopedic, orthodontic treatment, and rhinoplasty were present.Tongue appliance [10] used for the treatment of the samples was constructed by Adams clasps for first upper molars and c clasps in the anterior teeth in order to increase the retention. Three to five separate spurs incorporated in the palatal between canine to canine areas.…”

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confidence: 99%

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The Effects of Maxillary Protrusion on Pharyngeal Airway Dimensions

Jamilian¹,

Showkatbakhsh²,

Borna³

et al. 2014

J Dent Probl Solut

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Aim:The relationship between position of the maxillary structures caused by maxillary protraction therapy and airway dimensions has not been investigated as comprehensively as the skeletal changes. This study was conducted to evaluate the effects of treatment with a maxillary protraction appliance on upper airway dimensions. Material and Methods:Twenty Five patients including 13 females, 12 males with the mean age of 10.66 years (range, +0.7, -0.8 years) with skeletal Cl III malocclusion due to maxillary deficiency were selected in this study. All of the patients were treated by using a maxillary protraction (Tongue Appliance) as the only treatment appliance. Lateral cephalograms were taken before and after treatment. Data were analyzed statistically by means of paired T-test. Results:No significant increase in the width of upper and middle horizontal airway dimension was seen. Significant increases were observed in the length of vertical airway dimension (P<0.001). Conclusion:These results demonstrated that Tongue Appliance doesn't affect sagittal airway dimensions but it increases vertical dimensions in the short time.Therefore, the purpose of this study was to examine the effects of an intra-oral maxillary protraction appliance named tongue appliance on the dimensions of the upper airway in patients with Cl III malocclusion and maxillary deficiency. Materials and MethodsThe study was done according to the ethical principles of the Declaration of Helsinki.In this study 25 patients (13 females, 12 males) with mean age of 10.6 (SD 0.7) years who were treated with tongue appliance were selected. All samples had following inclusion criteria.Presence of a skeletal Cl III malocclusion due to maxillary deficiency with SNA≤78. SNB ≤80. ANB ≤0 Edge to edge incisor relationship or anterior crossbite, flat or concave facial profile.The patients were treated with tongue appliance alone.4-No other congenital anomalies, endocrine, nasopharyngeal disorders, tonsillitis, adenitis, previous orthopedic, orthodontic treatment, and rhinoplasty were present.Tongue appliance [10] used for the treatment of the samples was constructed by Adams clasps for first upper molars and c clasps in the anterior teeth in order to increase the retention. Three to five separate spurs incorporated in the palatal between canine to canine areas. These spurs were as long as to cage the tongue and they were adjusted in clinic to avoid traumatizing the floor of the mouth. This appliance was used for approximately 22 hours a day. The average treatment IntroductionThe skeletal and dentoalveolar effects of orthopedic appliances in patients with Class III (Cl III) malocclusions and maxillary deficiency have been well documented in literature. Numerous appliance designs such as endosseous implants [1], ankylozed teeth [2], surgically assisted orthopedic protraction [3], distraction osteogenesis [4,5], Hybrid Hyrax appliance [6], reverse chin cup [7,8], face mask [9], tongue appliance [10][11][12], and tongue plate [13] have been used for treatment ...

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

The Effects of Maxillary Protrusion on Pharyngeal Airway Dimensions

Jamilian¹,

Showkatbakhsh²,

Borna³

et al. 2014

J Dent Probl Solut

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“…Maxillary deficiency may be a reflection of the underlying skeletal abnormality for which growth modification and redirection may be indicated with a protraction headgear. Treatment approach to improve the midface deficiency was achieved by using the face mask [2,27], tongue appliance [6], tongue plate [27], protraction head gear [3,28], suborbital protraction appliances [4], ankylosed teeth [29], endosseous implants [30], and surgically assisted orthopedic protraction and distraction osteogenesis [8]. Jamilian et al [6] evaluated the effectiveness of tongue appliance on deficient maxilla in growing cleft lip and palate patients.…”

Section: During Mixed Dentitionmentioning

confidence: 99%

“…Besides to their large size of extraoral appliances, they need high compliance and many clinicians observe lack of cooperation by patients treated by big extraoral appliances. The philosophy of tongue appliance [31][32][33] is provided in the following two ways:…”

Section: During Mixed Dentitionmentioning

confidence: 99%

Cleft Lip and Palate Patients: Diagnosis and Treatment

Perillo¹,

d’Apuzzo²,

Eslami³

et al. 2017

Designing Strategies for Cleft Lip and Palate Care

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Cleft lip or palate is one of the most common types of craniomaxillofacial birth anomalies. Midface deficiency is a common feature of cleft lip and palate patients due to scar tissue of the lip and palate closure. Cleft lip and palate patients should be carefully evaluated by the craniofacial team in order to detect potentially serious deformities. Craniofacial team is involved with diagnosis of facial morphology, feeding problems, guidance of the growth and development of the face, occlusion, dentition, hearing and speech problems, and psychosocial issues and jaw discrepancy of the patients with cleft lip and palate or craniofacial syndromes. Treatment for cleft children requires a multidisciplinary approach including facial surgery in the first months of life, preventive and interceptive treatment in primary dentition, speech therapy, orthodontics in the mixed dentition phase, oromaxillofacial surgery, and implant and prosthetics in adults. Treatment plan from orthodontic perspective can be divided into the following stages based on the dentition stages: (1) presurgical orthopedics, (2) primary dentition, (3) mixed dentition, and (4) permanent dentition. The aim of this chapter is to assess a rational team work approach in the management of the patient with cleft lip and/or palate from birth to adulthood.

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