R Fastuca1, M Meneghel1, P A Zecca2, F Mangano2, M Antonello3, R Nucera4, A Caprioglio5. 1. Department of Surgical and Morphological Sciences, University of Insubria, Varese, Italy Resident, Section of Orthodontics. 2. Department of Surgical and Morphological Sciences, University of Insubria, Varese, Italy Research Fellow, Section of Orthodontics. 3. Research Fellow, Department of Mechanical Engineering, University of Padova, Italy. 4. Assistant Professor, Department of Orthodontics, University of Messina, Messina, Italy. 5. hairman, Section of Orthodontics, Department of Surgical and Morphological Sciences, University of Insubria, Varese, Italy.
Abstract
AIM: The objective of this study was to evaluate the airway volume of growing patients combining a morphological approach using cone beam computed tomography associated with functional data obtained by polysomnography examination after rapid maxillary expansion treatment. STUDY DESIGN: 22 Caucasian patients (mean age 8.3±0.9 years) undergoing rapid maxillary expansion with Haas type expander banded on second deciduous upper molars were enrolled for this prospective study. Cone beam computed tomography scans and polysomnography exams were collected before placing the appliance (T0) and after 12 months (T1). METHODS: Image processing with airway volume computing and analyses of oxygen saturation and apnoea/hypopnoea index were performed. RESULTS: Airway volume, oxygen saturation and apnea/hypopnea index underwent significant increase over time. However, no significant correlation was seen between their increases. CONCLUSION: The rapid maxillary expansion treatment induced significant increases in the total airway volume and respiratory performance. Functional respiratory parameters should be included in studies evaluating the RME treatment effects on the respiratory performance.
AIM: The objective of this study was to evaluate the airway volume of growing patients combining a morphological approach using cone beam computed tomography associated with functional data obtained by polysomnography examination after rapid maxillary expansion treatment. STUDY DESIGN: 22 Caucasian patients (mean age 8.3±0.9 years) undergoing rapid maxillary expansion with Haas type expander banded on second deciduous upper molars were enrolled for this prospective study. Cone beam computed tomography scans and polysomnography exams were collected before placing the appliance (T0) and after 12 months (T1). METHODS: Image processing with airway volume computing and analyses of oxygen saturation and apnoea/hypopnoea index were performed. RESULTS: Airway volume, oxygen saturation and apnea/hypopnea index underwent significant increase over time. However, no significant correlation was seen between their increases. CONCLUSION: The rapid maxillary expansion treatment induced significant increases in the total airway volume and respiratory performance. Functional respiratory parameters should be included in studies evaluating the RME treatment effects on the respiratory performance.
Authors: Rosamaria Fastuca; Paola Lorusso; Manuel O Lagravère; Ambra Michelotti; Marco Portelli; Piero Antonio Zecca; Vincenzo D' Antò; Angela Militi; Riccardo Nucera; Alberto Caprioglio Journal: BMC Oral Health Date: 2017-07-14 Impact factor: 2.757