graduate student
Moscow, Moscow, Russian Federation
employee
Moscow, Moscow, Russian Federation
employee
Moscow, Moscow, Russian Federation
UDK 616 Патология. Клиническая медицина
The relationship between facial morphology and upper airway (UA) dimensions is well established in scientific literature. Due to that, upper airway assessment is an important step of orthodontic treatment planning and diagnosis. Three-dimensional cone-beam computer tomography analysis (CBCT) of upper airway is simple and readily available method of measuring linear and angular parameters, cross-sectional area, and volume of the UA. The aim of the study is to measure the UA and surrounding tissue dimensions in patients with different types of sagittal malocclusion. 63 CBCT scans of adult patients without history of trauma, orthodontic treatment and congenital syndromes, diagnosed with distal, mesial, and normal occlusion have been studied using Materialise Mimics 21.0. Three-dimensional models of UA were created, and measurements of volume and cross-sectional area were taken using centerline and conventional cephalometric analysis. Non-parametric statistical correlational analysis was conducted. There were statistically significant differences between patients with mesial and distal occlusion. Moderate statistically significant correlations between facial morphology and UA dimensions have been found. In patients with distal occlusion, extended head position, posterior position of the hyoid bone, transverse maxillary and mandibular deficiency UA tend to have smaller size. The most predictive factor for minimal cross-sectional area of UA is the craniocervical angle and the distance between mandibular condyles.
cone-beam computer tomography, orthodontics, upper airway, three-dimensional analysis, minimal cross-sectional area
1. Angle E.H. Treatment of Malocclusion of the Teeth: Angle’s System // White Dental Manufacturing Company, Philadelphia. - 1907. https://wellcomecollection.org/works/brpcqyv9
2. Behrents R.G., Shelgikar A.V., Conley R.S. Obstructive sleep apnea and orthodontics: An American Association of Orthodontists White Paper // Am. J. Orthod. Dentofac. Orthop. - 2019;156:13-28. DOI:https://doi.org/10.1016/j.ajodo.2019.04.009
3. Buchanan A., Cohen R., Looney S. Cone-beam CT analysis of patients with obstructive sleep apnea compared to normal controls // Imaging science in dentistry. - 2016;46(1):9-16. DOI:https://doi.org/10.5624/isd.2016.46.1.9
4. Chambi-Rocha A., Cabrera-Domínguez M.E., Domínguez-Reyes A. Breathing mode influence on craniofacial development and head posture // J Pediatr (Rio J). - 2018;94(2):123-130. DOI:https://doi.org/10.1016/j.jped.2017.05.007
5. Chen N., Aarab G., de Ruiter M.H.T. Three-dimensional imaging of the upper airway anatomy in obstructive sleep apnea: a systematic review // Sleep Medicine. - 2016;21:19-27. DOI:https://doi.org/10.1016/j.sleep.2016.01.022
6. Jordan A.S., McSharry D.G., Malhotra A. Adult obstructive sleep apnoea // Lancet. - 2014;383:736-747. DOI:https://doi.org/10.1016/S0140-6736(13)60734-5
7. Lenza M.G., Lenza M.M., Dalstra M. An analysis of different approaches to the assessment of upper airway morphology: a CBCT study // Orthod Craniofac Res. - 2010;13(2):96-105. DOI:https://doi.org/10.1111/j.1601-6343.2010.01482.x
8. Lévy P., Kohler M., McNicholas W.T. Obstructive sleep apnoea syndrome // Nat Rev Dis Primers. - 2015;25;1:15015. DOI:https://doi.org/10.1038/nrdp.2015.15
9. Moss M.L. Neurotrophic Processes in Orofacial Growth // Journal of Dental Research. - 1971;50(6):1492-1494. DOI:https://doi.org/10.1177/00220345710500062301
10. Moss M.L., Salentijn L. The primary role of functional matrices in facial growth // Am J Orthod. - 1969;55(6):566-577. DOI:https://doi.org/10.1016/0002-9416(69)90034-7
11. Niu X., Madhan S., Cornelis M.A. Novel three-dimensional methods to analyze the morphology of the nasal cavity and pharyngeal airway // Angle Orthod. - 2021;91(3):320-328. DOI:https://doi.org/10.2319/070620-610.1
12. Pei Y.E., Lin K.Y., Kohli S. Cone-beam computed tomography assessment of upper airway dimensions in patients at risk of obstructive sleep apnea identified using STOP-Bang scores // Imaging Science in Dentistry. - 2021;51(4):439-446. DOI:https://doi.org/10.5624/isd.20210193
13. Wang X., Sun H., Zhu Y. Bilateral intermittent nasal obstruction in adolescent rats leads to the growth defects of mandibular condyle // Arch Oral Biol. - 2019;106:104473. DOI:https://doi.org/10.1016/j.archoralbio.2019.06.008
