Dimensional Airway Changes due to the Use of Fixed Functional Appliances in Class II Malocclusion in Growing Patients: A Systematic Review

被引：0

作者：

De Fina-Ramirez, Katia Jhazmin ^{[1
]}

Uchima Koecklin, Karin Harumi ^{[2
]}

Dulanto-Vargas, Julissa Amparo ^{[2
]}

Carranza-Samanez, Kilder Maynor ^{[2
]}

机构：

[1] Univ Cient Sur, Sch Dent, Lima, Peru

[2] Univ Cient Sur, Sch Dent, Res Grp Dent Sci, Lima 15067, Peru

来源：

JOURNAL OF INTERNATIONAL ORAL HEALTH | 2025年 / 17卷 / 01期

关键词：

Airway; Class II malocclusion; Functional appliances; Hypopharynx; Nasopharynx; Oropharynx; OBSTRUCTIVE SLEEP-APNEA; PHARYNGEAL AIRWAY; 3-DIMENSIONAL CHANGES; SKELETAL; HERBST; QUALITY;

D O I：

10.4103/jioh.jioh_159_24

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Aim: To determine the dimensional changes of the airways with the use of fixed functional appliances (FFA) in growing individuals with Class II malocclusion. Materials and Methods: The search was performed in five electronic databases (PubMed, Scopus, Embase Cochrane Library, and LILACS) until April 2022. Volume, area, or distance measurements of the global airway or by retropalatal (RP), nasopharynx (NP), oropharynx (OP), hypopharynx, and laryngopharynx (LP) regions were analyzed with intragroup or intergroup radiographs versus fixed orthodontic treatment (FOT) or no treatment (NT). Risk of bias was assessed with the Newcastle-Ottawa scale. Results: Out of 754 articles, six cohort studies were included. At least one airway parameter was found to increase with FFA, with better results in the oropharyngeal airway. In six studies, airway dimensions significantly increased with Herbst with or without FOT (up arrow 12.9%-139.2%), Forsus with FOT (up arrow 28.7%) and mandibular anterior repositioning appliance (MARA) with FOT (up arrow 22.6%-61%), with five studies reporting significant results (P < 0.05). The increase was in volume (14.8%-139.2%), areas (24.1%-61%), and distances (12.9%-39.3%) and in the RP (26.2%-100.7%), NP (7.8%-20.4%), OP (5.3%-139.2%), and LP (24.8%-94.7%) regions. Four cohorts showed significantly higher values of OP and LP volume and distance and cross-sectional areas with Herbst with or without FOT and MARA with FOT compared to FOT or NT (P < 0.05). Low risk of bias was more frequent (n = 4) than high risk (n = 2). Conclusion: Airway measurements were not standard between studies, thus limiting the group comparison. Various measurements of airway regions limit intergroup comparisons, and thus, a standard protocol is needed in future studies. Herbst, MARA, and Forsus FFAs used in growing patients with Class II malocclusion and showed benefits in the airways, especially by increasing the volume of OP in comparison to NT or FOT.

引用

页码：1 / 14

页数：14

共 41 条

[1]

Abdalla Y, 2020, AM J ORTHOD DENTOFAC, V158, P40, DOI [10.1016/j.ajodo.2019.07.01340, 10.1016/j.ajodo.2019.07.013]

[2]

Alhammadi MS, 2019, J OROFAC ORTHOP, V80, P254, DOI 10.1007/s00056-019-00185-7

[3] Effects of functional appliance treatment on pharyngeal airway passage dimensions in Class II malocclusion subjects with retrognathic mandibles: A systematic review [J].