Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review.

 Obstructive sleep apnea (OSA) is defined as intermittent partial or complete collapse of the upper airway during sleep. It is a common condition in childhood, with an incidence ranging from 1.2% to 5.

Effectiveness of functional orthopedic appliances as an alternative treatment among children and adolescents with obstructive sleep apnea: Systematic review and meta-analysis.

Introduction: The objective here was to review the efficacy of functional jaw orthopedic appliances for treating children/adolescents with obstructive sleep apnea (OSA), through correlating the apnea/hypopnea index (AHI) and oxygen saturation (SaO) in polysomnography (PSG), in addition to questionnaire scores from the obstructive sleep apnea-18 (OSA-18).

Methods: The PRISMA 2020 guidelines were followed. A search was conducted in October 2021, with updating to May 2022, in the MEDLINE/PubMed, BVS (LILACS/BBO), ISI, SciELO (Web of Science), COCHRANE, EMBASE, SCOPUS and WHO databases and the gray literature.

Rapid maxillary expansion in pediatric patients with obstructive sleep apnea: an umbrella review.

Objective: To compare polysomnographic parameters with others from the literature in order to provide more accurate information about Rapid Maxillary Expansion (RME) for treating Obstructive Sleep Apnea (OSA) in children, through raising the question: Is RME a good option for treating OSA in children? Prevention of mouth breathing during children's growth remains a challenge with significant clinical consequences. In addition, OSA induces anatomofunctional changes during the critical period of craniofacial growth and development.

Methods: The Medline, PubMed, EMBASE, CINAHL, Web of Science, SciELO and Scopus electronic databases were searched up to February 2021 for systematic reviews with meta-analysis in the English language.

Combined Therapy for Associated Orofacial Disorders-A Challenging Case Report.

Health promotion and disease prevention link intricately with lifestyle habits such as a healthy diet, physical activity, and good sleep quality. Temporomandibular joint (TMJ) dysfunction and associated disorders can take away sleep and well-being depending on the form and intensity that affect the individual. A multidisciplinary effort has contributed to significant health advances, improving clinical outcomes concerning TMJ dysfunction.

Effectiveness of a Uniquely Designed Oral Appliance on Obstructive Sleep Apnea Control: A Pilot Study.

Objectives:  Obstructive sleep apnea is an inflammatory, chronic, and evolutive disease often needing adequate treatment and follow-up. The oral appliance (OA) is an accepted alternative therapy for obstructive sleep apnea (OSA) control. Due to greater adherence, OA with mandibular advancement (OA) is being recommended treatment for patients who refuse or do not tolerate continuous positive airway pressure.

Is ankyloglossia associated with obstructive sleep apnea?

Objectives: To investigate the evidence on the association between ankyloglossia and obstructive sleep apnea.

Methods: An integrative literature review was carried out in the databases. Observational and interventional studies that assessed the lingual frenulum in children with sleep-disordered breathing were included.

Influence of the Inclination of the Incisal Edge of Planas Direct Tracks on Deciduous Dentition with Anterior Crossbite: Finite-Elements Study.

Objective:  This study aimed to evaluate the influence of three different inclinations of the incisal edge of Planas direct tracks (PDTs) on the upper deciduous incisors (15, 30, and 45 degrees) through simulations using the finite-elements method.

Materials And Methods:  A three-dimensional virtual model of tooth 51 was elaborated by using the Rhinoceros computer-aided design (CAD) software. A mesh was constructed by using the Patran software, and the evaluations were processed by using the ANSYS 15.

Laryngeal Electromyography: Are the Results Reproducible?

Unlabelled: Laryngeal electromyography (LEMG) is an auxiliary diagnostic technique that is used to study neurologic diseases that affect the larynx. This study aimed to verify the reproducibility and accordance of LEMG findings obtained by different approaches applied to the same intrinsic laryngeal muscle in patients with neurologic disorders of the larynx.

Study Design: This study is prospective, blind, randomized, and controlled.

Cephalometric evaluation of the airway space and head posture in children with normal and atypical deglutition: correlations study.

Unlabelled: Head posture has been related to pharyngeal space, especially in the syndrome of obstructive sleep apnea (OSA) in adults. However no studies were found that evaluated the possible correlation between head posture and pharyngeal airway space measured in children with atypical swallowing. The purpose of this study was to evaluate the possible correction between head posture and the measurement of pharyngeal space on radiographs of children who were in the period of mixed dentition who demonstrated atypical swallowing and in children with normal deglutition.

Evaluation of the lacrimal recess of the maxillary sinus: an anatomical study.

Unlabelled: The anatomical relation between the maxillary sinus and the nasolacrimal duct has gained greater importance with the advent of microsurgeries and endoscopic-assisted sinonasal procedures, and the growing use of endonasal surgery to perform middle meatus procedures and transnasal dacryocystorhinostomy. We did not find reports on maxillary sinus classification concerning its lacrimal recess, nor how often it is found.

Objective: To assess how frequent the lacrimal recess can be found in the maxillary sinuses of dissected anatomical specimens.

Postural evaluation in children with atypical swallowing: radiographic study.

Purpose: To evaluate the cranial posture on lateral teleradiographs of children with atypical swallowing in mixed dentition.

Methods: By using cephalometric analysis on lateral teleradiographs, the angles between the odontoid process and cranial base (CC1) and the odontoid process and Frankfurt plane (CC2) were measured in two groups: 55 teleradiographs from the experimental group (with atypical swallowing), and 55 lateral teleradiographs from the control group (normal swallowing). These angular measurements were subjected to statistical analysis.

Cephalometric study of alterations induced by maxillary slow expansion in adults.

Unlabelled: Maxilla expansion is a procedure that aims at increasing the maxillary dental arch to correct occlusal disharmony. Largely used in children, its efficacy in adults, when craniofacial growth has attained bone maturity, is controversial.

Aim: The present study has the objective of evaluating cephalometric modifications resulting from maxilla expansion in adult patients, observing the following linear measurements: facial width, nasal width, nasal height, maxillary width, mandibular width and maxillary molar width.