78740

Three dimensional evaluation of pharyngeal airway changes associated with maxillary incisors proclination in class II division 2 using cone-beam computed tomography

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Last updated: 04 Jan 2025

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Abstract

Objective: To evaluate whether the correction of the axial inclination of retroclined maxillary incisors in Class II division 2 cases might affect the pharyngeal airway size and volume using Cone-Beam Computed Tomography (CBCT) and the Invivo Dental software (Anatomage). Materials and Methods: Eighteen adult male Class II division 2 subjects were enrolled in this study (mean age 23.83 ± 3.67 years). Two CBCT scans were obtained for each subject; pretreatment and after completion of the maxillary arch leveling only. The pretreatment and post-leveling pharyngeal air way mean values (size and volume) were compared using the paired sample t-test. Results: The results showed statistically significant increase (P90.05) in all oropharyngeal airway measurements following maxillary dental arch leveling. There has been 9.53% ±1.45% raise in the oropharygeal airway volume. In addition the analyses of the pretreatment and post-leveling mandibular measurements revealed high statistically significant changes (P9 0.001) as follows: SNB angle increased, and FH-Mn Pl and Y axis-FH angles decreased, following the leveling of upper anteriors. Conclusion: The correction of the maxillary incisors inclination in Class II division 2 subjects improved the pharyngeal airway size and volume. This might be attributed to the anterior mandibular repositioning following the correction of upper incisors retroclination. These findings are of valuable clinical importance, especially in cases of Class II division 2 with breathing problems due to pharyngeal constrictions.

DOI

10.21608/eos.2014.78740

Keywords

Airway, Class II Division 2, CBCT

Authors

First Name

Eiman

Last Name

Marzouk

MiddleName

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Affiliation

Orthodontics Department, Faculty of Dentistry, Alexandria University, Egypt

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Orcid

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First Name

Ahmed

Last Name

EL Kalza

MiddleName

-

Affiliation

Orthodontics Department, Faculty of Dentistry, Alexandria University, Egypt

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Orcid

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Volume

45

Article Issue

June 2014

Related Issue

11760

Issue Date

2014-06-01

Receive Date

2020-03-24

Publish Date

2014-06-01

Page Start

1

Page End

18

Print ISSN

1110-435X

Online ISSN

2812-5258

Link

https://eos.journals.ekb.eg/article_78740.html

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https://eos.journals.ekb.eg/service?article_code=78740

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1

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Original Article

Type Code

1,120

Publication Type

Journal

Publication Title

Egyptian Orthodontic Journal

Publication Link

https://eos.journals.ekb.eg/

MainTitle

Three dimensional evaluation of pharyngeal airway changes associated with maxillary incisors proclination in class II division 2 using cone-beam computed tomography

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Article

Created At

22 Jan 2023