Dental arch dimensional changes after adenoidectomy or tonsillectomy in children with airway obstruction

Zhu, Yanfei; Tang, Yun‐Chi; Wang, Xiaoling; Xue, Xiaochen; Sun, Huijun; Nie, Ping; Qu, Xinhua; Zhu, Min

doi:10.1097/md.0000000000004976

Cited by 20 publications

(15 citation statements)

References 29 publications

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“…In 2011 Pereira SR et al [ 58 ] found that adeno-tonsillectomy was effective in improving some dental measurements, with benefits to growing patients preventing malocclusions from becoming difficult to treat or permanent. In addiction, Zhu Y. et al [ 59 ] aimed at determining the effect of adenoidectomy and tonsillectomy on the growth of dental morphology in children with airway obstruction with a systematic review focused on 8 articles. In terms of dental arch with, malocclusion, palatal height, overjet, overbite, dental arch perimeter, and arch length, a tendency toward normalization was evident following adenoidectomy or tonsillectomy concluding that following adenoidectomy and tonsillectomy, the malocclusion and narrow arch width of children with airway obstruction could not be completely reversed.…”

Section: Discussionmentioning

confidence: 99%

Malocclusion and rhinitis in children: an easy-going relationship or a yet to be resolved paradox? A systematic literature revision

et al. 2018

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ObjectiveThe relation between nasal flow and malocclusion represents a practical concern to pediatricians, otorhinolaryngologists, orthodontists, allergists and speech therapists. If naso-respiratory function may influence craniofacial growth is still debated. Chronic mouth-breathing is reported to be associated also with a characteristic pattern of dental occlusion. On the other hand, also malocclusion may reduce nasal air flows promoting nasal obstruction. Hereby, the aim of this review was to describe the relationship between rhinitis and malocclusion in children.MethodsAn electronic search was conducted using online database including Pubmed, Web of Science, Google Scholar and Embase. All studies published through to January 30, 2017 investigating the prevalence of malocclusion in children and adolescents (aged 0-20 years) affected by rhinitis and the prevalence of rhinitis in children with malocclusion were included. The protocol was registered at PROSPERO - International prospective register of systematic reviews under CRD42016053619.ResultsTen studies with 2733 patients were included in the analysis. The prevalence of malocclusion in children with rhinitis was specified in four of the studies ranging from as high as 78.2% to as low as 3%. Two out of the studies reported the prevalence of rhinitis in children with malocclusion with a rate ranging from 59.2 to 76.4%.ConclusionThe results of this review underline the importance of the diagnosis and treatment of the nasal obstruction at an early age to prevent an altered facial growth, but the data currently available on this topic do not allow to establish a possible causal relationship between rhinitis and malocclusion.

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Section: Discussionmentioning

confidence: 99%

Malocclusion and rhinitis in children: an easy-going relationship or a yet to be resolved paradox? A systematic literature revision

et al. 2018

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“…Upper airway obstruction in children seems linked to altered dentofacial development. 23,24 Habitual mouth breathing from adenotonsillar hypertrophy may affect the relative position of the jaw and tongue, thus altering lingual pressure on dental structures and affecting growth. 24 Dentists may request consideration of surgical management (usually for adenoidal obstruction) and may also recommend orthodontia and palatal expanders.…”

Section: Malocclusionmentioning

confidence: 99%

Current Indications for Tonsillectomy and Adenoidectomy

Randall¹

2020

J Am Board Fam Med

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This paper reviews current indications for otolaryngology consultation for tonsillectomy and adenoidectomy (T&A). Despite often being performed concurrently, these procedures should be considered separate surgeries done for different indications. The American Academy of Otolaryngology-Head and Neck Surgery published tonsillectomy guidelines for children in 2019. These recommendations are often extrapolated to adults in clinical practice despite less robust literature support for this age group. T&A should be recommended for pediatric obstructive sleep apnea. Specific frequencies of tonsillitis have been identified that indicate benefit from tonsillectomy in normal children; certain modifying health factors warrant consideration of surgery with fewer infections. The guidelines include consideration of tonsillectomy for poorly validated indications such as halitosis, febrile seizure, dental malocclusion, dysphagia, dysphonia, and psoriasis.

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“…Há 27 Os prejuízos da respiração bucal são vários, e entre eles são citadas as maloclusões em diversos estudos. 3,4,6,9,[12][13][14]24 Nesse sentido, nota-se que há uma relação estatisticamente significativa entre rinite alérgica e maloclusão. 12,14 Crianças com reação positiva a aeroalérgenos, respiração bucal e má-oclusão dentária têm faces mais longas, maxilas e mandíbulas mais curtas, tendência à mordida aberta e ao espaço reduzido de vias aéreas (provavelmente devido a uma posição mais anterior da língua), quando comparadas às crianças respiradoras nasais.…”

Section: Anounclassified

“…5,8,10,11 No caso do comprometimento da respiração pelo nariz, há uma adaptação do organismo para sanar tal comprometimento, de forma a se conseguir suprir a quantidade de ar que se necessita respirar, o que leva a uma alteração postural 7,12 e à instalação da respiração bucal. 3 De acordo com os estudos, 5,6,7,12,13 as obstruções que mais levam à respiração bucal e, por conseguinte, potencializam as chances de desenvolver problemas de maloclusão são a rinite alérgica e a hipertrofia de tonsilas.…”

Section: Introductionunclassified

Influência dos distúrbios respiratórios no desenvolvimento das maloclusões

Figueredo¹,

Feitosa²,

Gonçalves³

et al. 2019

Rev. Fac. Odontol. Lins

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Objetivo: Investigar a relação entre maloclusões e desordens de ordem respiratória: rinite alérgica, hipertrofia de adenoide e de tonsilas palatinas em crianças.Material e Métodos: Realizou-se levantamento bibliográfico sobre o tema na base de dados PubMed, de 2007 a 2017, buscando artigos em inglês e português com as palavras-chave: maloclusão, odontopediatria, respiração bucal, adenoide, mordida cruzada, rinite alérgica, amídalas, em português e inglês. Foram incluídas as bibliografias que contivessem os descritores e, de exclusão, os que não atendessem à temática ou que não estivessem disponíveis na versão completa. Foi feita uma revisão da literatura, desenvolvida seguindo os preceitos de um estudo explanatório, por meio de pesquisa bibliográfica dividida em etapas. Muitos estudos mostraram que existe relação entre as desordens do trato respiratório superior (rinite alérgica, hipertrofia de adenoide e de amídalas) e alguns tipos de maloclusão.Conclusão: Ancorado nos achados bibliográficos, existe uma relação das desordens do trato respiratório e as maloclusões, por isso um acompanhamento multiprofissional é imprescindível, apontando relação direta entre prognóstico e precocidade no início do tratamento.

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Dental arch dimensional changes after adenoidectomy or tonsillectomy in children with airway obstruction

Abstract: Supplemental Digital Content is available in the text

Cited by 20 publications

References 29 publications

Malocclusion and rhinitis in children: an easy-going relationship or a yet to be resolved paradox? A systematic literature revision

Malocclusion and rhinitis in children: an easy-going relationship or a yet to be resolved paradox? A systematic literature revision

Current Indications for Tonsillectomy and Adenoidectomy

Influência dos distúrbios respiratórios no desenvolvimento das maloclusões

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