Orthodontic widening of the palate may provide a cure for selected children with therapy‐resistant enuresis

Nevéus, Tryggve; Leissner, Lena; Rudblad, Stig; Bazargani, Farhan

doi:10.1111/apa.12749

Cited by 11 publications

(25 citation statements)

References 17 publications

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“…Furthermore, we found that children who respond to RME have larger nasal airway volume at baseline, which may be taken as further support for this hypothesis. 13 We also concluded that RME does increase the nasal volume and airflow, which coincides with the findings in other studies. [14][15][16][17][18][19] Further, our findings concluded a significant correlation between the reduction of NE and increase in nasal volume after RME treatment, which indicates a strong connection between nasal volume and incidence of NE.…”

Section: Discussionsupporting

confidence: 92%

“…The long-term cure rate after 1 year was 18/30 (60%), whereas 12/30 (40%) had no long-term response (data published previously). 13 The transverse maxillary expansion was 4 6 1 mm (mean 6 standard deviation [SD]) (T0-T1), which declined to 2.3 6 0.85 mm (mean 6 SD) 6 months postretention (T0-T2) (P , .001). Thus, the mean transverse relapse from T1 to T2 at the first molar region was 1.7 6 0.95 mm.…”

Section: Resultsmentioning

confidence: 96%

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Rapid maxillary expansion in therapy-resistant enuretic children: An orthodontic perspective

Bazargani¹,

Jönson-Ring²,

Nevéus

2015

The Angle Orthodontist

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Section: Discussionsupporting

confidence: 92%

Section: Resultsmentioning

confidence: 96%

Rapid maxillary expansion in therapy-resistant enuretic children: An orthodontic perspective

Bazargani¹,

Jönson-Ring²,

Nevéus

2015

The Angle Orthodontist

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“…5 Responders have also been found to have larger nasal airway dimensions. 23 None of the children in the current study sample suffered from upper airway obstructions.…”

Section: Discussionmentioning

confidence: 88%

Rapid Maxillary Expansion in Children with Nocturnal Enuresis: A Randomized Placebo-controlled trial

Ring¹,

Nevéus²,

Markström³

et al. 2019

The Angle Orthodontist

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Objective: To investigate whether rapid maxillary expansion (RME) is a useful treatment method for nocturnal enuresis (NE) and whether the treatment effect is due to placebo. The study also aimed to identify prognostic variables in patients responding to treatment. Materials and Methods: Thirty-eight children with therapy-resistant NE were recruited and randomized into two groups: the intervention group or placebo group. Both groups were treated with RME, but the placebo group received treatment with a sham appliance for 2 weeks before having the actual treatment. A medical history focused on micturition habits, previous treatment, heredity, and sleep disorders was taken. Daytime voided volumes and nocturnal urine production during wet nights were recorded before the intervention. Results: Of the 38 patients recruited, two dropped out as one patient was unable to take dental impressions and one refused to have the appliance fitted. There was a statistically significant reduction of wet nights after the RME treatment (P < .001). No significant reduction was found after the placebo treatment (P < .40). Eleven patients (35%) had their enuresis frequency reduced by >50%. Large voiding volume and a wide maxilla at baseline had a strong association with positive treatment outcome. Conclusions: RME has a modest effect on children with therapy-resistant NE. The treatment outcome does not seem to be due to a placebo effect of the appliance. A wide maxillary width and large voiding volume at baseline seem to be positive predictors regarding response to treatment.

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“… 12 , 31 , 33 , 52 Several treatment options are available for nocturia, depending on the underlying cause. 6 , 31 , 71 , 72 This review shows that both adherence to nocturia treatment and outcomes are complex and intertwined. Nonadherence to nocturia treatment is common.…”

Section: Discussionmentioning

confidence: 99%

Medication adherence in the management of nocturia: challenges and solutions

Jayadevappa¹,

Newman²,

Chhatre³

et al. 2015

PPA

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ObjectiveNocturia affects millions of men and women. No prior reviews or meta-analyses have explored the issue of adherence in nocturia patients. The objective of our study was to examine the attributes and their interaction that might impact pharmacological adherence in nocturia care using a conceptual model of adherence.Materials and methodsA literature search of the Medline, PubMed, Embase, PsycInfo, and CINAHL databases for studies published between January 1990 and June 2014 was conducted. We developed a conceptual model in order to facilitate our review.ResultsCurrently, multiple treatment options for nocturia exist, depending on the underlying cause. Adherence to nocturia treatment and outcomes are complex and intertwined, and nonadherence to nocturia treatment is common. In 15 studies meeting eligibility criteria, behavioral and pharmacologic interventions for nocturia were associated with reduced nocturia symptoms. Urinary symptoms that are associated with nocturia need individualized management depending on renal and hepatic function, medical comorbidities, and ongoing medication use in a patient. Another important factor related to adherence is the bother. Although nocturia is defined as nighttime-voiding frequency of one or more, not all persons may find this bothersome. The degree of bother is subjective, and may change from person to person. However, there is no information related to the association between bother and adherence to medication or behavioral treatments for nocturia. Medication dosing convenience, preference, and cost play important roles in adherence. We present a patient-centered conceptual model that brings together the various dimensions of medication adherence for nocturia.ConclusionFew studies have explored adherence to medication and related factors in the care of nocturia. Our conceptual model can aid development of interventions to improve adherence to nocturia medications.

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Orthodontic widening of the palate may provide a cure for selected children with therapy‐resistant enuresis

Abstract: Orthodontic widening of the palate may be curative in a subgroup of children with therapy-resistant enuresis.

Cited by 11 publications

References 17 publications

Rapid maxillary expansion in therapy-resistant enuretic children: An orthodontic perspective

Rapid maxillary expansion in therapy-resistant enuretic children: An orthodontic perspective

Rapid Maxillary Expansion in Children with Nocturnal Enuresis: A Randomized Placebo-controlled trial

Medication adherence in the management of nocturia: challenges and solutions

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