Hooman Shafaee; Bahareh Mazloumhoseini; Erfan Bardideh; Maliheh Dadgarmoghaddam
Abstract
Context: Maxillary deficiency can lead to the reduction of airway space and increase the chances of development of obstructive airway disorders. Facemask therapy is one of the main treatment protocols in developing maxillary deficient patients.Objectives: The purpose of this systematic review and meta-analysis ...
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Context: Maxillary deficiency can lead to the reduction of airway space and increase the chances of development of obstructive airway disorders. Facemask therapy is one of the main treatment protocols in developing maxillary deficient patients.Objectives: The purpose of this systematic review and meta-analysis was to assess the changes in the airway dimensions after face-mask therapy in both cleft lip and palate and non-cleft patients.Methods: A systematic search in different electronic databases (EMBASE, Pubmed, Cochrance Central register of controlled trials), IADR proceedings and a hand search by October 2020 were conducted and a meta-analysis and systematic review was performed.Results: In patients without cleft lip and palate, upper pharyngeal width was significantly increased by mean of 2.05 mm (CI = 95%, 0.61 - 3.50) following facemask therapy in comparison to patients who did not receive the treatment. Other upper pharyngeal (nasopharyngeal) measurements also showed a statistically significant improvement after therapy: S-PNS by 4.64 mm (CI = 95%, 3.34 - 5.94), AD1-PNS by 3.81 mm (CI = 95%, 2.40 - 5.21), AD2-PNS by 2.90 mm (CI = 95%, 0.13 - 5.67) and Pm’-SPL by 2.53 (CI = 95%, 0.54 - 4.51). Lower pharyngeal measurments did not show any significant changes after the treatment (P > 0.05). In the analysis of studies with 3D imaging modalities, upper pharyngeal volume was also significantly increased by 499.29 mm3 (CI = 95%, 69.58-929.00) after the treatment. In addition, a review of articles that included cleft lip and palate patients also showed after the treatment, the upper pharyngeal measurements all showed a significant improvement (P < 0.05), whereas the oropharyngeal region was relatively stable.Conclusions: In maxillary deficient patients with or without an orofacial cleft, facemask therapy can improve the nasopharyngeal area dimensions; however, this treatment protocol appears not to have an effect on the oropharyngeal area of the airway tract.
Hooman Shafaee; Hamidreza Aboutorabzadeh; Hossein Bagheri; Banafsheh Yaloodbardan; Abdolrasoul Rangrazi
Abstract
BackgroundNano-fluorohydroxyapatite (nano-FHA) is a caries preventive agent that is applied in many fields of dentistry and has the potential of being added to Essix retainers to create antibacterial properties. Objectives The purpose of this study was to investigate the effect of nano-fluorohydroxyapatite ...
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BackgroundNano-fluorohydroxyapatite (nano-FHA) is a caries preventive agent that is applied in many fields of dentistry and has the potential of being added to Essix retainers to create antibacterial properties. Objectives The purpose of this study was to investigate the effect of nano-fluorohydroxyapatite addition on the tensile strength and modulus of elasticity of an Essix plate. Methods The nano-fluorohydroxyapatite was synthesized and added to an Essix plate in various weight percentages: 0% (group 1), 0.1% (group 2) and 0.5% (group 3). We performed the measuring of flexural strength and modulus of elasticity for the experimented three groups using a universal testing machine. The data were analyzed through one-way ANOVA and Tukey’s test at the significance level of 0.05. ResultsAccordingly, the obtained results were indicative of significant differences between the groups (P-value = 0.003); however, the difference between group 2 and control group was not statistically notable (P-value = 0.427). Furthermore, the tensile strength of group 3 significantly decreased (P-value = 0.04). In regards to the modulus of elasticity, the data were suggestive of significant differences between the groups (P-value = 0.002). Apparently, the modulus of elasticity of group 2 and group 3 decreased significantly compared to that of the control group (group 1). Conclusions We can conclude that nano-FHA can be incorporated into Essix plates in concentrations of up to 0.1 wt% in order to create some caries preventing effects with no negative effects on tensile strength; however, adding nano-FHA to Essix plate will decrease modulus of elasticity.
