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Biomedical subjects

A Caprioglio

Publications and source records attributed to A Caprioglio.

14 recordsLinked to original sources
PubMed1999

Craniofacial modifications in children with habitual snoring and obstructive sleep apnoea: a case-control study.

Habitual snoring and obstructive sleep apnoea in children, which are frequently associated with adenotonsillar hypertrophy, may begin early in life and in relation with orocraniofacial features. The aim of this study was to detect the presence of early bone craniofacial modifications in young children with a long history of habitual snoring. Twenty-six habitually snoring children (mean age 4.6 yrs) were studied by nocturnal portable recording or diurnal polysomnography, cephalometry and orthodontic evaluation. A comparison of cephalometric findings was made between the studied group and 26 age-matched children (mean age 5.1 yrs) with no history of snoring or respiratory problems during sleep. The cephalometric analyses showed a significant increase in craniomandibular intermaxillar, lower and upper goniac angles with a retroposition and posterior rotation of the mandible (high angle face) and a reduction in the rhinopharynx space caused by higher thickness of adenoids in habitually snoring children compared with controls. Cross-bites and labial incompetence as well as daytime symptoms and familiarity for habitual snoring were found in most of the studied group of snorers compared with controls. The results indicate that upper airway obstruction during sleep is associated with mild but significant cephalometric and craniofacial modifications in children complaining of habitual snoring. Whether this skeletal conformation is genetically determined or influenced by the early onset of habitual snoring remains to be assessed.

Case-Control Studies↗
PubMed1999

Habitual snoring, OSA and craniofacial modification. Orthodontic clinical and diagnostic aspects in a case control study.

BACKGROUND: This research aims to analized the clinical and diagnostic aspects of OSA in the orthodontic research field. METHODS: Through a case control study, the presence of early craniofacial modifications in a study group constituted of 13 children with long history of habitual snoring and obstructive sleep apnea syndrome (mean age 54 months, range 36-103) and in a control group constituted of 13 children with no history of snoring (mean age 60 months, range 55-67), is analyzed. Clinical neurological and orthodontic examination, cefalometrics analysis and MESAM 4 has been performed to each single child. RESULTS: Neurological clinical examination and diurnal polysomnography or nocturnal ambulatory monitoring of snoring (MESAM 4) showed that this pathology started very early in the childhood: snoring onset was 22.7 months, the apnea onset was 34.7 months. Moreover 23% of the children showed a failure to thrive. The cephalometric results revealed that OSA children showed different cranio-facial features: a maxillo-mandibular micrognathia and or retrognathia, an increment of divergency associated with an increase in the vertical development of the face and a reduced perviety of the upper airway space caused by a mechanical obstruction due to enlarged adenoids. The orthodontic clinical examination revealed that OSA patients showed posterior cross-bite, anterior open-bite and lip-incompetence. CONCLUSIONS: These results suggest that oral breathing, that is present in sleep apnea patients, is responsible of different cranio-facial anomalies. For this reason these features must be recognized, as soon as possible, in order to start an early treatment of this pathology.

Age Factors↗
PubMedDate not supplied

[Parasitic pseudotumors due to filaroid nematodes].

Four cases of subcutaneous pseudo-tumour caused by filaroid nematodes are described. The histological picture was marked by granulomatous reaction, with a necrotic centre containing filariae in various stages of regression.

Adult↗
PubMedDate not supplied

[Supernumerary teeth in the deciduous dentition].

The Authors presented sovrannumeraries (S) teeth in primary dentition, and the pedodontic, surgical and orthodontic problems. Semeiotics signs, and X Ray suggested, are described. All the types of S. teeth are showed: supplementaries, conoides, tuberculates and infundibuliformes. For every type characteristics, problems and surgical timing are described. Tuberculates and infundibuliformes teeth are the most dangerous for the permanent teeth interrupted: eruption delay, dilacerations, impactions, fusion, follicles, diseases, are reported. The direction of the growth of S. teeth must be analyzed. If the direction is external the timing of surgery is very important. Finally the Authors emphasized the role of cooperation of pedodontist, with oral surgeon and orthodontist for to obtain good results.

Child↗
PubMedDate not supplied

[Pedodontic sedation as an alternative to general anesthesia in "intractable" children].

Some particular strategies to face the treatment of fearful children are discussed. The Authors show both psychological and pharmacological techniques (especially conscious sedation with N2O/O2), very useful to know the patient better and to start a good relation with the dentist, avoiding any possible negative reaction as well.

Anesthesia, Dental↗