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Results for “Stomatognathic System Abnormalities”

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At least 19 recordsLinked to original sources

[The establishment of the individual model libraries for stomatognathic system].

PURPOSE: To investigate the method of establishing the individual model libraries for stomatognathic system. METHODS: Based on the normal 3D FE models, including the upper jaw, lower jaw and whole dentitions, with the help of the ANSYS5.5, divided, trimmed or re-built these models, created the abnormal stomatognathic system. RESULTS: Established three model libraries in common use, including the alveolar-absorbed-teeth, loosed-teeth, and alveolar-reduced-area, 308 models in all. CONCLUSION: The established models have a satisfied geometric configuration, it will be more suitable for the research and clinic works if uses the individual FE models.

Dentition↗

[Modified Klammt apparatus for treatment of stomatognathic abnormalities in preschool children].

Klammt apparatus was modified adapting it for treatment of occlusal abnormalities in milk teeth. The resting and functional positions of the tongue were used for this aim through appropriate directing of its action in the apparatus for widening of anterior parts of dental arches. The usefulness of the modified apparatus in the treatment of stomatognathic system abnormalities was assessed in 90 preschool children with malocclusions of crossbite type, open bite, anterocclusion and posterocclusion. The control group comprised 90 preschool children with similar abnormalities treated with monoblock. The results were significantly better after treatment with the modified Klammt apparatus, the dental arches were rapidly widened, therapeutic effects were better, rehabilitation of the muscles was more complete. Using the modified Klammt apparatus the children could easily speak, and thus the apparatus could be used longer than monoblocks which had a positive effect on the final therapeutic results in these cases.

Child, Preschool↗

Twin studies in craniofacial genetics: a review.

A review of the literature on twin studies in craniofacial genetics is presented. The following areas are particularly dealt with: tooth form and size, tooth formation and eruption, dental arch and occlusion, facial form and size, and cleft lip and palate.

Cleft Lip↗

[Dental pathology in malformation syndromes: the methodology and intervention timing].

Due to the complexity and potential vulnerability of the cranio-facial area (skull, face, nose, oral cavity), specific alterations of this region are associated to genetic and acquired malformations in a high percentage of cases (75%). Often, the specificity and extent of the pathological symptoms occurring in the cranio-facial area are the dominant aspects of the malformation syndrome according to which it is classified. When multiple development anomalies in a newborn suggest the existence of a syndrome, the patient should be placed in the care of a pediatrician, who, together with a team of specialists, will follow the child and face the various problems related to the syndrome at the right time. The frequent marked involvement of the craniofacial area in malformation syndromes suggests the opportunity of a specialist methodology to standardize odontostomatological therapy.

Abnormalities, Multiple↗

Dental and minor physical anomalies in children with developmental disorders--a discriminant analysis.

A discriminant analysis was performed in a sample of 303 children with developmental disorders (DD) and 303 healthy controls (C) in order to test whether some oro-dental and physical minor anomalies could discriminate these groups of children. DD sample comprised 176 mentally retarded (MR) children. 70 children with impaired hearing (IH) and 57 children with impaired vision (IV). The control group included 303 healthy subjects, matched for sex and age. The analysis comprised seven common oral and dental anomalies: median diastema, hypodontia, impacted teeth, microdontia, dens invaginatus, upper lip frenulum and frenulum of the tongue. Minor physical anomalies were assessed by the method proposed by Waldrop et al., as the average number of minor anomalies per individual (W1) and as the weighted score of minor anomalies (W2). Three discriminant functions were obtained by analysis of nine initial variables. Distinct discrimination and considerable distances were found between the centroids of the controls and all groups of DD children. The first two discriminant functions were significant for discrimination between the groups and they explained 98.6% of the total variance. The first function contained 90.2% of information and was defined by the number and weighted scores of minor anomalies. The second variable explained 8.4% of the total variability and was defined by three dental anomalies. The results obtained by the discriminant analysis show that application of dental and minor physical anomalies enables discrimination between the group of healthy children and the groups of children with different developmental disorders.

Adolescent↗

Surgical strategies in the treatment of complex obstructive sleep apnoea in children.

Complex OSA in children is a challenging problem that requires careful team management. Evaluation includes history, physical examination and appropriate radiological and endoscopic studies. Twelve-channel polysomnography, with or without a pH probe, is mandatory in children with OSA to determine the severity and to document the efficacy of treatment. A variety of individual problems and nuances arise and will continue to do so. Clinical experience and a high degree of suspicion in the craniofacial population is necessary to rule out the existence of OSA in a given patient. Newer treatment modalities, such as distraction osteogenesis of the mandible and midface, have revolutionised treatment of OSA during childhood. Although still the gold standard of care, tracheostomy is not a benign procedure and the toll on both the patient and family can be devastating.

Cerebral Palsy↗

Duplication of stomatodeal structures: report of three cases with literature review and suggestion for classification.

Three cases of duplications of stomatodeal structures are reported. One had an accessory mouth that could move simultaneously with his mouth at sternal notch. Another had a teeth-bearing bony mass at left maxilla with excessive upper lip and a false pouch. The third had an excessive upper lip, upper jaw with teeth, and hard and soft palate. The literature is reviewed, and a classification is suggested: type I, a duplicated mouth; type II, duplication of maxilla-upper lip or mandible-lower lip complex; and type III, centrally located, poorly developed lip-jaw duplication.

Abnormalities, Multiple↗

Nevoid basal cell carcinoma syndrome. Clinical findings in 37 Italian affected individuals.

Nevoid basal cell carcinoma syndrome (NBCCS) is a hereditary condition transmitted as an autosomal dominant trait with complete penetrance and variable expressivity. The syndrome is characterised by numerous basal cell carcinomas (BCCs), odontogenic keratocysts of the jaws, palmar and/or plantar pits, skeletal abnormalities and intracranial calcifications. In this paper, the clinical features of 37 Italian patients are reviewed. Jaw cysts and calcification of falx cerebri were the most frequently observed anomalies, followed by BCCs and palmar/plantar pits. Similar to the case of African Americans, the relatively low frequency of BCCs in the Italian population is probably due to protective skin pigmentation. A future search based on mutation screening might establish a possible genotype phenotype correlation in Italian patients.

Adolescent↗

[The x-ray cephalometric diagnosis of anomalies and deformities of the dentomaxillary system].

The authors describe in detail the technique of analyzing teleroentgenograms recorded in the lateral projection; this technique is intended for research and practical studies and is based on the use of the most informative x-ray encephalometric parameters singled out with the use of multidimensional statistical computer-aided analysis. It includes preliminary diagnosis and detailed analysis of the features of facial skeleton structures development. Examples of the clinical use of this method for the diagnosis of dentition relations abnormalities are cited.

Adolescent↗

Obstructive sleep apnea syndrome. A review.

Obstructive sleep apnea syndrome (OSAS) is a complex disorder characterized by a sleep-related collapse of the upper airway. The most likely candidate for the common pathway linking various abnormalities casually associated with OSAS (such as adenotonsillar hypertrophy, obesity, retro- or micrognathia, acromegaly, or more subtle structural anomalies) is an abnormally small upper airway lumen. Symptoms of OSAS that appear during sleep include snoring, abnormal motor activity, disturbed nocturnal sleep, a sensation of choking, heartburn, nocturia, nocturnal enuresis, and heavy sweating. Daytime waking symptoms are dominated by often profound sleepiness, which may secondarily be associated with automatic behavior, retrograde amnesia, hypnagogic hallucinations, personality changes, sexual difficulties, and headaches. Careful evaluation, both sleeping and waking, are essential to select appropriate treatment. Treatments include nasal continuous positive airway pressure, tracheostomy, weight loss, uvulopalatopharyngoplasty, mandibular advancement, and so forth.

Adolescent↗

Dental abnormalities associated with campomelic syndrome: case report.

Campomelic syndrome is a rare autosomal recessive disease. It is characterized by short stature with angulation and bowing of the lower limbs, hypoplasia of the facial bones, and various other skeletal anomalies. The facies are unusually flat with micrognathia, frequent cleft palate, hypertelorism, and micro-ophthalmia. Most infants with this syndrome die from severe respiratory distress within the first hours or days of life. Those who survive infancy are mentally retarded. This case report concerns the dental treatment of a 13-year-old female with campomelic syndrome.

Adolescent↗

[A case of Ehlers-Danlos syndrome].

Ehlers-Danlos syndrome, an inherited connective tissue disorder, is characterized by skin hyperextensibility, joint hypermobility and skin fragility. The disease is at least classified into 10 types, I to X, based on clinical features, biochemical abnormalities of the connective tissue and the mode of inheritance. A case is reported of a 6-year, 8-month-old girl who showed the features of the Ehlers-Danlos syndrome type VII. The findings were as follows: 1) Soft and velvety touch skin, characteristic joint hypermobility, talipes varus, and ventricular septal defects were present. 2) Widely set eyes, slight stabismus, epicanthal folds of the eyes, antimonogoloid slanted eyes, a broad bridge to the nose and low set ears were observed. 3) Gingival bleeding following toothbrushing, Enamel hypoplasia, high arched palate and laxity of the temporomandibular joint were present. 4) In the findings of the maxillary and mandibular dental arches, there was no tendency towards conical teeth in the deciduous dentition, and the width and length of the dental arches were remarkably narrow and short. 5) The roentogenographic findings revealed that there were no minor root deformities, pulpstones and calcification of the pulp. 6) The measurement of the width, length, and depth of the palate through moiré topography revealed that the palate was narrow and deep compared with the control. 7) As a result of cephalometric diagnosis, the nasion appeared to be protruded, therefore maxillary and mandibular seemed to be relatively retracted, and the gonial angle was obtuse. The dental management of patients with Ehlers-Danlos syndrome was discussed and reviewed.

Child↗

Oropharyngeal fetus in fetu.

Fetus in fetu is an extremely rare entity and refers to the growth of a "parasitic" twin within a more mature fetus due to its inclusion within cells of the blastocyst. The presence of a vertebral column is considered essential for the diagnosis of a fetus in fetu. The retroperitoneum is the most common location for a fetus in fetu and its location in the mouth is rare. We report a case of oropharyngeal mass detected on antenatal sonography with imaging features consistent with a fetus in fetu. Complete surgical removal of the mass was aided by imaging. Follow-up of these patients is recommended to detect the rare incidence of malignant degeneration.

Fetus↗

Masticator space masses and pseudomasses.

We review the anatomy of the masticator space and the localization of masticator space lesions on cross-sectional imaging. The magnetic resonance imaging and computed tomography appearances of inflammatory, neoplastic, developmental and vascular masticator space lesions are discussed and illustrated. Benign processes and normal variations, which mimic masticator space pathology, are also considered.

Head and Neck Neoplasms↗

Problematic intubation in soldiers: are there predisposing factors?

Attempts by a combat medical officer to secure the airway of a multiple-injury patient in the field may frequently end in failure. The recurrence of such failures, despite Advanced Trauma Life Support training, is perplexing; therefore, we studied the prevalence of clinical criteria that could predispose active soldiers to difficult intubation. Such known anatomical features and the Mallampati classification were assessed by experts in 250 soldiers at a military outpatient clinic of the Israel Defense Forces. It was found that most soldiers had normal airways. Limitations of head and neck movement, or in opening the mouth, were not observed. Other risk factors were noted in only a small percentage of the study population. Mallampati classes I and II were noted in 40% and 31%, respectively. No statistically significant differences between young (18-21 years) and older (40-44 years) soldiers were found. It was concluded that difficult intubations among soldiers are unlikely to be associated with anatomical causes. Complicated scenarios and deficient skills of the physicians are the most important factors that contribute to in-field failures to secure airway control. Several recommendations to remedy this situation are offered.

Adolescent↗

[The application of three-dimensional model in the oral and maxillofacial surgery].

OBJECTIVE: To exploit the three-dimensional model technique and apply it in the oral and maxillofacial surgery. METHODS: Using CT and rapid prototype technique to make three-dimentional model and used it for the therapy of the comminuted zygomatic features, jaw bone asymmetry, defects after tumor removal, and implantations. RESULTS: By using three-dimensional models eight patients with comprehensive bone defects had good results. CONCLUSIONS: Three-dimensional models can help surgeons in many ways for the therapy of the oral and maxillofacial deformities.

Adult↗