Cephalometric Evaluation of Pharyngeal Airway Space among Different Skeletal Malocclusions in United Arab Emirates Residents: A Cross-Sectional Study
Keywords:
Orthodontics, Cephalometry, Pharynx, Dimensional Measurement AccuracyAbstract
Objective: To determine the relationship between skeletal malocclusion and upper pharyngeal airway space in the United Arab Emirates population using linear cephalometric measurements. Material and Methods: A retrospective cross-sectional study was performed on lateral cephalogram radiographs acquired from the University Dental Hospital. Through convenience sampling, 70 lateral cephalograms were selected from 200, meeting the inclusion criteria for this study. Study subjects were divided into three groups: Class I (n=25), Class II (n=21), and Class III (n=24). The study groups were compared based on the linear upper pharyngeal airway space measurements. Results: The three groups observed significant differences between the upper pharyngeal airway measurements. No differences in parameters were noted within the male and female study subjects. A highly significant difference (p<0.001) in the Palatal Pharyngeal Distance was observed among the groups. Similarly, when the mean Middle Pharyngeal Distance and mean Inferior Pharyngeal Distance were compared among the three study groups, a highly significant difference (p<0.001 and p<0.004, respectively) was observed. Conclusion: The highest variation in the linear dimensions of the upper pharyngeal airway space among the different skeletal malocclusion was observed in the Nasopharynx, Skeletal Class III having the most prominent dimensions followed by Class I and the least in Class II skeletal malocclusion.
References
Solow B. Cranio-cervical posture: A factor in the development and function of the dentofacial structures. Eur J Orthod 2002; 24(5):447-456. https://doi.org/10.1093/ejo/24.5.447
Moss ML. Functional cranial analysis and the functional matrix. Int J Orthod 1979; 17(1):21-31.
Solow B, Kreiborg S. Soft-tissue stretching: A possible control factor in craniofacial morphogenesis. Scand J Dent Res 1977; 85:505-507. https://doi.org/10.1111/j.1600-0722.1977.tb00587.x
Linder-Aronson S. Respiratory function in relation to facial morphology and the dentition. Br J Orthod 1979; 6(2):59-71. https://doi.org/10.1179/bjo.6.2.59
Fransson AC, Tegelberg Å, Johansson A, Wenneberg B. Influence on the masticatory system in treatment of obstructive sleep apnea and snoring with a mandibular protruding device: A 2-year follow-up. Am J Orthod Dentofacial Orthop 2004; 126(6):687-693. https://doi.org/10.1016/j.ajodo.2003.10.040
Buyukcavus MH, Kocakara G. Cephalometric evaluation of nasopharyngeal airway and hyoid bone position in subgroups of Class II malocclusions. Odovtos 2021; 23(1):155-167. https://doi.org/10.15517/ijds.2021.43860
Lundström F, Lundström A. Natural head position as a basis for cephalometric analysis. Am J Orthod Dentofacial Orthop 1992; 101(3):244-247. https://doi.org/10.1016/0889-5406(92)70093-P
Madsen DP, Sampson WJ, Townsend GC. Craniofacial reference plane variation and natural head position. Eur J Orthod 2008; 30(5):532-540. https://doi.org/10.1093/ejo/cjn031
Steiner CC. Cephalometrics for you and me. Am J Orthodontics 1953; 39:729-755. https://doi.org/10.1016/0002-9416(53)90082-7
McNamara JA. Influence of respiratory pattern on craniofacial growth. Angle Orthod 1981; 51(4):269-300.
Martin O, Muelas L, Viñas MJ. Nasopharyngeal cephalometric study of ideal occlusions. Am J Orthod Dentofacial Orthop 2006; 130(4):436.e1-436.e4369. https://doi.org/10.1016/j.ajodo.2006.03.022
Katakura N, Umino M, Kubota Y. Morphologic airway changes after mandibular setback osteotomy for prognathism with and without cleft palate. Anesth Pain Control Dent 1993; 2(1):22-26.
Marşan G, Cura N, Emekli U. Changes in pharyngeal (airway) morphology in Class III Turkish female patients after mandibular setback surgery. J Craniomaxillofac Surg 2008; 36(6):341-345. https://doi.org/10.1016/j.jcms.2008.03.001
Troell RJ, Riley RW, Powell NB, Li K. Surgical management of the hypopharyngeal airway in sleep disordered breathing. Otolaryngol Clin North Am 1998; 31(6):979-1012. https://doi.org/10.1016/s0030-6665(05)70102-x
Prinsell JR. Maxillomandibular advancement surgery in a site-specific treatment approach for obstructive sleep apnea in 50 consecutive patients. Chest 1999; 116(6):1519-1529. https://doi.org/10.1378/chest.116.6.1519
Palaisa J, Ngan P, Martin C, Razmus T. Use of conventional tomography to evaluate changes in the nasal cavity with rapid palatal expansion. Am J Orthod Dentofacial Orthop 2007; 132(4):458-466. https://doi.org/10.1016/j.ajodo.2005.10.025
Poon KH, Chay SH, Chiong KF. Airway and craniofacial changes with mandibular advancement device in Chinese with obstructive sleep apnoea. Ann Acad Med Singap 2008; 37(8):637-644.
Ozbek MM, Memikoglu TU, Gögen H, Lowe AA, Baspinar E. Oropharyngeal airway dimensions and functional-orthopedic treatment in skeletal Class II cases. Angle Orthod 1998; 68(4):327-336. https://doi.org/10.1043/0003-3219(1998)068<0327:OADAFO>2.3.CO;2
Jadhav PJ, Sonawane SV, Mahajan N, Chavan BG, Korde SJ, Momin NM, et al. Correlation of pharyngeal airway dimensions with maxillomandibular skeletal relation and mandibular morphology in subjects with skeletal Class I and class II malocclusions and different growth patterns: A cephalometric study in selected local population. J Pharm Bioallied Sci 2021; 13(Suppl 2):S1111-S1114. https://doi.org/10.4103/jpbs.jpbs_349_21
Daraze A, Delatte M, Liistro G, Zeina Majzoub. Cephalometrics of pharyngeal airway space in Lebanese adults. Int J Dent 2017; 2017:3959456. https://doi.org/10.1155/2017/3959456
Habumugisha J, Ma SY, Mohamed AS, Cheng B, Zhao MY, Bu WQ, et al. Three-dimensional evaluation of pharyngeal airway and maxillary arch in mouth and nasal breathing children with skeletal Class I and II. BMC Oral Health 2022; 22(1):320. https://doi.org/10.1186/s12903-022-02355-3
Elshebiny T, Bous R, Withana T, Morcos S, Valiathan M. Accuracy of three-dimensional upper airway prediction in orthognathic patients using dolphin three-dimensional software. J Craniofac Surg 2020; 31(4):1098-1100. https://doi.org/10.1097/SCS.0000000000006566
Diwakar R, Kochhar AS, Gupta H, Kaur H, Sidhu MS, Skountrianos H, et al. Effect of craniofacial morphology on pharyngeal airway volume measured using Cone-Beam Computed Tomography (CBCT): A retrospective pilot study. Int J Environ Res Public Health 2021; 18(9):5040. https://doi.org/10.3390/ijerph18095040
Zimmerman JN, Lee J, Pliska BT. Reliability of upper pharyngeal airway assessment using dental CBCT: A systematic review. Eur J Orthod 2017; 39(5):489-496. https://doi.org/10.1093/ejo/cjw079
Alfawzan AA. Assessment of airway dimensions in skeletal Class I malocclusion patients with various vertical facial patterns: A cephalometric study in a sample of the Saudi population. J Orthod Sci 2020; 9:12. https://doi.org/10.4103/jos.JOS_10_20
Dhayananth X, Clement E, Faizee SH, Malini H, Iswarya A, Christy AS. Assessment of airway among South Indian population - A cephalometric study. Int J Cur Res Review 2021; 13(10):31-35. https://doi.org/10.31782/IJCRR.2021.SP237
Sprenger R, Martins LAC, Dos Santos JCB, de Menezes CC, Venezian GC, Degan VV. A retrospective cephalometric study on upper airway spaces in different facial types. Prog Orthod 2017; 18(1):25. https://doi.org/10.1186/s40510-017-0180-2
Guttal KS, Burde K. Cephalometric evaluation of upper airway in healthy adult population: A preliminary study. J Oral Maxillofac Radiol 2013; 1(2):55-60. https://doi.org/10.4103/2321-3841.120115
Aksu M, Gorucu-Coskuner H, Taner T. Assessment of upper airway size after orthopedic treatment for maxillary protrusion or mandibular retrusion. Am J Orthod Dentofacial Orthop 2017; 152(3):364-370. https://doi.org/10.1016/j.ajodo.2016.12.027
Muto T, Yamazaki A, Takeda S. A cephalometric evaluation of the pharyngeal airway space in patients with mandibular retrognathia and prognathia, and normal subjects. Int J Oral Maxillofac Surg 2008; 37(3):228-231. https://doi.org/10.1016/j.ijom.2007.06.020
Iwasaki T, Hayasaki H, Takemoto Y, Kanomi R, Yamasaki Y. Oropharyngeal airway in children with Class III malocclusion evaluated by cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2009; 136(3):318.e1-319. https://doi.org/10.1016/j.ajodo.2009.02.017
Jain S, Raghav P, Misra V, Reddy CM, Singh S, Aggarwal S. Assessment of upper and lower pharyngeal airway width in skeletal Class I, II and III malocclusions. J Ind Orthod Soc 2014; 48(4):446-453. https://doi.org/10.1177/0974909820140702S
Grauer D, Cevidanes LS, Styner MA, Ackerman JL, Proffit WR. Pharyngeal airway volume and shape from cone-beam computed tomography: Relationship to facial morphology. Am J Orthod Dentofacial Orthop 2009; 136(6):805-814. https://doi.org/10.1016/j.ajodo.2008.01.020
Bishara SE, Peterson LC, Bishara EC. Changes in facial dimensions and relationships between the ages of 5 and 25 years. Am J Orthod 1984; 85(3):238-252. https://doi.org/10.1016/0002-9416(84)90063-0
Signorelli L, Patcas R, Peltomäki T, Schätzle M. Radiation dose of cone-beam computed tomography compared to conventional radiographs in orthodontics. J Orofac Orthop 2016; 77(1):9-15. https://doi.org/10.1007/s00056-015-0002-4
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Pesquisa Brasileira em Odontopediatria e Clínica Integrada
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.