Search results for "appliance"
showing 10 items of 63 documents
Advances in the role of oral devices in the treatment of OSAS
2021
Over the past years, a novel direction in dentistry, named 'Dental Sleep Medicine,' has been increasingly developed. The objective is to find an effective remedy for the treatment of Obstructive Sleep Apnoea Syndrome (OSAS) through the use of various Oral Appliances (OAs). These appliances can be used alternatively or in conjunction with the Continuous Positive Airway Pressure (CPAP), depending on the degree of OSAS and patient compliance. The various OAs available and discussed in the medical literature differ from each other based on the patency mechanism of the airways. Furthermore, OAs determine not only an improvement of the respiratory flow, but also the improvement of cardiovascular …
Miniscrew-supported distal jet versus conventional distal jet appliance: A pilot study
2019
Background Maxillary molar distalization is the most frequently used nonextraction treatment in the correction of Class II malocclusion. The use of traditional intra-oral devices shows unreliable results. Nowadays the use of miniscrew-supported appliances helps prevent anchorage loss. The aim of this pilot study is to compare the amount of upper first molar distalization and the dentoalveolar side effects using traditional distal jet appliance and miniscrew-supported distal jet appliance. Material and methods 20 patients were randomly assigned to receive a treatment with miniscrew-supported distal jet appliance (Group A) or with traditional distal jet appliance (Group B). To ensure a safe a…
Efficacy of swm appliance in the expression of first-, second- and third-order information in Class I and Class II
2019
Background To assess the efficacy of a multibracket appliance-Straight-wire Mirabella (SWM) prescription-in terms of achieving the ideal first-, second- and third-order values proposed by Andrews. Material and methods A total sample of 46 Caucasian subjects was divided into two groups: 23 with class I malocclusion (Group 1), and 23 with class II malocclusion (Group 2). The treatment protocol involved fixed multibracket appliances-SWM prescription-for both groups, with the addition of class II elastics for Group 2. Values for ΔU1-PP, ΔIMPA, in-out, tip and torque were measured on digital scans, and the results obtained were compared with the ideal values proposed by Andrews. Results Statisti…
Orthodontists? preference on type of rigid fixed functional appliance for skeletal Class II correction : a survey study
2020
Background Rigid fixed functional appliances are most commonly used to correct skeletal Class II malocclusions. The objective of this study was to assess orthodontists' preference of different rigid fixed functional appliances used in the U.S.A for correction of skeletal Class II malocclusions. Material and methods A survey on use and preference of rigid fixed functional appliances for skeletal Class II correction was emailed to 2,227 members of the American Association of Orthodontists (AAO) in the U.S.A. Frequency distribution of different responses and their association with demographic factors was assessed. Results Out of 140 orthodontists completing the survey, 110 responded as using r…
Radiographic healing patterns after tooth-borne distraction in canine model
2020
Background The osteogenesis distraction technique applied to the craniofacial skeleton is an alternative treatment for dentofacial deformities. Despite the advantages of tooth-borne distractors, few studies have evaluated their clinical implementation in sagittal dentoskeletal deformities. This study aimed provide a radiographic assessment of the effect of two different activations of tooth-borne distraction in the lengthening of the mandible in canines. Material and Methods Ten male beagle dogs, approximately one year old, were used for this experimental study. Three remained as a control group and seven underwent a mandibular tooth-borne distraction protocol with single daily activation i…
Adverse effects of lingual and buccal orthodontic techniques: A systematic review and meta-analysis
2016
INTRODUCTION: The aim of this systematic review was to assess the prevalence of adverse effects associated with lingual and buccal fixed orthodontic techniques. METHODS: Two authors searched the PubMed, EMBASE, Cochrane Library, and LILACS databases up to October 2014. Agreement between the authors was quantified by the Cohen kappa statistic. The following variables were analyzed: pain, caries, eating and speech difficulties, and oral hygiene. The Newcastle-Ottawa scale was used to assess risk of bias in nonrandomized studies, and the Cochrane Collaboration's tool for assessing risk of bias was used for randomized controlled trials. RESULTS: Eight articles were included in this systematic r…
Mild obstructive sleep apnoea: clinical relevance and approaches to management
2015
Summary Obstructive sleep apnoea is highly prevalent in the general population worldwide, especially in its mild form. Clinical manifestations correlate poorly with disease severity measured by the apnoea–hypopnoea index (AHI), which complicates diagnosis. Full polysomnography might be more appropriate to assess suspected mild cases because limited ambulatory diagnostic systems are least accurate in mild disease. Treatment options in mild obstructive sleep apnoea include continuous positive airway pressure (CPAP) and oral appliance therapy, in addition to positional therapy and weight reduction when appropriate. The superior efficacy of CPAP in reducing AHI is offset by greater tolerance of…
The Influence of Friction on Design of the Type of Bracket and Its Relation to OHRQoL in Patients Who Use Multi-Bracket Appliances: A Randomized Clin…
2021
Background and objectives: The aim of this study was to evaluate the influence of friction on design of the type of bracket, patients’ perception of pain and the impact on their oral health-related quality of life. Materials and Methods: A randomized clinical trial was carried out with 90 patients (62.2% women and 37.8% men) with three kinds of fixed multi-bracket appliances: Conventional (GC), fixed multi-bracket low friction (GS) and self-ligating (GA). The VAS (Visual Analogue Scale) was used to determine pain during the first seven days of treatment at different points in time. The patients were also given the OHIP-14 (Oral Health Impact Profile) questionnaire to analyse their oral heal…
A bottom-up method for evaluating the whole energy demand of large residential building stocks: an application to a regional scale
2013
In this paper a method is described, originally conceived during the compilation of the Energy and Environmental Regional Plan of Sicily, aimed to: a) set up a lay-out model of an overall regional residential estate into a certain number of different building and heating system types; b) calculate the energy needs of every single type according to the procedures established by the national and European regulations; The method is particularly designed to evaluate the possible energy savings from the implementation of different interventions concerning the envelope and the HVAC systems to the various building types. The method, although based on several assumptions, shows to be reliable enoug…
Impact of an oral appliance on obstructive sleep apnea severity, quality of life, and biomarkers
2017
OBJECTIVE/HYPOTHESIS To investigate outcomes including efficacy, quality of life, and levels of inflammatory markers of a mandibular advancement device (MAD) for moderate-to-severe obstructive sleep apnea (OSA). STUDY DESIGN Case-control study. METHODS Patients with apnea-hypopnea index (AHI) ≥ 15/hr who only accepted MAD therapy (study group) or who refused any treatment (control group) were recruited. At baseline and at 6 months, polysomnography, Epworth Sleepiness Scale (ESS), Functional Outcomes of Sleep Questionnaire (FOSQ), C-reactive protein (CRP), interleukin 1β, interleukin 6, and tumor necrosis factor α (TNF-α) were assessed in both groups. RESULTS At baseline, the study group (n …