ABSTRACT
OBJECTIVE: To assess short-term tomographic changes in the upper airway dimensions and quality of life of mouth breathers after rapid maxillary expansion (RME). METHODS: A total of 25 mouth breathers with maxillary atresia and a mean age of 10.5 years old were assessed by means of cone-beam computed tomography (CBCT) and a standardized quality of life questionnaire answered by patients' parents/legal guardians before and immediately after rapid maxillary expansion. RESULTS: Rapid maxillary expansion resulted in similar and significant expansion in the width of anterior (2.8 mm, p < 0.001) and posterior nasal floor (2.8 mm, p < 0.001). Although nasopharynx and nasal cavities airway volumes significantly increased (+1646.1 mm3, p < 0.001), oropharynx volume increase was not statistically significant (+1450.6 mm3, p = 0.066). The results of the quality of life questionnaire indicated that soon after rapid maxillary expansion, patients' respiratory symptoms significantly decreased in relation to their initial respiratory conditions. CONCLUSIONS: It is suggested that RME produces significant dimensional increase in the nasal cavity and nasopharynx. Additionally, it also positively impacts the quality of life of mouth-breathing patients with maxillary atresia.
Subject(s)
Mouth Breathing/therapy , Palatal Expansion Technique , Pharynx/pathology , Quality of Life , Adolescent , Child , Cone-Beam Computed Tomography/methods , Female , Humans , Image Processing, Computer-Assisted/methods , Imaging, Three-Dimensional/methods , Male , Maxilla/abnormalities , Mouth Breathing/diagnostic imaging , Mouth Breathing/psychology , Nasal Cavity/diagnostic imaging , Nasal Cavity/pathology , Nasal Obstruction/diagnostic imaging , Nasal Obstruction/psychology , Nasal Obstruction/therapy , Nasopharynx/diagnostic imaging , Nasopharynx/pathology , Organ Size , Oropharynx/diagnostic imaging , Oropharynx/pathology , Palatal Expansion Technique/psychology , Pharynx/diagnostic imaging , Sleep Wake Disorders/psychology , Snoring/psychology , Stress, Psychological/psychologyABSTRACT
OBJECTIVE: To assess short-term tomographic changes in the upper airway dimensions and quality of life of mouth breathers after rapid maxillary expansion (RME). METHODS: A total of 25 mouth breathers with maxillary atresia and a mean age of 10.5 years old were assessed by means of cone-beam computed tomography (CBCT) and a standardized quality of life questionnaire answered by patients' parents/legal guardians before and immediately after rapid maxillary expansion. RESULTS: Rapid maxillary expansion resulted in similar and significant expansion in the width of anterior (2.8 mm, p < 0.001) and posterior nasal floor (2.8 mm, p < 0.001). Although nasopharynx and nasal cavities airway volumes significantly increased (+1646.1 mm3, p < 0.001), oropharynx volume increase was not statistically significant (+1450.6 mm3, p = 0.066). The results of the quality of life questionnaire indicated that soon after rapid maxillary expansion, patients' respiratory symptoms significantly decreased in relation to their initial respiratory conditions. CONCLUSIONS: It is suggested that RME produces significant dimensional increase in the nasal cavity and nasopharynx. Additionally, it also positively impacts the quality of life of mouth-breathing patients with maxillary atresia. .
OBJETIVO: avaliar, por meio de tomografias, as mudanças em curto prazo nas vias aéreas superiores e na qualidade de vida em pacientes respiradores bucais, após expansão rápida da maxila (ERM). MÉTODOS: foram avaliados 25 pacientes respiradores bucais com atresia maxilar, com idade média de 10,5 anos, por meio de tomografia computadorizada de feixe cônico (TCFC) e questionário padronizado de qualidade de vida submetido aos pais/responsáveis, antes e imediatamente após a ERM. RESULTADOS: a ERM promoveu uma expansão, de forma semelhante e significativa, tanto na largura do soalho nasal anterior (2,8mm, p < 0,001) quanto na largura do soalho nasal posterior (2,8mm, p < 0,001). No volume aéreo da nasofaringe e fossas nasais, houve aumento significativo (+1646,1mm3 p < 0,001); entretanto, no volume aéreo da orofaringe, houve aumento não significativo (+1450,6 mm3 p = 0,066). Os resultados do questionário de qualidade de vida indicaram melhora significativa na qualidade de vida dos pacientes após a ERM, em comparação ao questionário inicial. CONCLUSÕES: a ERM promoveu aumento dimensional significativo nas fossas nasais e na nasofaringe, bem como melhorou significativamente a qualidade de vida dos pacientes. .
Subject(s)
Humans , Male , Female , Child , Adolescent , Pharynx/pathology , Quality of Life , Palatal Expansion Technique/psychology , Mouth Breathing/therapy , Organ Size , Oropharynx/pathology , Oropharynx/diagnostic imaging , Pharynx/diagnostic imaging , Sleep Wake Disorders/psychology , Snoring/psychology , Stress, Psychological/psychology , Image Processing, Computer-Assisted/methods , Nasal Obstruction/psychology , Nasal Obstruction/therapy , Nasal Obstruction/diagnostic imaging , Nasopharynx/pathology , Nasopharynx/diagnostic imaging , Imaging, Three-Dimensional/methods , Cone-Beam Computed Tomography/methods , Maxilla/abnormalities , Mouth Breathing/psychology , Mouth Breathing/diagnostic imaging , Nasal Cavity/pathology , Nasal Cavity/diagnostic imagingABSTRACT
OBJECTIVES: To examine factors associated with treatment outcome satisfaction in a group of adolescent patients. MATERIALS AND METHODS: One hundred and twenty patients (60 girls and 60 boys; mean age, 14.3 years; standard deviation [SD], 1.73 years) were consecutively recruited. The inclusion criteria for all patients were as follows: adolescents with a permanent dentition in need of orthodontic treatment and a treatment plan involving extractions (two or four premolars) followed by fixed appliances in both jaws. Questionnaire 1, concerning treatment motivation and expectations, was assessed prior to treatment start. Questionnaire 2 was assessed after active treatment and included questions about satisfaction with treatment outcome, quality of care and attention, and perceived pain and discomfort during active treatment. RESULTS: One hundred and ten patients completed the trial (54 boys and 56 girls; mean age, 16.9 years; SD, 1.78 years). Median values for satisfaction with treatment outcome were generally high. There was a clear correlation (P ≤ .001) between satisfaction with treatment outcome and patients' perception of how well they had been informed and cared for during treatment. Pain and discomfort during treatment also strongly affected treatment satisfaction. Sex, treatment time, and Peer Assessment Rating index pre- and posttreatment as well as expectations for future treatment showed no correlation with treatment satisfaction. CONCLUSIONS: Care and attention was the variable showing the highest correlation with satisfaction with treatment outcome. Patients' perceptions of pain and discomfort during treatment had an overall negative correlation with treatment satisfaction. Satisfaction with treatment outcome is a complex issue and requires further exploration in future research.
Subject(s)
Orthodontics, Corrective/psychology , Patient Satisfaction , Adolescent , Attention , Attitude to Health , Dentist-Patient Relations , Extraoral Traction Appliances , Female , Follow-Up Studies , Humans , Male , Motivation , Orthodontic Anchorage Procedures/psychology , Orthodontic Appliances , Pain/psychology , Palatal Expansion Technique/psychology , Patient Care Planning , Quality of Health Care , Surveys and Questionnaires , Tooth Extraction/psychology , Treatment Outcome , Visual Analog ScaleABSTRACT
OBJECTIVE: Clinicians often assume that changes following orthognathic surgery are both physically and psychologically beneficial to the patient. The present study investigates patient perception regarding improvement after surgically assisted rapid maxillary expansion. STUDY DESIGN: A survey with twenty-three patients was carried out to identify satisfaction with the surgical outcome and assess whether the surgery met patient expectations. General information was also collected on schooling, age, gender, chief complaint and reasons for seeking treatment. RESULTS: Most patients (n = 19; 82%) were advised to undergo surgery by a dentist. Twenty-two (95%) patients reported being satisfied with the operation procedure. Twenty-one (91%) patients reported that the procedure met their expectations. Nineteen respondents would undergo the same operation again and would recommend treatment to others with similar problems. CONCLUSION: The need for surgery associated with orthodontic appliances to correct a transverse maxillary deficiency requires a proper explanation to patients regarding the procedure and postoperative period in order to ensure realistic expectations concerning the surgical goals.
Subject(s)
Palatal Expansion Technique/psychology , Patient Satisfaction , Adolescent , Adult , Female , Humans , Male , Pilot Projects , Young AdultABSTRACT
Objective: Clinicians often assume that changes following orthognathic surgery are both physically and psychologicallybeneficial to the patient. The present study investigates patient perception regarding improvement after surgicallyassisted rapid maxillary expansion.Study design: A survey with twenty-three patients was carried out to identify satisfaction with the surgical outcomeand assess whether the surgery met patient expectations. General information was also collected on schooling, age,gender, chief complaint and reasons for seeking treatment.Results: Most patients (n = 19; 82%) were advised to undergo surgery by a dentist. Twenty-two (95%) patients reportedbeing satisfied with the operation procedure. Twenty-one (91%) patients reported that the procedure met theirexpectations. Nineteen respondents would undergo the same operation again and would recommend treatment toothers with similar problems.Conclusion: The need for surgery associated with orthodontic appliances to correct a transverse maxillary deficiencyrequires a proper explanation to patients regarding the procedure and postoperative period in order to ensure realisticexpectations concerning the surgical goals (AU)
