* Corresponding Author
Relationship between premolar extraction on the dimension of upper airway and tongue posture in skeletal class II malocclusion
https://doi.org/10.22146/majkedgiind.74688 Hartati Zuraidah Rangkuti(1*), Aditya Rachmawati(2), Erliera Sufarnap(3)
(1) Orthodontics Specialty Program, Faculty of Dentistry, University of Sumatera Utara, Medan, North Sumatra
(2) Department of Orthodontics, Faculty of Dentistry, University of Sumatera Utara, Medan, North Sumatra
(3) Department of Orthodontics, Faculty of Dentistry, University of Sumatera Utara, Medan, North Sumatra
(*) Corresponding Author
Abstract
Correction of skeletal Class II malocclusion with camouflage orthodontic treatment generally requires the extraction of the maxillary first premolars to provide space for retraction of the maxillary incisors. Retraction of incisors changes the position of the incisors and the dimensions of the dental arch, which can cause changes in tongue posture and affect the upper airway. The purpose of this study was to determine the relationship between premolar extraction on the dimensions of upper airway and tongue posture in skeletal Class II malocclusion. This study was designed as a retrospective cohort using lateral cephalometric radiographs before and after orthodontic treatment. The samples in this study consisted of 44 samples of adult patients (n = 44) aged 18-40 years, who were divided into 2 groups: 22 subjects treated without premolar extraction and 22 subjects treated with premolar extraction. Lateral cephalometric radiographic analysis were used to measure the dimensions of the upper airway by analyzing superior posterior airway space (SPAS), middle airway space (MAS), inferior airway space (IAS), vertical airway length (VAL), and tongue posture (tongue length and height tongue) using imageJ software. No Statistically significant different changes were observed as seen from the following results: SPAS (p = 0.709), MAS (p = 0.365), IAS (p = 0.562), (p = 0.401), tongue length (p = 0.578), tongue height (p = 0.086) in the sample group without extraction premolar. No significant alterations in the upper airway and tongue posture measurement were observed in the sample group with extraction premolar. Premolar extraction with retraction on upper incisors did not affect upper airway dimensions and toung posture in skeletal Class II malocclusion.
Keywords
Full Text:
PDFReferences
1. Sukniyom P, Viteporn S. Pharyngeal airway changes following extraction versus
nonextraction treatments of class ii division 1 growing patients. Int J Oral Dent Heal. 2019;
5(3): 1–9. doi: 10.23937/2469-5734/1510094
2. Singh DD, Chaturvedi DS, Kararia DV, Goyal DD, Chowdhary DS, Singh DBP. Cone beam
evaluation of pharyngeal airway space in adult skeletal class II div I and class II div II patients
with different growth patterns. Int J Appl Dent Sci. 2022; 8(2): 323–329.
3. Cho HN, Yoon HJ, Park JH, Park YG, Kim SJ. Effect of extraction treatment on upper
airway dimensions in patients with bimaxillary skeletal protrusion relative to their vertical
skeletal pattern. Korean J Orthod. 2021; 51(3): 166–178. doi: 10.4041/kjod.2021.51.3.166
4. Horani S, El-Bialy T, Barmak AB, Rossouw PE, Michelogiannakis D. Changes in airway
dimensions following non-extraction clear aligner therapy in adult patients with mild-tomoderate
crowding. J Contemp Dent Pract. 2021; 22(3): 224–230.
5. Khaskhanova LM, Razumova SN, Serebrov DM, Gureva ZA, Vetchinkin AV, Rebrii AV, Bait SOMH. Scanning Electron Microscopy. Journal of International Dental and Medical
Research. 2022; 15(1): 107–115.
6. ElHabbak KS, Hussain F, Al-Dany AT. Threedimensional evaluation of pharyngeal airway
volume following treatment of post-pubertal patients with skeletal class II malocclusion
via miniplate-anchored herbst appliance. Al-Azhar J Dent Sci. 2020; 23(4): 435–444.
doi: 10.21608/AJDSM.2020.24966.1068
7. Feizi, AG. Evaluating oropharyngeal airway volume in patients with class II dental
relationships with extractions vs nonextraction orthodontic treatment. University of
Maryland Baltimore: Dissertation; 2021.
8. Araujo MT de S, Squeff LR. Orthodontic camouflage as a treatment alternative for skeletal class III. Dental Press J Orthod. 2021; 26(4): 1–28. doi: 10.1590/2177-6709.26.4.e21bbo4
9. Pliska BT, Tam IT, Lowe AA, Madson AM, Almeida FR. Effect of orthodontic treatment
on the upper airway volume in adults. Am J Orthod Dentofacial Orthop. 2016; 150(6): 937–944. doi: 10.1016/j.ajodo.2016.05.013
10. Hang WM, Gelb M. Airway Centric® TMJ philosophy/Airway Centric® orthodontics
ushers in the post-retraction world of orthodontics. Cranio. 2017; 35(2): 68–78.
doi: 10.1080/08869634.2016.1192315
11. Ng JH, Ward LM, Shea M, Hart L, Guerino P, Scholle SH. Explaining the relationship
between minority group status and health disparities: a review of selected concepts.
Health Equity. 2019; 3(1): 47–60. doi: 10.1089/heq.2018.0035
12. Nasser A, Alshammari R, Al-Jewair T, Aldosari M, Sahar A. Post-orthodontic pharyngeal
airway changes following first premolar extraction and incisor retraction in bimaxillary
protrusion patients-a retrospective study. Journal of Research in Medical and Dental
Science. 2019; 7(5): 29–38.
13. Bhatia S, Jayan B, Chopra SS. Effect of retraction of anterior teeth on pharyngeal
airway and hyoid bone position in class I bimaxillary dentoalveolar protrusion. Med J
Armed Forces India. 2016; 72(S1): S17–23. doi: 10.1016/j.mjafi.2016.06.006
14. Maurya MR kumar, Kumar CP, Sharma LCM, Nehra LCK, Singh H, Chaudhari PK. Cephalometric appraisal of the effects of orthodontic treatment on total airway dimensions in adolescents. J Oral Biol Craniofac Res. 2019; 9(1): 51–56. doi: 10.1016/j.jobcr.2018.09.004
15. Patel P, Nagaraj K, Jain A, Doshi D, Ringane A. Assessment of cephalometric changes in
pharyngeal airway involving first premolar extractions in Class II Division 1 Patients and
Class I bimaxillary protrusion patients treated with fixed mechanotherapy: a retrospective
study. IP Indian J Orthod Dentofacial Res. 2017; 3(1): 31–36.
16. Rédua RB. Different approaches to the treatment of skeletal class II malocclusion during growth: Bionator versus extraoral appliance. Dental Press J Orthod. 2020; 25(2): 69–85.
doi: 10.1590/2177-6709.25.2.069-085.bbo
17. Miles P, Fisher E, Pandis N. Assessment of the rate of premolar extraction space closure
in the maxillary arch with the AcceleDent Aura appliance vs no appliance in adolescents:
A single-blind randomized clinical trial. Am J Orthod Dentofacial Orthop. 2018; 153(1):
8–14. doi: 10.1016/j.ajodo.2017.08.007
18. Truong L, Reher P, Doan N. Correlation between upper airway dimension and TMJ
position in patients with sleep disordered breathing. Cranio. 2020; 8: 1–9.
doi: 10.1080/08869634.2020.1853465
19. Uslu-Akcam O. Pharyngeal airway dimensions in skeletal class II: A cephalometric growth
study. Imaging Sci Dent. 2017; 47(1): 1–9. doi: 10.5624/isd.2017.47.1.1
20. Wang T, Yang Z, Yang F, Zhang M, Zhao J, Chen J, Li Y. A three dimensional study of
upper airway in adult skeletal class II patients with different vertical growth patterns. PLoS
One. 2014; 9(4): 1–9. doi: 10.1371/journal.pone.0095544
21. Adrienne N, Budd L, Ison S. Grounded aircraft: An airfield operations perspective of the
challenges of resuming flights post COVID. Journal of Air Transport Management. 2020;
89: 101921. doi: 10.1016/j.jairtraman.2020.101921
22. Purwanegara MK, Sutrisna B. Mouth breathing, head posture, and prevalence of adenoid
facies in patients with upper respiratory tract obstruction. J Dent Indones. 2018; 25(1): 58–
64. Doi: 10.14693/jdi.v25i1.1203
23. Halwa HK, Yadav SK, Dutta K, Gupta SK, Shrestha R, Shah AK. Bimaxillary protrusion -
a case report. Journal of Universal College of Medical Sciences. 2019; 7(1): 70–73.
doi: 10.3126/jucms.v7i1.24697
DOI: https://doi.org/10.22146/majkedgiind.74688
Article Metrics
Abstract views : 884
| 
views : 1021
Refbacks
- There are currently no refbacks.
Copyright (c) 2022 Majalah Kedokteran Gigi Indonesia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.