Three-dimensional comparison between the effects of mandibular advancement device and maxillomandibular advancement surgery on upper airway

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorFederal University of Ceará-
Autor(es): dc.contributorUniversity of Michigan-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorFederal University of Rio de Janeiro-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorArthur A. Dugoni School of Dentistry-
Autor(es): dc.creatorGurgel, Marcela-
Autor(es): dc.creatorCevidanes, Lucia-
Autor(es): dc.creatorCosta, Fabio-
Autor(es): dc.creatorPereira, Rowdley-
Autor(es): dc.creatorCunali, Paulo-
Autor(es): dc.creatorBittencourt, Lia-
Autor(es): dc.creatorRuellas, Antonio-
Autor(es): dc.creatorGonçalves, Joao-
Autor(es): dc.creatorBianchi, Jonas-
Autor(es): dc.creatorChaves, Cauby-
Data de aceite: dc.date.accessioned2025-08-21T20:32:36Z-
Data de disponibilização: dc.date.available2025-08-21T20:32:36Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2023-11-30-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1186/s12903-023-03125-5-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/309091-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/309091-
Descrição: dc.descriptionBackground: The efficacy of mandibular advancement devices (MAD) and maxillomandibular advancement (MMA) in improving upper airway (UA) patency has been described as being comparable to continuous positive airway pressure (CPAP) outcomes. However, no previous study has compared MAD and MMA treatment outcomes for the upper airway enlargement. This study aimed to evaluate three-dimensionally the UA changes and mandibular rotation in patients after MAD compared to MMA. Methods: The sample consisted of 17 patients with treated with MAD and 17 patients treated with MMA matched by weight, height, body mass index. Cone-beam computed tomography from before and after both treatments were used to measure total UA, superior/inferior oropharynx volume and surface area; and mandibular rotation. Results: Both groups showed a significant increase in the superior oropharynx volume after the treatments (p = 0.003) and the MMA group showed greater increase (p = 0.010). No statistical difference was identified in the MAD group considering the inferior volume, while the MMA group showed a significantly gain (p = 0.010) and greater volume (p = 0.024). Both groups showed anterior mandibular displacement. However, the mandibular rotation were statistically different between the groups (p < 0.001). While the MAD group showed a clockwise rotation pattern (-3.97 ± 1.07 and − 4.08 ± 1.30), the MMA group demonstrated a counterclockwise (2.40 ± 3.43 and 3.41 ± 2.79). In the MAD group, the mandibular linear anterior displacement was correlated with superior [p = 0.002 (r=-0.697)] and inferior [p = 0.004 (r = 0.658)] oropharynx volume, suggesting that greater amounts of mandibular advancement are correlated to a decrease in the superior oropharynx and an increase in the inferior oropharynx. In the MMA group, the superior oropharynx volume was correlated to mandibular anteroposterior [p = 0.029 (r=-0.530)] and vertical displacement [p = 0.047 (r = 0.488)], indicating greater amounts of mandibular advancement may lead to a lowest gain in the superior oropharynx volume, while a great mandibular superior displacement is correlated with improvements in this region. Conclusions: The MAD therapy led to a clockwise mandibular rotation, increasing the dimensions of the superior oropharynx; while a counterclockwise rotation with greater increases in all UA regions were showed in the MMA treatment.-
Descrição: dc.descriptionNational Institute of Dental and Craniofacial Research-
Descrição: dc.descriptionDepartment of Dental Clinic School of Dentistry Federal University of Ceará, 1273 Monsenhor Furtado St, CE-
Descrição: dc.descriptionDepartment of Orthodontics and Pediatric Dentistry School of Dentistry University of Michigan-
Descrição: dc.descriptionDepartment of Pneumology Division of Sleep Medicine and Biology Federal University of Sao Paulo-
Descrição: dc.descriptionDepartment of Orthodontics and Pediatric Dentistry School of Dentistry Federal University of Rio de Janeiro-
Descrição: dc.descriptionDepartment of Pediatric Dentistry School of Dentistry Sao Paulo State University (Unesp)-
Descrição: dc.descriptionDepartment of Orthodontics University of the Pacific Arthur A. Dugoni School of Dentistry-
Descrição: dc.descriptionDepartment of Pediatric Dentistry School of Dentistry Sao Paulo State University (Unesp)-
Descrição: dc.descriptionNational Institute of Dental and Craniofacial Research: R01DE024450-
Idioma: dc.languageen-
Relação: dc.relationBMC Oral Health-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectCone-Beam Computed Tomography (CBCT)-
Palavras-chave: dc.subjectMandibular advancement device-
Palavras-chave: dc.subjectMaxillomandibular advancement-
Palavras-chave: dc.subjectObstructive sleep apnea-
Palavras-chave: dc.subjectThree-dimensional assessment-
Palavras-chave: dc.subjectUpper airway-
Título: dc.titleThree-dimensional comparison between the effects of mandibular advancement device and maxillomandibular advancement surgery on upper airway-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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