Fátima Rosana Albertini
Title: Relationship between respiratory sleep disorders and maxillary hypoplasia: New proposal for treatment of malocclusions using planas direct and indirect compound tracks on mixed primary and permanent teeth
Biography
Biography: Fátima Rosana Albertini
Abstract
Introduction: Air pollution and respiratory allergies cause respiratory sleeps disorders (RSD) and are related with maxillary hypoplasia and malocclusion in children and adolescents. Chronic airway resistance syndrome is linked to maxillary hypoplasia, which can be treated early. Airway resistance syndrome may be present: Bruxism, speech, fear, sweating, bedwetting during sleep, daytime sleepiness and/or restlessness, headaches, anxiety, mood swings, and Attention Deficit Hyperactivity Disorder.
Objective: Dental management of mouth breathing and sleep aids the diagnosis and early treatment of maxillary hypoplasia and upper airway obstruction in the oro-naso-hypopharynx through dentition.
Materials & Methods: Diagnosis based on lateral-view and panoramic radiographs and plaster models enables treatment planning of maxilla and malocclusions by combining orthodontic techniques using a Haas palatal expander and functional orthopedic techniques using occlusal resins and planas direct and indirect compound tracks.
Results: The Haas expander is employed for transverse maxillary expansion along the piriform base of the nasal triangle. Planas direct and indirect compound tracks provide continued plus treatment of malocclusions in RSD, with advancement and change in mandibular therapeutic positioning, directly increasing intraoral and occlusal vertical dimensions in primary and mixed dentition.
Discussion: Maxillary expansion improves nasal permeability and, allied to mandibular advancement, enables better lingual positioning in the orohypopharyngeal cavity. Occlusion and adjusted vector forces can help neuromuscular growth, development and tone, and airway synchrony with balanced lingual position.
Conclusion: Children and adolescents with DRS, rhinitis, recurrent tonsillitis, subjected or not to adenotonsillectomy, benefit from early treatment with planas direct and indirect compound tracks for mouth breathing and sleep, maxillary hypoplasia, malocclusion and airways, and prevent suffering.