Problemi correnti
La respirazione orale e il ruolo della malocclusione
ORAL BREATHING AND MALOCCLUSION
EDOARDO BERNKOPF1, VANNA BROIA2, ANA MARIA BERTARINI3, PIERO POLCINO4,FRANCESCO MACRÌ5
1Specialista in Odontostomatologia, Vicenza e Roma;
2Specialista in Odontostomatologia, Parma;
3Logopedista, Vicenza;
4Pediatra A.O. “G. Rummo” e Libero Professionista, Benevento;
5Pediatra Libero Professionista, Roma
Febbraio 2002 - pagg. 107 -112
Abstract
Abnormal development of cranio-mandibular structures may represent an alternative, or complementary,
explanation for many cases of oral breathing and obstructive sleep apnoea syndrome
in childhood. They report the beneficial and prompt effects on symptoms obtained with
orthodontic treatment, such as the use for a few weeks of a mandibular advancement splint. A
diagnostic approach to oral breathing is necessary to identify cases who may benefit from
orthodontic treatment or oral devices, as adjunctive or alternative intervention, since interventions
aimed solely at treating upper airway obstruction may be ineffective or insufficient.
Early multidisciplinary diagnosis and treatment of subjects with oral breathing may also prevent
further structural and functional abnormalities.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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2. Friedman M, Tanyeri H, Lim JW, et al. Effect of improved nasal breathing on obstructive sleep apnea. Otolaryngol Head Neck Surg 2000;122(1):71-4.
3. Nandapalan V, McCormick MS, Jones TM, Gibson H. Does adenotonsillectomy cure hypoxaemia in children with sleep apnoea and congenital cardiac pathology? Int J Pediatr Otorhinolaryngol 1999;50(1):55-62. 4.Finkelstein Y, Wexler D, Berger G, Nachmany A. Anatomical Basis of Sleep-Related Breathing Abnormalities in Children With Nasal Obstruction. Arch Otolaryng Head Neck Surg 2000;126:593-600.
5. Bernkopf E, Caponera O, Broia V, Bertarini AM. Effetti sulla struttura cranio-mandibolovertebrale dell’allattamento artificiale. Medico e Bambino 2000;19(4):234-6.
6. Passali D, Bellussi L, Lauriello M. Attività ciclica della mucosa nasale: relazione tra trasporto muco-ciliare e produzione locale di immunoglobuline secretorie. Acta Otothinol Ital 1990;10:161-71.
7. Bernkopf E, Bertarini AM, Broia V. Il lavaggio della mucosa rinosinusale con soluzione idrosalina calda. Il Medico Pediatra 1998;7(3).
8. Villa MP, Bertarini A, Pagani J, et al. Terapia miofunzionale in bambini con ostruzione delle alte vie respiratorie. Rivista Italiana di Pediatria 2001;27:229-56.
9. Sasamura Y, Kudo F. Study on the effects of adenoid-tonsillar operation in infants under 2 years of age. Nippon Jibiinkoka Gakkai Kaiho 1999;102(9):1022.
10. Wells MD, Vu TA, Luce EA. Incidence and sequelae of nocturnal respiratory obstruction following posterior pharyngeal flap operation. Ann Plast Surg 1999;43(3):252-7.
11. Bondemark L, Lindman F. Craniomandibular status and function in patients with habitual snoring and obstructive sleep apnoea after nocturnal treatment with a mandibular advancement splint: a 2-year follow-up. Eur J Orthod 2000.
12. Henke KG, Frantz DE, Kuna ST. An Oral Elastic Mandibular Advancement Device for Obstructive Sleep Apnea. Am J Respir Crit Care Med 2000;161(2):420-5.
13. Johal A, Battagel JM. An investigation into the changes in airway dimension and the efficacy of mandibular advancement appliances in subjects with obstructive sleep apnoea. Br J Orthod 1999;26(3):205-10.
14. Lavigne GJ, Goulet JP, Zucconi M, et al. Sleep disorders and the dental patient: an overview. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88(3):257-72.
15. Pancer J, Al-Faifi S, Al-Faifi M, Hoffstein V. Evaluation of variable mandibular advancement appliance for treatment of snoring and sleep apnea. Chest 1999;116(6):1511-8.
16. Rondeau BH. Dentist’s role in the treatment of snoring and sleep apnea. Funct Orthod 1998;15(1):4-6.
17. Raskin S, Limme M, Poirrier R, et al. Orthodontic contribution in sleep apnea. Orthod Fr 1997;68(1):227-36.
18. Ryan CF, Love LL, Peat D, et al. Mandibular advancement oral appliance therapy for obstructive sleep apnoea: effect on awake calibre of the velopharynx. Thorax 1999;54(11): 972-7.
19. Villa MP, Bernkopf E, Pagani J, Broia V, Montesano M, Ronchetti R. Randomized Controlled Study of an Oral Jaw-Positioning Appliance for the Treatment of Obstructive Sleep Apnea in Children with Malocclusion. American Journal of Respiratory and Critical Care Medicine Volume 165, Number 1, January 2002;123-27.
20. Bernkopf E. Malocclusione nelle otiti recidivanti e croniche. Medico e Bambino 1987; 7:51-4.
21. Bernkopf E, Maraggia A, Anselmi S. Ortodonzia e cefalee miotensive nel bambino. Medico e Bambino 1990;8:518-21.
2. Friedman M, Tanyeri H, Lim JW, et al. Effect of improved nasal breathing on obstructive sleep apnea. Otolaryngol Head Neck Surg 2000;122(1):71-4.
3. Nandapalan V, McCormick MS, Jones TM, Gibson H. Does adenotonsillectomy cure hypoxaemia in children with sleep apnoea and congenital cardiac pathology? Int J Pediatr Otorhinolaryngol 1999;50(1):55-62. 4.Finkelstein Y, Wexler D, Berger G, Nachmany A. Anatomical Basis of Sleep-Related Breathing Abnormalities in Children With Nasal Obstruction. Arch Otolaryng Head Neck Surg 2000;126:593-600.
5. Bernkopf E, Caponera O, Broia V, Bertarini AM. Effetti sulla struttura cranio-mandibolovertebrale dell’allattamento artificiale. Medico e Bambino 2000;19(4):234-6.
6. Passali D, Bellussi L, Lauriello M. Attività ciclica della mucosa nasale: relazione tra trasporto muco-ciliare e produzione locale di immunoglobuline secretorie. Acta Otothinol Ital 1990;10:161-71.
7. Bernkopf E, Bertarini AM, Broia V. Il lavaggio della mucosa rinosinusale con soluzione idrosalina calda. Il Medico Pediatra 1998;7(3).
8. Villa MP, Bertarini A, Pagani J, et al. Terapia miofunzionale in bambini con ostruzione delle alte vie respiratorie. Rivista Italiana di Pediatria 2001;27:229-56.
9. Sasamura Y, Kudo F. Study on the effects of adenoid-tonsillar operation in infants under 2 years of age. Nippon Jibiinkoka Gakkai Kaiho 1999;102(9):1022.
10. Wells MD, Vu TA, Luce EA. Incidence and sequelae of nocturnal respiratory obstruction following posterior pharyngeal flap operation. Ann Plast Surg 1999;43(3):252-7.
11. Bondemark L, Lindman F. Craniomandibular status and function in patients with habitual snoring and obstructive sleep apnoea after nocturnal treatment with a mandibular advancement splint: a 2-year follow-up. Eur J Orthod 2000.
12. Henke KG, Frantz DE, Kuna ST. An Oral Elastic Mandibular Advancement Device for Obstructive Sleep Apnea. Am J Respir Crit Care Med 2000;161(2):420-5.
13. Johal A, Battagel JM. An investigation into the changes in airway dimension and the efficacy of mandibular advancement appliances in subjects with obstructive sleep apnoea. Br J Orthod 1999;26(3):205-10.
14. Lavigne GJ, Goulet JP, Zucconi M, et al. Sleep disorders and the dental patient: an overview. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88(3):257-72.
15. Pancer J, Al-Faifi S, Al-Faifi M, Hoffstein V. Evaluation of variable mandibular advancement appliance for treatment of snoring and sleep apnea. Chest 1999;116(6):1511-8.
16. Rondeau BH. Dentist’s role in the treatment of snoring and sleep apnea. Funct Orthod 1998;15(1):4-6.
17. Raskin S, Limme M, Poirrier R, et al. Orthodontic contribution in sleep apnea. Orthod Fr 1997;68(1):227-36.
18. Ryan CF, Love LL, Peat D, et al. Mandibular advancement oral appliance therapy for obstructive sleep apnoea: effect on awake calibre of the velopharynx. Thorax 1999;54(11): 972-7.
19. Villa MP, Bernkopf E, Pagani J, Broia V, Montesano M, Ronchetti R. Randomized Controlled Study of an Oral Jaw-Positioning Appliance for the Treatment of Obstructive Sleep Apnea in Children with Malocclusion. American Journal of Respiratory and Critical Care Medicine Volume 165, Number 1, January 2002;123-27.
20. Bernkopf E. Malocclusione nelle otiti recidivanti e croniche. Medico e Bambino 1987; 7:51-4.
21. Bernkopf E, Maraggia A, Anselmi S. Ortodonzia e cefalee miotensive nel bambino. Medico e Bambino 1990;8:518-21.