대한치과교정학회지 (The korean journal of orthodontics)

  • 제48권3호
  • /
  • Pages.133-142
  • /
  • 2018
  • /
  • 2234-7518(pISSN)
  • /
  • 2005-372X(eISSN)
대한치과교정학회 (The Korean Association Of Orthodontists)
권호 표지
DOI QR코드

DOI QR Code

Three-dimensional morphological evaluation of the hard palate in Korean adults with mild-to-moderate obstructive sleep apnea

  • Yu, Chen (Department of Orthodontics, Medical College of Xiamen University) ;
  • Ahn, Hyo-Won (Department of Orthodontics, Graduate School, Kyung Hee University) ;
  • Kim, Seong-Hun (Department of Orthodontics, Graduate School, Kyung Hee University)
  • 투고 : 2017.07.03
  • 심사 : 2017.10.01
  • 발행 : 2018.05.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: The purpose of this study was to evaluate differences in three-dimensional (3D) morphology of the hard palate between Korean adults with and without mild-to-moderate obstructive sleep apnea (OSA) using cone-beam computed tomographic (CBCT) data. Methods: The protocol for the two-dimensional (2D) and 3D mathematical modeling was established by analyzing CBCT images of 30 adults with OSA and 30 matched controls without OSA, using MIMICS software. The linear and angular measurements were also determined using this software. The measurements were repeated for 30 palates, by the same operator, to assess reliability. Results: The palates of OSA patients were higher in the posterior part and narrower in the anterior-superior part than those of the control group (p < 0.05). The nasal cavities of patients with OSA were narrower (p < 0.05) than those of controls. The increasing angle of the first molar palatal root is a compensation of the upper dental arch to improve occlusion. However, for most palatal measurements, there were no significant differences between the OSA and control groups (p > 0.05). The results of 2D and 3D mathematical models were consistent for linear and angular measurements, indicating that 2D and 3D mathematical modeling of the palate is a reliable methodology. Conclusions: OSA is a multifactorial disease; the palates of adults with mild-to-moderate OSA do not have specific morphological features distinct from those of healthy controls.

키워드

참고문헌

  1. Strollo PJ Jr, Rogers RM. Obstructive sleep apnea. N Engl J Med 1996;334:99-104. https://doi.org/10.1056/NEJM199601113340207
  2. Hudgel DW. Mechanisms of obstructive sleep apnea. Chest 1992;101:541-9. https://doi.org/10.1378/chest.101.2.541
  3. Susarla SM, Thomas RJ, Abramson ZR, Kaban LB. Biomechanics of the upper airway: Changing concepts in the pathogenesis of obstructive sleep apnea. Int J Oral Maxillofac Surg 2010;39:1149-59. https://doi.org/10.1016/j.ijom.2010.09.007
  4. Basner RC, Simon PM, Schwartzstein RM, Weinberger SE, Weiss JW. Breathing route influences upper airway muscle activity in awake normal adults. J Appl Physiol (1985) 1989;66:1766-71. https://doi.org/10.1152/jappl.1989.66.4.1766
  5. Morris LG, Burschtin O, Lebowitz RA, Jacobs JB, Lee KC. Nasal obstruction and sleep-disordered breathing: a study using acoustic rhinometry. Am J Rhinol 2005;19:33-9.
  6. Cistulli PA, Sullivan CE. Sleep-disordered breathing in Marfan's syndrome. Am Rev Respir Dis 1993;147:645-8. https://doi.org/10.1164/ajrccm/147.3.645
  7. Cistulli PA, Richards GN, Palmisano RG, Unger G, Berthon-Jones M, Sullivan CE. Influence of maxillary constriction on nasal resistance and sleep apnea severity in patients with Marfan's syndrome. Chest 1996;110:1184-8. https://doi.org/10.1378/chest.110.5.1184
  8. Lione R, Franchi L, Huanca Ghislanzoni LT, Primozic J, Buongiorno M, Cozza P. Palatal surface and volume in mouth-breathing subjects evaluated with threedimensional analysis of digital dental casts-a controlled study. Eur J Orthod 2015;37:101-4. https://doi.org/10.1093/ejo/cju018
  9. Kecik D. Three-dimensional analyses of palatal morphology and its relation to upper airway area in obstructive sleep apnea. Angle Orthod 2017;87:300-6. https://doi.org/10.2319/051116-377.1
  10. Ferrario VF, Sforza C, Miani A Jr, Tartaglia G. Mathematical definition of the shape of dental arches in human permanent healthy dentitions. Eur J Orthod 1994;16:287-94. https://doi.org/10.1093/ejo/16.4.287
  11. Brunner J, Fuchs S, Perrier P. On the relationship between palate shape and articulatory behavior. J Acoust Soc Am 2009;125:3936-49. https://doi.org/10.1121/1.3125313
  12. Kuczmarski RJ, Flegal KM. Criteria for definition of overweight in transition: background and recommendations for the United States. Am J Clin Nutr 2000;72:1074-81. https://doi.org/10.1093/ajcn/72.5.1074
  13. Houston WJ. The analysis of errors in orthodontic measurements. Am J Orthod 1983;83:382-90. https://doi.org/10.1016/0002-9416(83)90322-6
  14. Maeda K, Tsuiki S, Fukuda T, Takise Y, Inoue Y. Is maxillary dental arch constriction common in Japanese male adult patients with obstructive sleep apnoea? Eur J Orthod 2014;36:403-8. https://doi.org/10.1093/ejo/cjt058
  15. Hershey HG, Stewart BL, Warren DW. Changes in nasal airway resistance associated with rapid maxillary expansion. Am J Orthod 1976;69:274-84. https://doi.org/10.1016/0002-9416(76)90076-2
  16. Cistulli PA. Craniofacial abnormalities in obstructive sleep apnoea: implications for treatment. Respirology 1996;1:167-74. https://doi.org/10.1111/j.1440-1843.1996.tb00028.x

피인용 문헌

  1. Preliminary comparison of three-dimensional reconstructed palatal morphology in subjects with different sagittal and vertical patterns vol.20, pp.None, 2020, https://doi.org/10.1186/s12903-020-1041-9