The influence of oral breathing type on the formation of occlusion in students of general educational institutions of the Ministry of Defense of Russian Federation

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅存取

详细

BACKGROUND: Among students of general education organizations of the Ministry of Defense of Russian Federation, respiratory diseases is the leading cause of general somatic morbidity and amount to 1543.5‰. When examining students, pathology of the upper respiratory tract is often diagnosed, such as partial or complete obstruction of the nasopharynx and/or oropharynx. Against this background, the formation of the oral type of breathing occurs, which affects the state of general somatic health and growth and development of the facial skeleton.

AIM: To evaluate the influence of oral breathing on the dentoalveolar and gnathic parameters of the maxillofacial region in students of educational institutions of the Ministry of Defense of Russian Federation.

MATERIALS AND METHODS: This study examined two groups of students aged 13–15 years from the St. Petersburg Cadet Military Corps named after Prince Alexander Nevsky: group 1, 30 cadets with oral breathing, and group 2 (control), 30 cadets with nasal breathing. All patients underwent an examination of the oral cavity, a photo protocol, scanning of the dentition, and cone-beam computed tomography of the skull bones and first cervical vertebrae in natural occlusion with a resolution of 17×15. The data were checked for normal distribution of features. The article presents arithmetic averages and their errors (M±m).

RESULTS: All the examined group 1 students with oral breathing were diagnosed with distal bite in combination with other dental anomalies: combined anomalies in the form of distal bite and disocclusion in the frontal region (56.7%); close position of the anterior group of teeth (93.3%); and unilateral (30.0%) and bilateral (13.3%) cross occlusion due to narrowing of the upper and lower jaws. In most cases, the group 1 students were diagnosed with a gnathic form of dentoalveolar anomaly (ANB parameter, 6.6±2.4°; Beta parameter, 24.7±3.1°) against the background of retroposition of the lower jaw (SNB parameter, 75.4±2.8°) and a decrease in the length of the lower jaw (Co–Gn parameter, 106.0±2.8 mm). All the group 2 (control) students had a neutral occlusion with a normal position of the upper jaw (SNA parameter, 81.4±2.1°) and a normal position of the lower jaw (SNB parameter, 79.8±1.6°) and the first skeletal class (ANB parameter, 2.3±1.1°; Beta parameter, 30.1±2.5°).

CONCLUSION: Oral breathing is accompanied by the development of disto-occlusion with the formation of a vertical gap in combination with cross occlusion in the lateral sections and close position of the anterior group of teeth against the background of a narrowing of the upper and lower jaws. Prompt diagnosis of upper respiratory tract pathology prevents the development of dentoalveolar and gnathic disorders of the maxillofacial area. To treat patients with oral breathing, a simultaneous approach is required with the involvement of a full-time otolaryngologist at the medical center.

作者简介

Natalia Sokolovich

St Petersburg University

Email: lun_nat@mail.ru
ORCID iD: 0000-0002-5621-7247
SPIN 代码: 1017-8210
Scopus 作者 ID: 57200560201

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Saint Petersburg

Anastasiya Saunina

St Petersburg University

Email: s4unina@yandex.ru
ORCID iD: 0000-0002-0328-2248
SPIN 代码: 4607-1198
Scopus 作者 ID: 57216550359

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Saint Petersburg

Vladimir Dvoryanchikov

Saint-Petersburg Research Institute of Ear, Throat, Nose and Speech

Email: 3162256@mail.ru
ORCID iD: 0000-0002-0925-7596
SPIN 代码: 3538-2406

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Saint Petersburg

Anatoli Lunev

St Petersburg University

Email: luniov2015@yandex.ru
ORCID iD: 0000-0001-7616-6144
SPIN 代码: 1868-3027
俄罗斯联邦, Saint Petersburg

Иван Soldatov

Military Medical Academy named after S.M. Kirov

编辑信件的主要联系方式.
Email: ivan-soldatov@mail.ru
ORCID iD: 0000-0001-8740-9092
SPIN 代码: 1503-1278
Scopus 作者 ID: 57195325408

MD, Cand. Sci. (Medicine), Associate Professor

俄罗斯联邦, Saint Petersburg

Olga Donskaya

Academician I.P. Pavlov First St. Petersburg State Medical University; Saint Petersburg Medical and Social Institute

Email: olia.kafedra.psz@yandex.ru
ORCID iD: 0000-0002-3477-2987
SPIN 代码: 1713-9441

MD, Cand. Sci. (Medicine)

俄罗斯联邦, Saint Petersburg; Saint Petersburg

参考

  1. Moss ML, Salentijn L. The capsular matrix. Am J Orthod. 1969;56(5):474–490. doi: 10.1016/0002-9416(69)90209-7
  2. Zicari AM, Albani F, Ntrekou P, et al. Oral breathing and dental malocclusions. Eur J Paediatr Dent. 2009;10(2):59–64.
  3. Myu D. Malocclusion of the Teeth: Orthotropic Approach. Moscow: TARKOMM; 2018. 247 p. (In Russ).
  4. Souki BQ, Pimenta GB, Souki MQ, et al. Prevalence of malocclusion among mouth breathing children: do expectations meet reality? Int J Pediatr Otorhinolaryngol. 2009;73(5):767–773. doi: 10.1016/j.ijporl.2009.02.006
  5. Petrova NP, Saunina AA, Sokolovich NA, Sverdlova SV. Harmful Habits of Children in Orthodontic Practice. Saint Petersburg: LLC “Chelovek”; 2022. 84 p. (In Russ). EDN: ZYMTLK
  6. Sano M, Sano S, Oka N, et al. Increased oxygen load in the prefrontal cortex from mouth breathing: a vector-based near-infrared spectroscopy study. Neuroreport. 2013;24(17):935–940. doi: 10.1097/WNR.0000000000000008
  7. Fensterseifer GS, Carpes O, Weckx LL, Martha VF. Mouth breathing in children with learning disorders. Braz J Otorhinolaryngol. 2013;79(5):620–624. doi: 10.5935/1808-8694.20130111
  8. Kryukov EV, Zhdanov KV, Kozlov KV, et al. Electron microscopic changes in the nasal membrane of patients with covid-19 depending on the clinical form and the period of the disease. Jurnal infektologii. 2021;13(2):5–13. EDN: UYWDWK doi: 10.22625/2072-6732-2021-13-2-5-13
  9. Gorokhov AA, Dvoryanchikov VV, Mironov VG, Panevin PA. Occurrence of sanitary ear nose throat losses. Bulletin of the Russian Military Medical Academy. 2013;41(1):170–173. EDN: QBGDZD
  10. Dvoryanchikov VV, Grebnev GA., Isachenko VS, Shafigullin AV. Odontogenic maxillary sinusitis: current state of the problem. Bulletin of the Russian Military Medical Academy. 2018;64(4):169–173. EDN: YOIRQL doi: 10.17816/brmma12341
  11. Dvoryanchikov VV, Grebnev GA, Balin VV, Shafigullin AV. Complex treatment of odontogenic maxillary sinusitis. Clinical Dentistry (Russia). 2019;(2):65–67. EDN: SEBCAP doi: 10.37988/1811-153X_2019_2_65
  12. Pavlova SS, Korneenkov AA, Dvoryanchikov VV, et al. Assessment of population health losses due to nasal obstruction based on the concept of global burden of disease: general approaches and research directions. Medical Council. 2021;(12):138–145. EDN: TRFQNY doi: 10.21518/2079-701X-2021-12-138-145
  13. Sevryukov F, Malinina O, Elina Yu. Peculiar features of morbidity of the population with disordes of the genitourinary sistem and diseases of the prostate gland, in particular, in the Russian Federation, in the Privolzhsky (Volga) Federal District, and in the Nizhni Novgorod region. Social Aspects of Population Health. 2011;(6):8. EDN: OPGNQF
  14. Kadyrov ZA, Faniev MV, Prokopyev YV, et al. Reproductive health of the Russian population as a key factor in demographic dynamics. The Bulletin of Contemporary Clinical Medicine. 2022;15(5):100–106. EDN: FPJIAU doi: 10.20969/VSKM.2022.15(5).100-106
  15. Agarwal R, Sharma L. Comparison of different angular measurements to assess sagittal Jaw discrepancy in Jaipur population — a cephelometric study. IOSR Journal of Dental and Medical Sciences. 2013;10(1):33–36. doi: 10.9790/0853-1013336
  16. Sokolovich NA, Saunina AA, Mikhailova ES, Soldatov IK. Evaluation of dental anomalies in pupils of educational institutions of the ministry of defense of Russia and its impact on the level of anxiety. Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations. 2022;(4):58–64. EDN: RGFWFC doi: 10.25016/2541-7487-2022-0-3-58-64
  17. Certificate of state registration of the database RU 2023624691. Soldatov IK, Makiev RG, Arsentev VG, Soldatov AN. Indicators of somatic health and morbidity among students enrolled in general education institutions of the Ministry of Defense of Russia for the years 2009–2022. Published 18/12/2023. (In Russ). EDN: JSFTMF
  18. Soldatova LN, Iordanishvili AK. Occurrence of dentoalveolar anomalies in young men residing in megalopolis and its suburbs. Kursk Scientific and Practical Bulletin Man and His Health. 2016;(2):45–49. EDN: WDNGCX doi: 10.21626/vestnik/2016-2/08
  19. Iordanishvili AK, Soldatova LN. Description and features of the bite in applicants of higher military educational institutions. Journal of Volgograd State Medical University. 2016;(3):55–57. EDN: WMIDWR
  20. Soldatova LN, Iordanishvili AK, Kerimkhanov KA. Orthodontic help to cadets of highest military educational institutions: challenges and future trends. Kursk Scientific and Practical Bulletin Man and His Health. 2016;(2):16–19. EDN: WDNGAF doi: 10.21626/vestnik/2016-2/03
  21. Iordanishvili AK, Soldatova LN. Stomatological health of the military men and their needs in the dentoprosthetic and orthodontic assistance. Bulletin of the Russian Military Medical Academy. 2016;(4):36–38. EDN: XHUBHB
  22. Certificate of state registration of the database RU 2023622392. Soldatov AN, Soldatov IK, Grebnev GA, Kovalchuk SV. Database of the dental health status of students in general education institutions of the Ministry of Defense of Russia. Published 13/07/2023. (In Russ). EDN: XRDLVE doi: 10.17816/dent626305
  23. Pont A. The tooth index in orthodontics. Zeitschrift Zahnärztl Orthopäde. 1909;(3):306–321. (In Germany).
  24. Minaev YuL, Kuvakin VI, Zubov NN, et al. Economic-mathematical methods of modeling and data analysis (using the example of solving specific problems in dentistry). Moscow: Limited Liability Company “Publisher” Mir nauki”; 2019. (In Russ). EDN: BHMZEH
  25. Denotti G, Ventura S, Arena O, Fortini A. Oral breathing: new early treatment protocol. J Pediatr Neonat Individual Med. 2014;3(1):e030108.
  26. Sokolovich N, Petrova NP, Grigoriev IV, et al. The change of volume, pH and microbiota of unstimulated oral fluid of oral cavity during orthodontic treatment with fixed appliances. International Journal of Pharmaceutical Research. 2020;12(3):638–642. EDN: ZCBDQU doi: 10.31838/ijpr/2020.12.03.093
  27. Peltomäki T. The effect of mode of breathing on craniofacial growth — revisited. Eur J Orthod. 2007;29(5):426–429. doi: 10.1093/ejo/cjm055
  28. Mattar SE, Valera FC, Faria G, et al. Changes in facial morphology after adenotonsillectomy in mouth-breathing children. Int J Paediatr Dent. 2011;21(5):389–396. doi: 10.1111/j.1365-263X.2011.01117.x
  29. Mattar SE, Matsumoto MA, Valera FC, et al. The effect of adenoidectomy or adenotonsillectomy on occlusal features in mouth breathing preschoolers. Pediatr Dent. 2012;34(2):108–112.
  30. Saunina AA. Clinical justification of the airway assessment method in orthodontic patients [dissertation]. Saint Petersburg; 2023. (In Russ). EDN: BJHWUY
  31. Alves PV, Zhao L, O’Gara M, et al. Three-dimensional cephalometric study of upper airway space in skeletal class II and III healthy patients. J Craniofac Surg. 2008:19(6):1497–1507. doi: 10.1097/SCS.0b013e31818972ef

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. 1. Patient N., 14 years old, first group. Distal bite, narrowing of the upper jaw in the premolar and molar area, protrusion of incisors in the upper jaw, supra-eruption of tooth 2.3, presence of a supernumerary tooth 2.2, displacement of the esthetic center in the lower jaw, catarrhal gingivitis. According to ICD-10: distal bite K07.20: а — frontal view of dental arches; b — right side of dental arches; c — left side of dental arches.

下载 (273KB)
索引源数据
3. Fig. 2. Changes in the anterior and posterior width of the dental arch of the upper and lower jaws according to the Pont method: а — the anterior width of the upper jaw is the line connecting the midpoints of the fissures of the first premolars; the posterior width of the upper jaw is the line connecting the deepest point of the primary fissure or the anterior intersections of the fissures of the first permanent molars; b — the anterior width of the lower jaw is the line connecting the distal contact points of the first premolars; the posterior width of the lower jaw is the line connecting the distal buccal cusps (molar with 4 cusps) or the central cusps (molar with 5 cusps) of the first permanent molars.

下载 (165KB)
索引源数据
4. Fig. 3. Patient A, 13 years old, first group. The results of the three-dimensional cephalometric analysis performed using the Dolphin program (Dolphin Imaging & Management Solutions, Chatsworth, USA).

下载 (301KB)
索引源数据

版权所有 © Eco-Vector, 2024


 


##common.cookie##