Mestrado Profissional em Clínica Odontológica
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Navegando Mestrado Profissional em Clínica Odontológica por Autor "Araújo, Maria Teresa Martins de"
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- ItemAlterações da morfologia craniofacial e da via aérea superior em crianças com obstrução na nasofaringe(Universidade Federal do Espírito Santo, 2016-07-01) Ballista, Paula Ramos; Araújo, Maria Teresa Martins de; Pacheco, Maria Christina Thomé; Brandão, Roberto Carlos Bodart; Vaz, Sergio Lins de AzevedoINTRODUCTION: The replacement of nasal breathing by predominantly mouth breathing leads to changes on teeth positions and facial growth. The persistence of mouth breathing during orthodontic correction risks the treatment outcome. Therefore, the respiratory function normalization is extremely important for the orthodontic treatment stability. The professional should refer a child to the otolaryngologist (ENT) when notes in a cephalometric image (CI) a nasopharynx obstruction compatible with adenoid hypertrophy (AH). OBJECTIVE: Assess craniofacial changes and upper airway (UA) morphology in CI of children with nasopharynx obstruction compatible with AH, aiming to assist the early diagnosis of sleep-disorder breathing (SDB) in childhood. METHODS: The sample consisted of 69 CI from 05-12 years old children. 33 children (16 girls and 17 boys, mean age 8.3 years) had nasopharynx width equal or minor than 5 mm (AH group) and 36 of them (20 girls and 16 boys, mean age 8.8 years) had nasopharynx width greater than 5 mm (NA group = no adenoid). It was evaluated, in different sex and age groups (5-7, 8-9 and 10-12 years old), skeletal facial pattern, oropharynx width (tonsils), UA vertical length, UA angulation and craniocervical (cc) angulation. Data were analyzed using Student’s t-test, ANOVA, Pearson’s X2 , Tukey test, and logistics regressions, with a confidence level of P<.05. RESULTS: AH group showed vertical facial growth tendency, skeletal Class II, increased oropharynx width and vertical length; increased angulation of UA and cc. Vertical length of UA increased more significantly in AH group than in NA group. CONCLUSION: The increase of UA vertical length occurs earlier and with greater intensity in children with AH. These are significant parameters for assisting the diagnosis of SDB in childhood.
- ItemAlterações faciais anatômicas e funcionais em escolares do município de Vitória, ES(Universidade Federal do Espírito Santo, 2012-07-13) Fiorott, Bruna Santos; Araújo, Maria Teresa Martins de; Pacheco, Maria Christina Thomé; Pinto, Ary dos Santos; Carvalho, Raquel Baroni deIntroduction: Mouth breathing pattern in children may have negative physical, psychological and social effects according to the intensity and duration. The relationship between mouth breathing and sleep-disordered breathing (SDB) is derived from clinical conditions ranging in increasing severity from primary snoring, to upper airway resistance syndrome and obstructive sleep apnea syndrome. The main cause of mouth breathing and SDB is associated to narrowing of the upper airway in varying degrees. This association is of concern due to its immediate or late clinical implications like disturbances in craniofacial growth, behavioral changes, impaired learning and cognitive functions, negatively influencing quality of life. Objective: Assess the prevalence of mouth breathers (MB) and the presence of facial anatomical changes that affect children with SDB, in addition to assessing self-perceived quality of life of MB. Methodology: A cross-sectional observational sample of 687 students from public schools, aged 6-12 years old, evaluated by medical history, clinical examination and lip seal tests. Self-perceived quality of life of MB was obtained through questionnaire (Ribeiro, 2006). Results: In the total sample, 520 (75,7%) students were nasal breathers and 167 (24,3%) were MB. Among MB, 40,1% had obstructive hypertrophy of the palatine tonsils, 26,4% had Mallampati score III and IV, 35,3% has excessive overjet, 23,4% had anterior open bite, 15,6% had posterior crossbite, 53.9% had atresic palate, 35.9% had interlabial gap, 31% reported problems related to sleep and 9,0% reported having the feeling of stop breathing while asleep. Conclusion: The prevalence of facial anatomical and functional changes in mouth breathers students was high, however the self-perception of quality of life was considered good. It is recommended the adoption of public health policies aimed at diagnosis, counseling and treatment of students at this age group, in which the relief of signs and symptoms can promote normal craniofacial growth and reduce future risk of SDB.
- ItemCaracterísticas craniofaciais, posturais, articulares e respiratórias e sintomas de distúrbios respiratórios do sono em escolares na faixa etária de 7 a 14 anos(Universidade Federal do Espírito Santo, 2013-08-27) Finck, Nathalia Silveira; Araújo, Maria Teresa Martins de; Pacheco, Maria Christina Thomé; Santos Neto, Edson Theodoro dos; Palombini, Luciana de OliveiraThe aim of this study was to investigate the temporomandibular, craniofacial and postural changes associated with mouth breathing and also evaluate the relationship between clinical signs and SDB symptoms in children 7 to 14 years of age. A case-control study with a sample of 147 children, 73 mouth breathers (MB) and 74 nasal breathers (NB), were evaluated by anamnesis, clinical examination and respiratory tests. The schoolchildren diagnosed as MB answered a questionnaire on self-perceived symptoms of SDB, focusing on the masticatory system, nasal and sleep problems. The presence of mouth breathing was statistically significant with the following changes: a lack of lip seal (OR=29.70), a deviation during the opening of the mouth (OR=24.63), an atresic palate (OR=5.07), a facial asymmetry (OR=5.06), an obstructive Mallampati scores (OR=2.85), a Class II malocclusion (OR=2.67) and a turbinate hypertrophy (OR=2.19). No significant difference in postural pattern was found between groups. In the MB group, TMJ problems and wake up with headache were associated with a Class II malocclusion and a lack of lip seal. Stiff neck or neck pain were associated with an altered overbite and a forward head position. Sleep problems, daytime sleepiness, waking at night, snoring and sleeping with the mouth open were associated with a tonsillar hypertrophy and obstructive Mallampati scores. The chances of occurrence of temporomandibular and craniofacial changes were high in the MB schoolchildren. The emergence of the SDB symptoms in childhood appears to be associated with the persistency of the mouth breathing and their consequent craniofacial, occlusal, postural and upper airway s abnormalities.