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BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Denture | Research

Impact of occlusal reconstruction positions on airway dimensions in patients with edentulism and long centric occlusion

Authors: Huiying He, Sheng Zhang, Jun Xu

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Objective

To study the airway changes of edentulous patients with a magnitude of long centric (MLC) ≥ 1.5 mm during occlusal reconstruction at the centric relation position (CRP) and muscular position (MP).

Methods

The CRP and MP were determined by Gothic arch. The cephalometric analysis was taken at the two occlusal positions. The sagittal distance of each part of the upper airway was measured. The differences between two occlusal positions were compared. The difference values were calculated by subtracting the two. The correlation between the MLC and the difference value was analyzed.

Results

The sagittal diameters of palatopharynx and glossopharynx airway at MP were statistically larger than those at CRP (P < 0.05). The MLC had a strong correlation with the ANB angle (r = 0.745, P < 0.001).

Conclusion

Compared with the occlusal position of CRP, occlusion reconstruction at MP can provide better airway condition for edentulous patients with large MLC.
Literature
1.
Newell Wood G. Centric relation and the treatment position in rehabilitating occlusions: a physiologic approach. Part I: developing an optimum mandibular posture. J Prosthetic Dent. 1988;59(6):647–51.CrossRef
2.
Newell Wood G. Centric relation and the treatment position in rehabilitating occlusions: a physiologic approach. Part II: the treatment position. J Prosthetic Dent. 1988;60(1):15–8.CrossRef
3.
Lammie GA, Perry HT, Crumm BD. Certain observations on a complete denture patient. Part I: method and results. J Prosthet Dent. 1958;8(5):786–95.CrossRef
4.
5.
Hall RE. Full denture construction. J Am Dent Assoc. 1929;16(6):1157–98.
6.
Boos RH. Intermaxillary relation established by biting power. J Am Dent Assoc. 1940;27(8):1192–9.CrossRef
7.
Posselt U. Studies in the mobility of the human mandible. Acta Odontol Scand. 1952;10(Suppl):19–160.
8.
Watanabe Y. Use of personal computers for gothic arch tracing: Analysis and evaluation of horizontal mandibular positions with edentulous prosthesis. J Prosthet Dent. 1999;82:562–72.CrossRefPubMed
9.
Omatsu M. A study on the tapping point drawing method for registration of maxillomandibular relationships in edentulous patients: part I. Influence of the tapping force on the tapping point. Bull Tokyo Dent Coll. 1996;37:63–9.PubMed
10.
Li SY, Xu J. Evaluation of mesial displacement of mandibular complete dentures with long-centric occlusal pattern. Zhonghua Kou Qiang Yi Xue Za Zhi. 2008;43(7):418–21.PubMed
11.
Liu JZ, Xu J. Relationship of the terminal position of the muscular contraction path and centric relation position in different vertical dimension. Beijing Da Xue Xue Bao Yi Xue Ban. 2010;42(1):56–9 (Chinese).PubMed
12.
13.
Hasan Suat Gokce, Sila Mermut Gokce, Erol Akin, Osman Bengi. Effects of complete denture wearing on the head posture and posterior airway space: a cephalometric study. J Dent Sci. 2011;6:6–13
14.
Isono S, Tanaka A, Sho Y, Konno A, Nishino T. Advancement of the mandible improves velopharyngeal airway patency. J Appl Physiol (1985). 1995;79(6):2132–8.CrossRefPubMed
15.
Ryan CF, Love LL, Peat D, Fleetham JA, Lowe AA. Mandibular advancement oral appliance therapy for obstructive sleep apnoea: effect on awake calibre of the velopharynx. Thorax. 1999;54(11):972–7.CrossRefPubMedPubMedCentral
16.
Jia P, Fu M, Zeng X. Changes of upper airway morphology induced by mandibular advancement in patients with obstructive sleep apnea syndrome. Beijing Da Xue Xue Bao Yi Xue Ban. 2003;35(6):663–7 (Chinese).PubMed
17.
Burkhard JP, Dietrich AD, Jacobsen C, Roos M, Lübbers HT, Obwegeser JA. Cephalometric and three-dimensional assessment of the posterior airway space and imaging software reliability analysis before and after orthognathic surgery. J Craniomaxillofac Surg. 2014;42(7):1428–36.CrossRefPubMed
18.
Greco JM, Frohberg U, Van Sickels JE. Long-term airway space changes after mandibular setback using bilateral sagittal split osteotomy. Int J Oral Maxillofac Surg. 1990;19(2):103–5.CrossRefPubMed
19.
Eggensperger N, Smolka W, Iizuka T. Long-term changes of hyoid bone position and pharyngeal airway size following mandibular setback by sagittal split ramus osteotomy. J Craniomaxillofac Surg. 2005;33(2):111–7.CrossRefPubMed
20.
Kawakami M, Yamamoto K, Fujimoto M, Ohgi K, Inoue M, Kirita T. Changes in tongue and hyoid positions, and posterior airway space following mandibular setback surgery. J Craniomaxillofac Surg. 2005;33(2):107e110.CrossRef
21.
Marsan G, Oztas E, Cura N, Kuvat SV, Emekli U. Changes in head posture and hyoid bone position in Turkish Class III patients after mandibular setback surgery. J Craniomaxillofac Surg. 2010;38(2):113–21.CrossRefPubMed
22.
Hong JS, Park YH, Kim YJ, Hong SM, Oh KM. Three-dimensional changes in pharyngeal airway in skeletal class III patients undergoing orthognathic surgery. J Oral Maxillofac Surg. 2011;69(11):401–8.CrossRef
23.
Liu Y, Lowe AA, Fleetham JA, Park YC. Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea. Am J Orthod Dentofacial Orthop. 2001;120(6):639–47.CrossRefPubMed
24.
Ciscar MA, Juan G, Martínez V, Ramón M, Lloret T, Mínguez J, Armengot M, Marín J, Basterra J. Magnetic resonance imaging of the pharynx in OSA patients and healthy subjects. Eur Respir J. 2001;17(1):79–86.CrossRefPubMed
25.
de Souza Carvalho AC, Magro Filho O, Garcia IR, Araujo PM, Nogueira RL. Cephalometric and three-dimensional assessment of superior posterior airway space after maxillomandibular advancement. Int J Oral Maxillofac Surg. 2012;41(9):1102–11.CrossRefPubMed
26.
Kato J, Isono S, Tanaka A, Watanabe T, Araki D, Tanzawa H, Nishino T. Dose-dependent effects of mandibular advancement on pharyngeal mechanics and nocturnal oxygenation in patients with sleep-disordered breathing. Chest. 2000;117(4):1065–72.CrossRefPubMed
27.
Gao XM, Otsuka R, Ono T, Honda E, Sasaki T, Kuroda T. Changes in shape of upper airway during titrated mandibular advancement: a magnetic resonance imaging study. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2005;40(2):137–40 (Chinese).PubMed
28.
Schwab RJ, Pack AI, Gupta KB, Metzger LJ, Oh E, Getsy JE, Hoffman EA, Gefter WB. Upper airway and soft tissue structural changes induced by CPAP in normal subjects. Am J Respir Crit Care Med. 1996;154(4 Pt 1):1106–16.CrossRefPubMed
29.
Tsuiki S, Hiyama S, Ono T, Imamura N, Ishiwata Y, Kuroda T, Lowe AA. Effects of a titratable oral appliance on supine airway size in awake non-apneic individuals. Sleep. 2001;24(5):554–60.CrossRefPubMed
30.
Gao X, Otsuka R, Ono T, Honda E, Sasaki T, Kuroda T. Effect of titrated mandibular advancement and jaw opening on the upper airway in nonapneic men: a magnetic resonance imaging and cephalometric study. Am J Orthod Dentofacial Orthop. 2004;125(2):191–9.CrossRefPubMed
31.
Tiihonen M, Heliovaara A, Partinen M, Pirinen S, Wolf J, Penttilä A. The effect of cervical inclination and body position on postmortem cephalometric airway measurements. Forensic Sci Int. 1999;103(3):145–58.CrossRef
32.
Anegawa E, Tsuyama H, Kusukawa J. Lateral cephalometric analysis of the pharyngeal airway space affected by head posture. Int J Oral Maxillofac Surg. 2008;37(9):805–9.CrossRefPubMed
Metadata
Title
Impact of occlusal reconstruction positions on airway dimensions in patients with edentulism and long centric occlusion
Authors
Huiying He
Sheng Zhang
Jun Xu
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Denture
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-02931-1

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