Influence of malocclusion and orthodontic treatment in the masticatory efficiency of patients with craniofacial disorders
This study evaluates masticatory efficiency in orthodontic patients with craniofacial disorders compared to controls without, considering the effect of an orthodontic appliance and malocclusion. A total of 119 participants (7–21 years), divided into a craniofacial disorder and control group (n = 42...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Heliyon |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024043524 |
| _version_ | 1827293958168903680 |
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| author | Christina Weismann Maria Schmidt Josephine Effert Gregor Slavicek Florian Slavicek Matthias C. Schulz Christian F. Poets Bernd Koos Maite Aretxabaleta |
| author_facet | Christina Weismann Maria Schmidt Josephine Effert Gregor Slavicek Florian Slavicek Matthias C. Schulz Christian F. Poets Bernd Koos Maite Aretxabaleta |
| author_sort | Christina Weismann |
| collection | DOAJ |
| description | This study evaluates masticatory efficiency in orthodontic patients with craniofacial disorders compared to controls without, considering the effect of an orthodontic appliance and malocclusion. A total of 119 participants (7–21 years), divided into a craniofacial disorder and control group (n = 42 and n = 77; mean age 13.5 ± 5.2 and 14.2 ± 3.3 years) were included. Masticatory efficiency was evaluated using a standard food model test, where masticated test food bodies were analyzed, and parameters like particle number (n) and area (mm2) were recorded. This study newly introduced the masticatory efficiency index (MEI), which encompasses the above terms (number and area), with a high MEI being an indicator of high masticatory ability. Younger orthodontic patients with a craniofacial disorder had a significantly decreased MEI (0.50 ± 0.25 n/mm2) compared to patients without (1.10 ± 0.48 n/mm2; p = 0.02). The presence of a crossbite significantly decreased masticatory efficiency, particularly in craniofacial disorder patients (0.69 ± 1.44 n/mm2) versus controls (0.89 ± 1.00 n/mm2, p = 0.04). As treatment progressed with age and fixed appliances, mastication group differences became non-significant, suggesting that patients with a craniofacial disorder were catching up to healthy controls in the rehabilitation of their masticatory function. Considering an early diagnosis of malocclusion during orthodontic therapy in combination with speech therapy can avoid negative malocclusion effects with growth, caused by muscle imbalances. |
| first_indexed | 2024-04-24T13:48:48Z |
| format | Article |
| id | doaj.art-efa227fc15184a729485a8918b55f428 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-24T13:48:48Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-efa227fc15184a729485a8918b55f4282024-04-04T05:07:10ZengElsevierHeliyon2405-84402024-03-01106e28321Influence of malocclusion and orthodontic treatment in the masticatory efficiency of patients with craniofacial disordersChristina Weismann0Maria Schmidt1Josephine Effert2Gregor Slavicek3Florian Slavicek4Matthias C. Schulz5Christian F. Poets6Bernd Koos7Maite Aretxabaleta8Department of Orthodontics, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, Germany; Corresponding author.Department of Orthodontics, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, GermanyDepartment of Orthodontics, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, GermanyOrehab Minds GmbH, Zettachring 2, 70567, Stuttgart, GermanyOrehab Minds GmbH, Zettachring 2, 70567, Stuttgart, GermanyDepartment of Oral and Maxillofacial Surgery, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, GermanyDepartment of Neonatology, University Hospital Tuebingen, Calwerstr. 7, 72076, Tuebingen, GermanyDepartment of Orthodontics, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, GermanyDepartment of Orthodontics, University Hospital Tuebingen, Osianderstr. 2-8, 72076, Tuebingen, GermanyThis study evaluates masticatory efficiency in orthodontic patients with craniofacial disorders compared to controls without, considering the effect of an orthodontic appliance and malocclusion. A total of 119 participants (7–21 years), divided into a craniofacial disorder and control group (n = 42 and n = 77; mean age 13.5 ± 5.2 and 14.2 ± 3.3 years) were included. Masticatory efficiency was evaluated using a standard food model test, where masticated test food bodies were analyzed, and parameters like particle number (n) and area (mm2) were recorded. This study newly introduced the masticatory efficiency index (MEI), which encompasses the above terms (number and area), with a high MEI being an indicator of high masticatory ability. Younger orthodontic patients with a craniofacial disorder had a significantly decreased MEI (0.50 ± 0.25 n/mm2) compared to patients without (1.10 ± 0.48 n/mm2; p = 0.02). The presence of a crossbite significantly decreased masticatory efficiency, particularly in craniofacial disorder patients (0.69 ± 1.44 n/mm2) versus controls (0.89 ± 1.00 n/mm2, p = 0.04). As treatment progressed with age and fixed appliances, mastication group differences became non-significant, suggesting that patients with a craniofacial disorder were catching up to healthy controls in the rehabilitation of their masticatory function. Considering an early diagnosis of malocclusion during orthodontic therapy in combination with speech therapy can avoid negative malocclusion effects with growth, caused by muscle imbalances.http://www.sciencedirect.com/science/article/pii/S2405844024043524 |
| spellingShingle | Christina Weismann Maria Schmidt Josephine Effert Gregor Slavicek Florian Slavicek Matthias C. Schulz Christian F. Poets Bernd Koos Maite Aretxabaleta Influence of malocclusion and orthodontic treatment in the masticatory efficiency of patients with craniofacial disorders Heliyon |
| title | Influence of malocclusion and orthodontic treatment in the masticatory efficiency of patients with craniofacial disorders |
| title_full | Influence of malocclusion and orthodontic treatment in the masticatory efficiency of patients with craniofacial disorders |
| title_fullStr | Influence of malocclusion and orthodontic treatment in the masticatory efficiency of patients with craniofacial disorders |
| title_full_unstemmed | Influence of malocclusion and orthodontic treatment in the masticatory efficiency of patients with craniofacial disorders |
| title_short | Influence of malocclusion and orthodontic treatment in the masticatory efficiency of patients with craniofacial disorders |
| title_sort | influence of malocclusion and orthodontic treatment in the masticatory efficiency of patients with craniofacial disorders |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024043524 |
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