Effects of diet consistency on mandibular growth. A review

Το παρόν άρθρο είναι μια ανασκόπηση που διαπραγματεύεται την επίδραση της σύστασης της διατροφής στην μορφολογία της κάτω γνάθου. Πολλές δημοσιευμένες εργασίες έχουν επικεντρωθεί στη μελέτη της σχέσης της μασητικής λειτουργίας και της αύξησης της κάτω γνάθου, εξαιτίας της θεώρησης ότι η αύξηση της κάτω γνάθου εξαρτάται απο τις φορτίσεις που ασκούνται απο τους μασητήριους μύες. Επιπρόσθετα ο σύγχρονος τρόπος διατροφής με μαλακές τροφές έχει ενοχοποιηθεί για την αύξηση των ορθοδοντικών ανωμαλιών. Ακόμα και στους επίμυς η διατροφή με μαλακή τροφή θεωρείται ένας απο τους παράγοντες που συντελεί σε ανωμαλίες της σύγκλεισης. Όλες οι δημοσιευμένες εργασίες είναι πειραματικές, κυρίως σε τρωκτικά ζώα, επειδή είναι αδύνατον να εφαρμοσθούν ανάλογες μελέτες σε ανθρώπους σε σύντομο χρονικό διάστημα. Οι περισσότερες πειραματικές μελέτες συμπεραίνουν πως οι μασητικές φορτίσεις επηρεάζουν την οστική μάζα, τη ποσότητα του οστού, τη πυκνότητα του οστού, το μήκος και το πλάτος του οστού, το βαθμό της επιμετάλωσης, την γενετική έκφραση, και την ανοσοιστοχημική αντίδραση του κολλαγόνου, όπως και τη δράση των χονδροκυττάρων στο χόνδρο του κονδύλου της κάτω γνάθου. Έχει διατυπωθεί πως το βάρος και η πυκνότητα των γνάθων επίμυων που είχαν διατραφεί με μαλακή τροφή ήταν μικρότερα απο τα αντίστοιχα των ζώων που είχαν διατραφεί με σκληρή τροφή. Επίσης οι γνάθοι και οι κόνδυλοι επίμυων που έχουν διατραφεί με μαλακή τροφή ήταν μικρότεροι σε μέγεθος και παρουσιάζουν μικρότερη πυκνότητα σε σύγκριση με τις γνάθους και τους κονδύλους των ζώων ελέγχου. Επιπρόσθετα το μήκος και το πλάτος των κονδύλων των ζώων που είχαν διατραφεί με μαλακή τροφή ήταν μικρότερα απο τα αντίστοιχα των κονδύλων των ζώων που είχαν διατραφεί με σκληρή τροφή. Η μαλακή διατροφή διαπιστώθηκε ότι επηρεάζει τέλος το βαθμό επιμετάλλωσης όπως και τη δράση των χονδροκυττάρων στο χόνδρο.This article is a review that focuses on the diet consistency and how this affects mandibular morphology. Various published studies focused on the relationship between mastication and growth of the mandible because it is considered that mandibular growth is dependent on the loads exerted by the function of the masticatory muscles. Moreover it has been pointed out that the increase of orthodontic anomalies is due to the modern softer diet. Even in rats, soft diet is one of the factors causing malocclusions. All of the studies have been experimental, mainly in rodents, since this research is impossible to be applied on humans in a short period of time. Most experimental studies suggested that occlusal loading affects bone mass, bone amount, bone density, the length and the width of the bone, the degree of mineralization, the genetic expression, the collagen immunoreaction and the chondrocytes action on the cartilage. It is stated that bone volumes and thickness of the mandible of rats fed with soft diet were smaller when compared to animals fed with hard diet. Also the mandibles and condyles were smaller and less dense in the rats of soft diet as compared to controls. Furthermore the length and the width of the condyle in the soft diet group of animals were smaller as compared to the condyle of the hard diet group of animals. Soft diets affect also the degree of mineralization, and the action of the chondrocytes on the cartilage

Dental and Skeletal Side Effects of Oral Appliances Used for the Treatment of Obstructive Sleep Apnea and Snoring in Adult Patients—A Systematic Review and Meta-Analysis

Background: Mandibular advancement devices for obstructive sleep apnea treatment are becoming increasingly popular among patients who do not prefer CPAP devices or surgery. Our study aims to evaluate the literature regarding potential dental and skeletal side effects caused by mandibular advancement appliances used for adult OSA treatment. Methods: Electronic databases were searched for published and unpublished literature along with the reference lists of the eligible studies. Randomized clinical trials and non-randomized trials assessing dental and skeletal changes by comparing cephalometric radiographs were selected. Study selection, data extraction, and risk of bias assessment were performed individually and in duplicate. Fourteen articles were finally selected (two randomized clinical trials and 12 non-randomized trials). Results: The results suggest that mandibular advancement devices used for OSA treatment increase the lower incisor proclination by 1.54 ± 0.16°, decrease overjet by 0.89 ± 0.04 mm and overbite by 0.68 ± 0.04 mm, rotate the mandible downward and forward, and increase the SNA angle by to 0.06 ± 0.03°. The meta-analysis revealed high statistical heterogeneity. Conclusions: The MADs affect the lower incisor proclination, overjet, overbite, the rotation of the mandible and the SNA angle. More randomized clinical trials providing high-quality evidence are needed to support those findings. © 2022 by the authors. Licensee MDPI, Basel, Switzerland

Open versus closed surgical exposure of palatally impacted maxillary canines: comparison of the different treatment outcomes-a systematic review

Objective: This study aims to compare the effectiveness of two different canine exposure techniques (open and closed) regarding periodontal outcomes, duration of surgical treatment and canine's eruption, patient's inconvenience, aesthetics, and orthodontic treatment complications. Search methods: Electronic database searches of published and unpublished literature were performed. The reference lists of eligible studies were hand searched for additional studies. Selection criteria: Randomized clinical trials (RCTs), quasi-randomized clinical trials (Q-RCTs) and non-randomized trials of prospective and retrospective design with patients of any age that compared group with palatally impacted canines treated by open exposure to a similar group treated by closed exposure technique were selected. There was not any restriction in language or year of publication. Data collection and analysis: Study selection, data extraction, and risk of bias assessment were performed individually and in duplicate. Results: Search strategy resulted in 159 articles and nine articles were selected for the final analysis. They were three non-randomized trials, one Q-RCT, and two reports of another Q-RCT and three reports of one RCT. The level of reported evidence was high for the RCT and one Q-RCT but poorer for the other trials. Four articles reported periodontal outcomes, three searched the duration of surgical procedure, two the duration of canine eruption, two investigated patient's inconvenience, two reported on failure rates and two addressed aesthetic outcomes. The results are inconsistent and there is considerable disagreement for the majority of the outcomes among studies. Conclusion: According to existing articles we may conclude that there is no difference between the two techniques regarding the periodontal outcomes and aesthetic appearance. The surgical procedure is shorter in the open exposure group and the amount of postoperative pain during the first day is similar between the open and closed surgical exposure patients. However, these conclusions are based on two single trials with high level of evidence, while the rest of the studies present high risk of bias. © The Author 2017. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: [email protected]

Effects of diet consistency on mandibular growth. A review

This article is a review that focuses on the diet consistency and how this affects mandibular morphology. Various published studies focused on the relationship between mastication and growth of the mandible because it is considered that mandibular growth is dependent on the loads exerted by the function of the masticatory muscles. Moreover it has been pointed out that the increase of orthodontic anomalies is due to the modern softer diet. Even in rats, soft diet is one of the factors causing malocclusions. All of the studies have been experimental, mainly in rodents, since this research is impossible to be applied on humans in a short period of time. Most experimental studies suggested that occlusal loading affects bone mass, bone amount, bone density, the length and the width of the bone, the degree of mineralization, the genetic expression, the collagen immunoreaction and the chondrocytes action on the cartilage. It is stated that bone volumes and thickness of the mandible of rats fed with soft diet were smaller when compared to animals fed with hard diet. Also the mandibles and condyles were smaller and less dense in the rats of soft diet as compared to controls. Furthermore the length and the width of the condyle in the soft diet group of animals were smaller as compared to the condyle of the hard diet group of animals. Soft diets affect also the degree of mineralization, and the action of the chondrocytes on the cartilage. © 2019 Hellenic Veterinary Medical Society

Impact of Diet Consistency on the Mandibular Morphology: A Systematic Review of Studies on Rat Models

Apart from genetics, environmental factors, such as food consistency, may affect craniofacial morphology and development. The present systematic review aims to systematically investigate and appraise the available evidence regarding the effect of diet consistency on the anatomical structures of the basal bone of the rat mandible. The search was performed without restrictions in five databases (PubMed, Scopus, Web of Science, ProQuest Dissertations and Theses Global, including grey literature) and hand searching through January 2022. A total of 14,904 references were initially identified, and 16 articles were finally included in the systematic review. Rats that consumed hard diets were found to exhibit an increase inbigonial width, corpus height, condylar depth, condylar base inclination, condylar process inclination, mandibular plane inclination, height and length of angular process, mandibular body height, depth of antegonial notch, growth rate in the gonial angle, angular process convexity and height of condylar process. It was also noted that mandibular depth, mandibular height, ramus angle and angle between the angular process and mandibular plane were decreased in rats that were fed with a hard diet. On the other hand, there were conflicting results about the growth of mandibular length and width, corpus length, mandibular body length, ramus height, condylar length and width, gonial angle and height of coronoid process. From the abovementioned results, it can be concluded that food consistency may affect the morphology of anatomical structures and the overall growth and development of rat mandibles in various ways. © 2022 by the authors. Licensee MDPI, Basel, Switzerland