Received 11.11.2021
DOI: 10.35556/idr-2022-1(98)38-44

Changes of the upper airways depending on the orthodontic rotation of the occlusal plane
Mamedov Ad.A.1, Timoschenko T.V.1, Slynko A.Yu.1, Go Hao1, Ermakov A.S.2, Davletshin D.N.1
1 I.M. Sechenov First Moscow State Medical University
119048 , Russia , Moscow, Trubetskaya st., 8 , bld. 2
² The Center for Functional Dentistry Zelenograd
124683, Russia, Moscow, Zelenograd, k.1557

E-mail address:

The article presents data of domestic and foreign authors on the etiology and clinical manifestations of obstructive sleep apnea syndrome (OSAS) and on the influence of rotation of the occlusal plane on the clearance of the upper respiratory tract. Our own study of patients with vertical type of growth and distal occlusion before and after orthodontic treatment was carried out. The influence of rotation of the occlusal plane on the clearance of the upper respiratory tract was studied. The necessity and expediency of using of the occlusal plane orthodontic rotation to increase the clearance of the upper respiratory tract is substantiated.
A cephalometric analysis was performed using CBCT. The analysis of the upper respiratory tract was carried out.
There were significant changes in the parameters characterizing the head position and a significant increase in the clearance of the upper respiratory tract in the narrowest part.
It was concluded that the flattening of the occlusal plane during orthodontic treatment affects the position of the head, which, in turn, directly affects the clearance of the upper respiratory tract; orthodontic treatment can affect the area of the hyoid bone. The possibility of using CBCT as an effective tool for screening the pathology of the upper respiratory tract has been confirmad.

Keywords: obstructive sleep apnea syndrome, cone-beam computed tomography, occlusal plane, upper airways.

For citation: Mamedov Ad.A., Timoschenko T.V., Slynko A.Yu., Go Hao, Ermakov A.S., Davletshin D.N. Changes of the upper airways depending on the orthodontic rotation of the occlusal plane. Stomatology for All / Int. Dental Review. 2022, no.1(98): 38-44 (In Russian). doi: 10.35556/idr-2022-1(98)38-44

1. Buzunov R.V., Legeida I.V. Snoring and obstructive sleep apnea syndrome, textbook for doctors, Moscow, 2010, 78 p. (In Russian).
2. Ancoli-Israel S., Kripke D.F., Klauber M.R.; Mason W.J., Fell R., Kaplan O. Sleep-disordered breathing in community-dwelling elderly. Sleep. 1991, 14(6): 486—495.
3. Xie C., Zhu R., Tian Y., Wang K. Association of obstructive sleep apnoea with the risk of vascular outcomes and all-cause mortality: a meta-analysis. BMJOpen. 2017, 7: e013983.
4. Komarov. V., Potapova P.D. Diagnosis and treatment of obstructive sleep apnea syndrome in otorhinolaryngology.RMJ. Medical review. 2019, 2(II): 59—62.
5. McNicholas W.T. Sleep apnoea syndrome. Breathe. 2005, 1: 217—227.
6. Alekseenko S.I., Karpishchenko S.A., Arustamyan I.G., Stancheva O.A. Results of treatment of ronchopathy and obstructive sleep apnea syndrome in children with hypertrophy of adenoid vegetations. Medical consultation. 2021, 23(3): 222—225 (In Russian).
7. Kostrzewa-Janicka J., Sliwinski P., Wojda M, Rolski D, Mierzwinska-Nastalska E. Mandibular advancement appliance for obstructive sleep apnea treatment advances in experimental. Medicine and biology. 2017, 944: 63—71.
8. Zaghi Soroush, Holty Jon-Erik, Certal Victor, Abdullatif Jose, Guilleminault Christian, Powell Nelson, Riley Robert, Camacho Macario. Maxillomandibular advancement for treatment of obstructive sleep apnea: A meta-analysis. AMA Otolaryngol head neck surg. 2016, 142(1): 58—66. doi: 10.1001/jamaoto.2015.2678.
9. Sorvin V.A., Drobyshev A.Yu., Kurakin K.A., Kleppa I.A., Shipika D.V., Zaborovsky V.V. Complications of surgical treatment of patients with congenital anomalies of the jaws: clinical characteristics and prevention. Plastic surgery and aesthetic medicine. 2020, 20: 21—32 (In Russian).
10. Freire Erika Franco, Francisco Wagner Vasconcelos Freire Filho, Heloisa Valdrighi Cristina, Degan Viviane Veroni, Vedovello Silvia Amelia Scudeler. Changes in pharyngeal airway space and soft tissue after maxillary advancement and bimaxillary surgery. Braz J Oral Sci. 13(2): 93—97.
11. Jing Hao Ng, Mimi Yow Oral appliances in the management of obstructive sleep. Apnea sleep med clin. 2019, 14: 109—118.
12. Motoyoshi Mitsuru, Shimazaki Takahisa, Hosoi Kohei, Wada Mizuki, Namura Shinkichi. Stresses on the cervical column associated with vertical occlusal alteration. European Journal of Orthodontics. 2003, 25(2): 135— 138.
13. Liselotte Sonnesen. Head posture and upper cervical spine morphology in patients with obstructive sleep apnea.
14. Kolyadich Zh.V., Gursky I.S., Makarina-Kibak L.E., Tishkevich E.S., Sadovskaya O.G. Method of diagnosis of craniofacial dysmorphic disorder in patients with obstructive sleep syndrome. Instructions for use. 2014 (In Russian).
15. Murilo Fernando Neuppmann Feres, Tomas Salomao Muniz, Saulo Henrique de Andrade, Maurilo de Mello Lemos, Shirley Shizue Nagata Pignatari. Craniofacial skeletal pattern: is it really correlated with the degree of adenoid obstruction? Dental Press J Orthod. 2015, 20(4): 68—75/
16. Jaipal Singh Tarkar, Sandeep Parashar, Garima Gupta, Preeti Bhardwaj, Raj Kumar Maurya, Atul Singh, Parul Singh. An Evaluation of Upper and Lower Pharyngeal Airway Width, Tongue Posture and Hyoid Bone Position in Subjects with Different Growth Patterns. Journal of Clinical and Diagnostic Research. 2016, 10(1): 79—83.
17. Solow Beni and Sandham Andrew. Cranio-cervical posture: a factor in the development and function of the dentofacial structures. European Journal of Orthodontics. 2002, 24: 447—456.
18. Sonnesen Liselotte. Head posture and upper cervical spine morphology in patients with obstructive sleep apnea.
19. Kim Seon-Hye and Choi Sung-Kwon Changes in the hyoid bone, tongue, and oropharyngeal airway space after mandibular setback surgery evaluated by cone-beam computed tomography. Maxillofac Plast Reconstr Surg. 2020, 42(1): 27.