Functional state of the dentofacial system of children after adenotomy from an orthodontic point of view

Myofunctional disorders and dentoalveolar anomalies in children after surgery for adenoid hypertrophy are an important problem. There is information in the literature that the most common dentoalveolar anomaly in children with adenoid hypertrophy is distal occlusion. In the presence of distal occlusion, it is necessary to study the state of the dentoalveolar system after adenotomy and identify myofunctional disorders.

The purpose of this study: to analyze the condition of children after adenotomy from an orthodontic point of view.

Materials and methods: We examined 80 patients with distal occlusion who required orthodontic dental care after surgery for adenoid hypertrophy.

Results: The diagnostics (functional tests and X-ray examination) revealed that the majority of patients had myofunctional disorders, including oral or mixed breathing, and a dentoalveolar anomaly, specifically a distal bite.

Discussion: The results of our studies are of significant scientific and practical interest and require further in-depth study. The authors hope that the above will facilitate the early diagnosis of myofunctional disorders and dentoalveolar anomalies in children after adenotomy for specialists of various profiles.

Conclusions: The study of the condition of children after adenotomy from the orthodontic point of view revealed the predominance of distal bite (2 skeletal class, posterior position of the apical base of the lower jaw (along the sagittal plane) relative to the anterior segment of the base of the skull) and oral or mixed breathing. The conducted studies will contribute to the development of a comprehensive, interdisciplinary approach to managing patients with such conditions.

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