The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study

Abstract Introduction Nasal septal deviation (NSD) and concha bullosa (CB) are associated with airway obstruction in mouth breathers. Mouth breathing is associated with alterations in maxillary growth and palatal architecture. The aim of our study was to determine the effect of the presence of CB an...

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Autores principales: Shishir Ram Shetty, Saad Wahby Al Bayatti, Natheer Hashim Al-Rawi, Vinayak Kamath, Sesha Reddy, Sangeetha Narasimhan, Sausan Al Kawas, Medhini Madi, Sonika Achalli, Supriya Bhat
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Publicado: BMC 2021
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spelling oai:doaj.org-article:480b050cdc6048739e69e23ee663484b2021-11-28T12:29:36ZThe effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study10.1186/s12903-021-01974-61472-6831https://doaj.org/article/480b050cdc6048739e69e23ee663484b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12903-021-01974-6https://doaj.org/toc/1472-6831Abstract Introduction Nasal septal deviation (NSD) and concha bullosa (CB) are associated with airway obstruction in mouth breathers. Mouth breathing is associated with alterations in maxillary growth and palatal architecture. The aim of our study was to determine the effect of the presence of CB and NSD on the dimensions of the hard palate using cone-beam computed tomography (CBCT). Materials and methods A retrospective study was conducted using CBCT scans of 200 study subjects. The study subjects were divided into four groups based on the presence of CB and NSD. Septal deviation angle (SDA), palatal interalveolar length (PIL), palatal depth (PD) and maxillopalatal arch angle (MPAA) were measured in the study groups. Results The presence of NSD and CB was associated with significant (p < 0.001) differences in the palatal dimensions of the study subjects. The PIL and MPA (p < 0.001) were significantly reduced (p < 0.001), whereas the PD was significantly increased (p < 0.001) in study subjects with NSD and CB. There was no significant change in the palatal dimensions between the unilateral and bilateral types of CB. Among the palatal dimensions, the PIL had the most significant association (R2 = 0.53) with SDA and CB. There was a significant correlation between the palatal dimensions and SDA when CB was present along with NSD. Conclusion Based on the results of this study, it can be concluded that the presence of NSD and CB have a significant effect on the palatal dimensions and, therefore, they may be associated with skeletal malocclusion.Shishir Ram ShettySaad Wahby Al BayattiNatheer Hashim Al-RawiVinayak KamathSesha ReddySangeetha NarasimhanSausan Al KawasMedhini MadiSonika AchalliSupriya BhatBMCarticleNasal septumConcha bullosaPalateTurbinateCone beam computed tomographyDentistryRK1-715ENBMC Oral Health, Vol 21, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Nasal septum
Concha bullosa
Palate
Turbinate
Cone beam computed tomography
Dentistry
RK1-715
spellingShingle Nasal septum
Concha bullosa
Palate
Turbinate
Cone beam computed tomography
Dentistry
RK1-715
Shishir Ram Shetty
Saad Wahby Al Bayatti
Natheer Hashim Al-Rawi
Vinayak Kamath
Sesha Reddy
Sangeetha Narasimhan
Sausan Al Kawas
Medhini Madi
Sonika Achalli
Supriya Bhat
The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study
description Abstract Introduction Nasal septal deviation (NSD) and concha bullosa (CB) are associated with airway obstruction in mouth breathers. Mouth breathing is associated with alterations in maxillary growth and palatal architecture. The aim of our study was to determine the effect of the presence of CB and NSD on the dimensions of the hard palate using cone-beam computed tomography (CBCT). Materials and methods A retrospective study was conducted using CBCT scans of 200 study subjects. The study subjects were divided into four groups based on the presence of CB and NSD. Septal deviation angle (SDA), palatal interalveolar length (PIL), palatal depth (PD) and maxillopalatal arch angle (MPAA) were measured in the study groups. Results The presence of NSD and CB was associated with significant (p < 0.001) differences in the palatal dimensions of the study subjects. The PIL and MPA (p < 0.001) were significantly reduced (p < 0.001), whereas the PD was significantly increased (p < 0.001) in study subjects with NSD and CB. There was no significant change in the palatal dimensions between the unilateral and bilateral types of CB. Among the palatal dimensions, the PIL had the most significant association (R2 = 0.53) with SDA and CB. There was a significant correlation between the palatal dimensions and SDA when CB was present along with NSD. Conclusion Based on the results of this study, it can be concluded that the presence of NSD and CB have a significant effect on the palatal dimensions and, therefore, they may be associated with skeletal malocclusion.
format article
author Shishir Ram Shetty
Saad Wahby Al Bayatti
Natheer Hashim Al-Rawi
Vinayak Kamath
Sesha Reddy
Sangeetha Narasimhan
Sausan Al Kawas
Medhini Madi
Sonika Achalli
Supriya Bhat
author_facet Shishir Ram Shetty
Saad Wahby Al Bayatti
Natheer Hashim Al-Rawi
Vinayak Kamath
Sesha Reddy
Sangeetha Narasimhan
Sausan Al Kawas
Medhini Madi
Sonika Achalli
Supriya Bhat
author_sort Shishir Ram Shetty
title The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study
title_short The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study
title_full The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study
title_fullStr The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study
title_full_unstemmed The effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study
title_sort effect of concha bullosa and nasal septal deviation on palatal dimensions: a cone beam computed tomography study
publisher BMC
publishDate 2021
url https://doaj.org/article/480b050cdc6048739e69e23ee663484b
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