EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

EVALUATION OF EFFECTS OF THE TWIN BLOCK APPLIANCE (TBA) THERAPY ON CHANGES IN POSTERIOR PHARYNGEAL AIRWAY SPACE DIMENSIONS AND IMPROVEMENT IN MILD SLEEP APNOEA SYMPTOMS IN CLASS 2 DIV 1 GROWING PATIENT WITH RETROGNATHIC MANDIBLE: A CASE REPORT

Dr. S. M. Shahnawaj Tahir*, Prof. Kuldeep DMello, Dr. Atul Singh, Dr. Jitesh Wadhwa and Dr. Omkar Yadav

ABSTRACT

Objective: To evaluate the effect of twin block appliance for changes in posterior pharyngeal airway (PPA) dimensions and improvement in mild sleep apnoea symptoms in class 2 division 1 growing patient with retrognathic mandible in a case report. Materials and Methods: 13 years old male patient with retrognathic mandible class 2 molar relation large overjet and the deep overbite selected for the case report. Polysomnography was done to confirm the sleep apnoea symptoms. Pt. given a twin block appliance with instructions to wear 24 hrs a day until the patient got pterygoid reflex. Preoperative and postoperative conventional Lateral ceph taken, traced manually on an 8×16 matte tracing sheet with an HB pencil. Various landmarks were used for cephalometric evaluation. Results: Marked improvement in the SA symptoms posts sagittal correction in the patient TBA therapy. There was a decrease in soft palatal length post-treatment and an increase in soft palatal thickness. Significant improvement seen in soft palate inclination following class 2 correction. Depth of the Oropharynx and Hypopharynx increased significantly post-treatment. Conclusion: Significant improvement of sleep apnoea symptoms in this patient, which showed that class 2 correction by a twin block appliance may help in reducing predisposing factors of obstructive sleep apnoea by mandibular advancement.

Keywords: Twin Block Appliance, Sleep Apnoea, Polysomnography, Retrognathic Mandible, Pterygoid reflex. Aberrations used: PPA–Posterior pharyngeal airway, TBA–Twin block appliance, SA-sleep apnoea, DOP-the depth of oropharynx, PAP-Pharyngeal airway passage.


[Full Text Article]

INDEXING

NEWS & UPDATION

  • New Issue Published

    Its Our pleasure to inform you that, EJPMR 1 November 2021 Issue has been Published, Kindly check it on http://www.ejpmr.com/home/current_issues

  • EJPMR: NOVEMBER ISSUE PUBLISHED

    NOVEMBER Issue has been successfully launched on 1 November 2021.

  • EJPMR New Impact Factor

    Its our Pleasure to Inform you that EJPMR Impact Factor has been increased from  5.804 to 6.222, due to high quality Publication at International Level

  • Index Copernicus Value

    EJPMR Received Index Copernicus Value 79.57, due to High Quality Publication in EJPMR at International Level

  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.

    .

  • Article Invited for Publication

    Article are invited for publication in EJPMR Coming Issue

Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )