The effect of palatine tonsil size on occlusion among 10- 12 years students in erbil city.
DOI:
https://doi.org/10.15218/edj.2022.21Keywords:
palatine tonsil size, occlusionAbstract
Background and objectives: The effect of the palatine tonsil size in the development of
dental intra-arch and inter-arch abnormalities is often brought up in the literature, but it
remains controversial. Data on the possibility of a relationship between enlarged tonsils
and the occurrence of malocclusions are subjective. The purpose of this study was to seek
an association between the space occupied by the palatine tonsils and the dental arch
measurements.
Methods: A cross-sectional study was performed in Erbil city on a group of primary school
students aged (10-12) years old. A tonsillar examination was performed for each student
and graded according to the standardized tonsillar hypertrophy grading scale. A sample size
of (300) students, (160) male and (140) female was randomly selected. Dental impressions
were taken for each student. Data were analyzed with SPSS program version 22. Comparisons of qualitative variables according to tonsillar grade and gender and the relation of
tonsillar grade according to gender were made using the chi-square test. The strength of
the association between tonsillar grade and qualitative variables was evaluated with a phi
coefficient (φ). The strength of the association between tonsillar grade and quantitative
variables was assessed by Spearman's rank correlation coefficient (rho). The association
between gender and quantitative variables was evaluated by t-test. The significance
threshold was set at P ≤ 0.05.
Results: Results showed that there was a significant and positive relation between Angle's
molar relationship, overjet, and palatine tonsil size but no significant difference in palatine
tonsil size according to males and females.
Conclusions: Early evaluation of the size of the palatine tonsils by the pedodontist would
help prevent orthodontic abnormalities caused by upper airway obstruction during childhood.
References
Diouf JS, Ngom PI, Sonko O, Diop BK, Badiane A,
Diagne F. Influence of tonsillar grade on the dental
arch. Eur J Orthod 2015; 26:507-14.
Al-Ali A, Richmond S, Popat H, Playle R, Pickles T,
Zhurov A, Marshall D, Rosin P, Henderson J, Bonuck
K. The influence of snoring, mouth breathing and
apnoea on facial morphology in late childhood: a
three-dimensional study. BMJ Open 2015; 1-9.
Tan H, Gozal D, Kheirandish-Gozal L. The Status of
Pediatric Obstructive Sleep Apnea in 2015: Progress? YES!! More Questions? Definitely YES. Curr
Sleep Medicine Rep 2016; 2(20): 20–30.
Pang KP, Kishore S, Kit JC, Pang E, Chan YH, Keat
SJ, Rotenberg B. Pang- Rotenberg sign—snoring
surgery prognosticator: A prospective clinical trial
of 153 patients. Laryngoscope 2016; 126(1): 260–5.
Brodsky L, Koch RJ. Anatomic correlates of normal
and diseased adenoids in children. Laryngoscope
; 102:1268-74.
Jóias RP, Scanavini MA. Factors related to Bolton's
anterior ratio in Brazilians with natural normal occlusion. Braz. J. Oral Sci 2011; 10 (1): 69- 73.
Louly F, Nouer PRA, Janson G, Pinzan A. Dental
arch dimensions in the mixed dentition: a study of
Brazilian children from 9 to 12 years of age. J Appl
Oral Sci 2011; 19(2):169-74.
Kozak FK. Characteristics of normal and abnormal
postnatal craniofacial growth and development. In:
Cummings CW, editor. Pediatric otolaryngology
head and neck surgery, 3rd ed. Saint Louis: Mosby;
P. 40-65.
Grippaudo C, Paolantonio EG, Antonini G, Saulle
R, La Torre G, Deli R. Association between oral habits, mouth breathing and malocclusion. Acta Otorhinolaryngol Ital 2016; 36(5): 386–394.
Lopatienė K, Babarskas A. Malocclusion and upper airway obstruction. MEDICINA 2002; 38(3): 277-
Souki BQ, Pimenta GB, Souki MQ, Franco LP,
Becker HM, Pinto JA. Prevalence of malocclusion
among mouth breathing children: do expectations
meet reality? Int J Pediatr Otorhinolaryngol 2009;
(5):767-73.
Nunes WR, Di- Francesco RC. Variation of
Patterns of Malocclusion by Site of Pharyngeal Obstruction in Children. Arch Otolaryngol Head Neck
Surg 2010; 136(11):1116-20.
Oulis CJ, Vadiakas GP, Ekonomides J, Dratsa J.The
effect of hypertrophic adenoids and tonsils on the
development of posterior crossbite and oral habits.
J Clin Pediatr Dent 1994; 18(3):197-201.
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Copyright (c) 2023 Abduljaleel Azad Samad; Hozan Farid Tawfiq, Omar Fawzi Chawshli (Author)
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