Comparison of dental arch measurements
according to the grade and the obstructive
character of adenoids
Joseph Samba Diouf
1
, Youssouf Ouédraogo
2
, Ngoné Souaré
1
, Alpha Badiane
1
, Khady Diop-Bâ
1
,
Papa Ibrahima Ngom
1
, Ayoub Zouaki
1
, Falou Diagne
1
1. Université Cheikh Anta DIOP Dakar, Faculté de Médecine, de Pharmacie et
d'Odontologie, Service d'Orthodontie, Département d'Odontologie, Senegal
2. Centre Hospitalier Universitaire Yalgado Ouédraogo, Université Ouaga I,
Ouagadougou, Burkina Faso
Correspondence:
Joseph Samba Diouf, BP 25247 Dakar, Fann, Senegal.
joediouf@hotmail.com
Keywords
Adenoids
Dental arches
Nasopharynx
Summary
Introduction > Obstructive adenoid hypertrophy is cited as one of the causes of mouth breathing
and leads to disharmony in the development of orofacial structures. The objective of this study was
to compare the measurements of dental arches according to the grade and the obstructive
character of adenoids.
Materials and methods > A cross-sectional study was carried out with 86 children. The grade and
the obstructive character of adenoids were determined from Holmberg and Cohen's radiographic
methods respectively. Dental arch measurements were taken on dental casts. A t-test and a Chi
2
test were performed respectively to compare the quantitative and qualitative variables of dental
arches according to the obstructive character. An Anova test made it possible to compare the
quantitative variables according to the grade as Holmberg defined it. For variables that showed
significant differences, a Post Hoc test was used. The significance level was set at P = 0.05.
Results > Subjects with obstructive adenoids had a shorter posterior mandibular length (P = 0.04)
and a greater overbite (P = 0.04) than those with non-obstructive adenoids. Those with grade
4 had a greater arch depth (P = 0.02) and were more prone to open bite(P = 0.03).
Conclusion > A prevention program involving the otorhinolaryngologist and the orthodontist for
subjects with obstructive adenoids or grade 4 is necessary to minimize their influence on dental
arch relationships.
Available online: 12 April 2019
tome 17 > n82 > June 2019
https://doi.org/10.1016/j.ortho.2019.03.016
© 2019 CEO. Published by Elsevier Masson SAS. All rights reserved.
333
Original Article
International Orthodontics 2019; 17: 333–341
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