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Preventing Dentofacial Abnormalities With the Proper Correction of Pediatric Upper Airway Obstruction
William D. Clark, MD, DDS
Arch Otolaryngol Head Neck Surg. 2005;131(10):916-918.
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Hypothesis: The proper correction of pediatric upper airway obstruction may prevent dentofacial abnormalities.
BACKGROUND
The concept that obstruction from tonsillar and/or adenoidal hypertrophy adversely effects dentofacial development was put forth as early as the 1840s. More than 150 years have passed, and the issue continues to be controversial. A review of the current literature reveals both passionate support of and opposition to the hypothesis.
The dentofacial abnormalities that have been associated with chronic nasorespiratory obstruction are many.1 Those most commonly cited are an elongated face, open-mouth posture, protrusive maxillary incisors, narrow maxillary arch, high-arched palate, and angle class II malocclusion. The term adenoid face encompasses most of these features. One way to restate the hypothesis would be that the term adenoid face describes an abnormality that is accurately named and appropriately correctable.
Figure appears in full text version.
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William D. Clark, MD, DDS
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Contention of any proposed individual step in the sequence . . . [Full Text of this Article]
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BOTTOM LINE
AUTHOR INFORMATION
Author Affiliations: Wuesthoff Medical Center and Holmes Regional Medical Center, Melbourne, Fla; and Palm Bay Community Hospital, Palm Bay, Fla.
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