Publications
2025
da Costa Barreto, Luísa Schubach; das Neves, Bruno Moreira; Kuhlman, Deise Caldas; Palomares, Nathalia Barbosa; de Assis Ribeiro Carvalho, Felipe; Suh, Heeyeon; Bianchi, Jonas; Oh, Heesoo; Batista, Klaus Barretto Dos Santos Lopes; Miguel, José Augusto Mendes
In: Cranio - Journal of Craniomandibular and Sleep Practice, pp. 1-13, 2025.
Abstract | Links | BibTeX | Tags: Airway Changes, Angle Class II, Cone-beam computed tomography (CBCT), malocclusion, orthodontic appliances
@article{nokey,
title = {Airway changes in growing Class II patients treated with Herbst appliance: A randomized controlled trial (RCT) comparing dental and skeletal anchorage},
author = {Luísa Schubach da Costa Barreto and Bruno Moreira das Neves and Deise Caldas Kuhlman and Nathalia Barbosa Palomares and Felipe de Assis Ribeiro Carvalho and Heeyeon Suh and Jonas Bianchi and Heesoo Oh and Klaus Barretto Dos Santos Lopes Batista and José Augusto Mendes Miguel },
url = {https://pubmed.ncbi.nlm.nih.gov/41417024/},
doi = {https://doi.org/10.1080/08869634.2025.2601531},
year = {2025},
date = {2025-12-19},
journal = {Cranio - Journal of Craniomandibular and Sleep Practice},
pages = {1-13},
abstract = {Objective: To evaluate changes in the oropharyngeal airway (OP) with Herbst appliances using either dental or skeletal anchorage (HDA vs. HSA) in growing patients with Class II division 1 malocclusion. Design, Setting, and Participants: Forty patients (12.6 ± 1.4 years) at the peak of pubertal growth were randomized (HDA= 20; HSA= 20), for 12 months. Outcomes: change in OP volume, airway length and cross-sectional areas (minimum, maximum, average), by CBCT. Results: Thirty-four patients completed the study (HDA= 19; HSA= 15); and intention-to-treat (ITT) analysis was applied. Within-group analysis revealed a significant improvement for minimum axial area (HDA, p =.0061). Between-group comparisons showed significantly higher mean values in the HSA group for volume (p =.0044), airway length (p =.004), maximum cross-sectional area (p =.0188), and average area (p =.0122). Conclusions: HSA and HDA increased OP dimensions in growing Class II patients. Although HSA did not demonstrate a statistically superior effect, the dimensional changes represent morphological adaptations. Long-term studies are required to determine respiratory benefits.},
keywords = {Airway Changes, Angle Class II, Cone-beam computed tomography (CBCT), malocclusion, orthodontic appliances},
pubstate = {published},
tppubtype = {article}
}
Objective: To evaluate changes in the oropharyngeal airway (OP) with Herbst appliances using either dental or skeletal anchorage (HDA vs. HSA) in growing patients with Class II division 1 malocclusion. Design, Setting, and Participants: Forty patients (12.6 ± 1.4 years) at the peak of pubertal growth were randomized (HDA= 20; HSA= 20), for 12 months. Outcomes: change in OP volume, airway length and cross-sectional areas (minimum, maximum, average), by CBCT. Results: Thirty-four patients completed the study (HDA= 19; HSA= 15); and intention-to-treat (ITT) analysis was applied. Within-group analysis revealed a significant improvement for minimum axial area (HDA, p =.0061). Between-group comparisons showed significantly higher mean values in the HSA group for volume (p =.0044), airway length (p =.004), maximum cross-sectional area (p =.0188), and average area (p =.0122). Conclusions: HSA and HDA increased OP dimensions in growing Class II patients. Although HSA did not demonstrate a statistically superior effect, the dimensional changes represent morphological adaptations. Long-term studies are required to determine respiratory benefits.
da Costa Barreto, Luísa Schubach; das Neves, Bruno Moreira; Kuhlman, Deise Caldas; Palomares, Nathalia Barbosa; de Assis Ribeiro Carvalho, Felipe; Suh, Heeyeon; Bianchi, Jonas; Oh, Heesoo; Batista, Klaus Barretto Dos Santos Lopes; Miguel, José Augusto Mendes
Airway changes in growing Class II patients treated with Herbst appliance: A randomized controlled trial (RCT) comparing dental and skeletal anchorage Journal Article
In: Cranio - Journal of Craniomandibular and Sleep Practice, pp. 1-13, 2025.
@article{nokey,
title = {Airway changes in growing Class II patients treated with Herbst appliance: A randomized controlled trial (RCT) comparing dental and skeletal anchorage},
author = {Luísa Schubach da Costa Barreto and Bruno Moreira das Neves and Deise Caldas Kuhlman and Nathalia Barbosa Palomares and Felipe de Assis Ribeiro Carvalho and Heeyeon Suh and Jonas Bianchi and Heesoo Oh and Klaus Barretto Dos Santos Lopes Batista and José Augusto Mendes Miguel },
url = {https://pubmed.ncbi.nlm.nih.gov/41417024/},
doi = {https://doi.org/10.1080/08869634.2025.2601531},
year = {2025},
date = {2025-12-19},
journal = {Cranio - Journal of Craniomandibular and Sleep Practice},
pages = {1-13},
abstract = {Objective: To evaluate changes in the oropharyngeal airway (OP) with Herbst appliances using either dental or skeletal anchorage (HDA vs. HSA) in growing patients with Class II division 1 malocclusion. Design, Setting, and Participants: Forty patients (12.6 ± 1.4 years) at the peak of pubertal growth were randomized (HDA= 20; HSA= 20), for 12 months. Outcomes: change in OP volume, airway length and cross-sectional areas (minimum, maximum, average), by CBCT. Results: Thirty-four patients completed the study (HDA= 19; HSA= 15); and intention-to-treat (ITT) analysis was applied. Within-group analysis revealed a significant improvement for minimum axial area (HDA, p =.0061). Between-group comparisons showed significantly higher mean values in the HSA group for volume (p =.0044), airway length (p =.004), maximum cross-sectional area (p =.0188), and average area (p =.0122). Conclusions: HSA and HDA increased OP dimensions in growing Class II patients. Although HSA did not demonstrate a statistically superior effect, the dimensional changes represent morphological adaptations. Long-term studies are required to determine respiratory benefits.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Objective: To evaluate changes in the oropharyngeal airway (OP) with Herbst appliances using either dental or skeletal anchorage (HDA vs. HSA) in growing patients with Class II division 1 malocclusion. Design, Setting, and Participants: Forty patients (12.6 ± 1.4 years) at the peak of pubertal growth were randomized (HDA= 20; HSA= 20), for 12 months. Outcomes: change in OP volume, airway length and cross-sectional areas (minimum, maximum, average), by CBCT. Results: Thirty-four patients completed the study (HDA= 19; HSA= 15); and intention-to-treat (ITT) analysis was applied. Within-group analysis revealed a significant improvement for minimum axial area (HDA, p =.0061). Between-group comparisons showed significantly higher mean values in the HSA group for volume (p =.0044), airway length (p =.004), maximum cross-sectional area (p =.0188), and average area (p =.0122). Conclusions: HSA and HDA increased OP dimensions in growing Class II patients. Although HSA did not demonstrate a statistically superior effect, the dimensional changes represent morphological adaptations. Long-term studies are required to determine respiratory benefits.
2025 |
da Costa Barreto, Luísa Schubach; das Neves, Bruno Moreira; Kuhlman, Deise Caldas; Palomares, Nathalia Barbosa; de Assis Ribeiro Carvalho, Felipe; Suh, Heeyeon; Bianchi, Jonas; Oh, Heesoo; Batista, Klaus Barretto Dos Santos Lopes; Miguel, José Augusto Mendes: Airway changes in growing Class II patients treated with Herbst appliance: A randomized controlled trial (RCT) comparing dental and skeletal anchorage. In: Cranio - Journal of Craniomandibular and Sleep Practice, pp. 1-13, 2025. (Type: Journal Article | Abstract | Links | BibTeX | Tags: Airway Changes, Angle Class II, Cone-beam computed tomography (CBCT), malocclusion, orthodontic appliances)@article{nokey,Objective: To evaluate changes in the oropharyngeal airway (OP) with Herbst appliances using either dental or skeletal anchorage (HDA vs. HSA) in growing patients with Class II division 1 malocclusion. Design, Setting, and Participants: Forty patients (12.6 ± 1.4 years) at the peak of pubertal growth were randomized (HDA= 20; HSA= 20), for 12 months. Outcomes: change in OP volume, airway length and cross-sectional areas (minimum, maximum, average), by CBCT. Results: Thirty-four patients completed the study (HDA= 19; HSA= 15); and intention-to-treat (ITT) analysis was applied. Within-group analysis revealed a significant improvement for minimum axial area (HDA, p =.0061). Between-group comparisons showed significantly higher mean values in the HSA group for volume (p =.0044), airway length (p =.004), maximum cross-sectional area (p =.0188), and average area (p =.0122). Conclusions: HSA and HDA increased OP dimensions in growing Class II patients. Although HSA did not demonstrate a statistically superior effect, the dimensional changes represent morphological adaptations. Long-term studies are required to determine respiratory benefits. |