title: Assessment of sagittal and vertical skeletal patterns in Romanian patients with obstructive sleep apnea.
abstract: OBJECTIVE
  To establish the sagittal and vertical skeletal pattern of the Romanian patients with obstructive sleep apnea (OSA).
  
  
  METHODS
  Lateral cephalograms of forty patients, divided in two groups, group I--twenty patients with OSA (15 males and five females) and aged between 34-76 years and group II (control group)--twenty patients with class II malocclusion (eight males and 12 females), aged between 22-40 years, were analyzed for linear and angular skeletal parameters.
  
  
  RESULTS
  For group I--most often, the mandible was in posterior position, the mean value for SNB angle being 76.77 degrees; maxilla tended to be retruded, too. The maxillo-mandibular antero-posterior (AP) relationship was class II in 90% of the cases. A clockwise rotation of the mandible was registered in a vertical plane (mean value SN, ML: 29.82 degrees), the facial height ratio being in a normal range of values. There was a medium positive correlation between ANB angle and apnea/hypopnea index (AHI), while SNA showed a quadratic relationship with AHI. Using t-test, in order to compare the sagittal and vertical skeletal pattern of the two groups, it can be stated that there is a statistical significant difference for antero-posterior (AP) position of the mandible, for the group II mandible retrognathia being more pronounced than in group I.
  
  
  CONCLUSIONS
  Romanian patients with OSA had a retrognathic sagittal pattern with a class II antero-posterior relationship. A statistical significant positive correlation between AHI and ANB suggests that the class II antero-posterior maxillomandibular relationship can predispose to OSA.
authors.affiliation: Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. enache_magdalena@yahoo.com
authors.forename: Aurelia Magdalena
authors.initials: AM
authors.lastname: Enache
authors.forename: Vanda Roxana
authors.initials: VR
authors.lastname: Nimigean
authors.forename: Fl
authors.initials: F
authors.lastname: Mihălţan
authors.forename: Andreea Cristiana
authors.initials: AC
authors.lastname: Didilescu
authors.forename: Ioana
authors.initials: I
authors.lastname: Munteanu
authors.forename: V
authors.initials: V
authors.lastname: Nimigean
mesh_terms: D000328:Adult; D000368:Aged; D001842:Bone and Bones / Q000473:pathology*; D002508:Cephalometry; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D012383:Romania; D020181:Sleep Apnea, Obstructive / Q000473:pathology*