Related Experiment Videos
Treatment of long-standing nocturnal enuresis by mandibular advancement
1Department of Oral Sciences and Orthodontics, School of Dentistry, University of Otago, Dunedin, New Zealand. c.robertson@clear.net.nz
Insights
Enuresis, or childhood bedwetting, often resists standard treatments. Orthodontic appliances, specifically mandibular advancement, offer a novel solution for persistent cases, especially those with jaw alignment issues.
Area of Science:
- Pediatric urology
- Orthodontics
- Sleep medicine
Background:
- Enuresis is a common childhood sleep disorder characterized by involuntary urination.
- Current treatments include behavioral modification and pharmacotherapy, often with limited success.
- Many children with chronic enuresis remain undertreated or experience treatment failure.
Observation:
- Enuresis affects more boys than girls.
- Patients typically have normal urinalysis and physical examinations.
- Some enuretic children present with anteroposterior skeletal discrepancies.
Findings:
- Orthodontic appliances represent a potential treatment for chronic enuresis.
- Mandibular advancement therapy shows particular promise.
- This approach is especially beneficial for enuretic patients with specific skeletal issues.
Implications:
- Orthodontic treatment could expand therapeutic options for refractory enuresis.
- Mandibular advancement may address underlying causes in certain enuretic populations.
- Further research into orthodontic interventions for enuresis is warranted.
Abstract:
Enuresis, the involuntary release of urine during sleep, is one of the most common disorders of childhood. More common in boys than girls, this condition is characterized by night-time wetting in the presence of normal urinalysis and physical examination. At present, treatment can be divided into behavioral modification and pharmacological therapy, despite which many enuretic children remain untreated or are treated ineffectively. Treatment of long-standing chronic enuresis by orthodontic appliances could be used more frequently to give relief to those not responding to conventional treatment. Mandibular advancement therapy is especially beneficial in the treatment of enuretic patients presenting with anteroposterior skeletal discrepancies.
Related Concept Videos
01:26The Micturition Reflex
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
01:29Suctioning the Nasopharyngeal Airway
Equipment Required