Diagnosis and management of hair loss in children.

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Abstract

[Indexed for MEDLINE] 2. Sci Rep. 2023 Feb 7;13(1):2200. doi: 10.1038/s41598-023-29253-0. Skin irritation in children undergoing orthodontic facemask therapy. Kim H(#)(1), Kim JS(#)(2), Kim CS(2), Becker-Weimann SY(3), Cha JY(#)(4), Choi SH(#)(5). Author information: (1)Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, 03722, Seoul, Republic of Korea. (2)Private Clinic, Seongnam-si, Republic of Korea. (3)Department of Dermatology, Venereology, Allergology, Goethe University, Frankfurt am Main, Germany. (4)Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, 03722, Seoul, Republic of Korea. jungcha@yuhs.ac. (5)Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry, 50-1 Yonsei-ro, Seodaemun-gu, 03722, Seoul, Republic of Korea. selfexam@yuhs.ac. (#)Contributed equally Orthodontic facemasks are extraoral orthodontic appliances that influence maxillary and mandibular development in children with skeletal Class III malocclusion. While a facemask is most effective in patients before the growth spurt, skin irritation is common during the treatment. Therefore, this retrospective study aimed to investigate the prevalence and pattern of such skin changes and identify their possible associated risk factors. We included 177 patients with skeletal Class III malocclusion who underwent facemask therapy. Patient age and sex, orthodontic parameters expressing the severity of malocclusion, the presence of complaints in the temporomandibular joint (TMJ) areas, and the level of patient cooperation were evaluated. Additionally, the severity and onset time of skin reactions were further analyzed. The results indicated that 43.5% of patients developed skin changes typical of irritant contact dermatitis. Skin irritation was significantly associated with the presence of TMJ complaints and female sex. Furthermore, skin irritation was more common in younger patients. Clinicians should pay special attention to the skin areas that come into contact with the appliance during each follow-up visit to detect potential problems. Moreover, patients and their parents should be given adequate information about the possibility, prevention, and management of skin problems during facemask therapy. © 2023. The Author(s). DOI: 10.1038/s41598-023-29253-0 PMCID: PMC9905499