Prevalence of malocclusion in children with obstructive sleep apnoea

Galeotti, Angela; Festa, Paola; Viarani, Valeria; D’Antò, Vincenzo; Sitzia, Emanuela; Piga, Simone; Pavone, Martino

doi:10.1111/ocr.12242

Cited by 45 publications

(28 citation statements)

References 25 publications

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“…In this study, the occlusal variables showed a high frequency of malocclusion in mouth-breathing children similar to data from a recent study in children with obstructive sleep apnea 14 . This confirms that malocclusion is more frequent in mouth-breathing children compared to nasal breathers as reported previously 4 , 14 .…”

Section: Discussionsupporting

confidence: 90%

Association between upper airway obstruction and malocclusion in mouth-breathing children

Festa

Mansi²,

Varricchio³

et al. 2021

Acta Otorhinolaryngol Ital

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Section: Discussionsupporting

confidence: 90%

Association between upper airway obstruction and malocclusion in mouth-breathing children

Festa

Mansi²,

Varricchio³

et al. 2021

Acta Otorhinolaryngol Ital

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“…As regards the presence of crossbite, while it has been correlated with respiratory disorders ( 9 , 12 , 14 ), our study found no statistically significant differences. In contrast, maxillary width was found to be significantly smaller in patients with SRBD, with a difference of 2.2 mm between patients with a low vs. moderate risk of SRBD.…”

Section: Discussioncontrasting

confidence: 74%

“…As discussed above, in patients where SRBD was associated with Class II malocclusion and open bite, this was usually accompanied by greater overjet and less overbite ( 8 , 14 ). Although greater overjet and less overbite were observed in our study in patients with positive questionnaire results, significant differences were only observed for the latter association.…”

Section: Discussionmentioning

confidence: 91%

Prevalence of sleep-related breathing disorders in children with malocclusion

et al. 2020

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Background The paediatric population has a high incidence of sleep-related breathing disorders (SRBD). A notable risk factor is the presence of craniofacial abnormalities. The objective of the study was therefore to survey the prevalence of SRBD in patients presenting for interceptive treatment. Material and Methods Prospective study with a sample of 249 healthy patients. The “Paediatric Sleep Questionnaire” and “Sleep Disturbance Scale for Children” were completed by the children’s parents and the results were evaluated. All patients had their medical records reviewed and underwent orthodontic diagnosis by oral examination, as well as dental cast and cephalometric analysis. Finally, we compared the results of the pre- and post-treatment questionnaires of 50 patients in the sample. Results Based on the results of the questionnaires, 22.8% of the study sample had SRBD. No statistically significant correlation was found between SRBD and the anthropometric characteristics and occlusal variables assessed. According to the cast analysis, patients with SRBD had a smaller maxillary width ( p <0.003), and according to the cephalometric study, less overbite ( p <0.003). Furthermore, the prevalence of SRBD was higher among patients with a history of adenotonsillectomy ( p <0.02). Comparison of the results of pre- and post-treatment questionnaires revealed significant differences after orthodontic treatment ( p <0.0005). Conclusions It is necessary to identify the presence of SRBD in orthodontic patients given its high prevalence. Patients with SRBD have a smaller maxillary width and less overbite. Key words: Sleep-related breathing disorders, paediatric sleep questionnaire, cephalometry.

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“…In the PANIC study, 28 conducted on 491 Finnish children 6-8 years of age, children with crossbite had a 3.3 times higher risk of having SDB (based on a questionnaire) than those without crossbite, and children with a convex facial profile had a 2.6 times higher risk of having SDB than those with a normal facial profile. A recent Italian study, 29 comparing a group of 139 children with OSA to a control group of 137 children (range 2-10 years, all diagnosed with PSG), described several orthodontic factors independently associated with OSA: posterior crossbite (odds ratio = 3.38), reduced overbite (odds ratio = 2.43), increased overbite (odds ratio = 2.19), and increased overjet (odds ratio = 4.25).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of malocclusions and oral dysfunctions in children with persistent sleep-disordered breathing after adenotonsillectomy in the long term

Cohen-Lévy

Quintal

Rompré

et al. 2020

Journal of Clinical Sleep Medicine

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Study Objectives: To evaluate the prevalence of craniofacial/orthodontic abnormalities and oral dysfunctions in a population of children with persistent sleep-disordered breathing despite adenotonsillectomy. Methods: Medical charts of 4,000 children with sleep-disordered breathing operated on in a tertiary hospital were retrospectively reviewed. Patients reporting persistent sleep-disordered breathing symptoms were invited to an orthodontic/myofunctional evaluation following the Sleep Clinical Score), followed by a 1-night ambulatory type III sleep study. Results: One hundred nonsyndromic symptomatic patients were examined (mean age 8.8 ± 3.5 years), from 1 to 12 years after surgery (mean 4.6 ± 3.1 years); 24% were overweight/obese; 69 had a sleep study. Although prevalent, oronasal abnormalities and malocclusions were not specifically associated with pathological sleep parameters (cartilage hypotonia 18%, septal deviation 5%, short lingual frenulum 40%). Malocclusions were associated with a higher respiratory event index in children under 8 years only, whereas an impaired nasal dilator reflex and tongue immaturity were associated with an increased obstructive respiratory event index in all patients (1.72 ± 2.29 vs 0.72 ± 1.22 events/h, P = .011) and Respiratory Event Index, respectively (3.63 ± 3.63 vs 1.19 ± 1.19 events/h). Male sex, phenotype, nasal obstruction, oral breathing, and young age at surgery (< 3 years) were significantly related to higher respiratory event index. Using the Sleep Clinical Score > 6.5 cut-off, patients with persistent sleep apnea were significantly distinct from chronic snoring (2.72 ± 2.67 vs 0.58 ± 0.55, P < .01). Conclusions: Oronasal anatomical and functional abnormalities were quite prevalent and various in persistent sleep-disordered breathing after adenotonsillectomy. Nasal disuse and tongue motor immaturity were associated with a higher obstructive respiratory event index in the long term, whereas craniofacial risk factors might have a more pronounced impact at younger age.

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Prevalence of malocclusion in children with obstructive sleep apnoea

Cited by 45 publications

References 25 publications

Association between upper airway obstruction and malocclusion in mouth-breathing children

Association between upper airway obstruction and malocclusion in mouth-breathing children

Prevalence of sleep-related breathing disorders in children with malocclusion

Prevalence of malocclusions and oral dysfunctions in children with persistent sleep-disordered breathing after adenotonsillectomy in the long term

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