Prevalence of Sleep-Disordered Breathing in Children Referring for First Dental Examination. A Multicenter Cross-Sectional Study Using Pediatric Sleep Questionnaire

Abstract

Background: Sleep-related breathing disorders (SRDB) are a group of pathological conditions characterized by a dysfunction of the upper airways. The value of SRDB’s prevalence, in the pediatric population, ranges from 2 to 11% depending on the different methodologies used in measure and the difficulties in the diagnosis. The aim of this study was to assess the prevalence of SRDB using the Pediatric Sleep Questionnaire (PSQ). Methods: 668 patients were enrolled from the Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Italy and from the Unit of Integrated Pediatric Dentistry, University of Murcia, Spain. The questionnaires were administered to patients with no previous orthodontic and surgical treatment who attended on the first visit at the two units of pediatric dentistry. Data regarding general health status were extracted from the standard anamnestic module for first visit. Prevalence and logistic regression models were computed. Results: The ages ranged from 2 to 16 years old (average 7 years old). The prevalence of SRDB was 9.7% for the entire sample. The models showed a positive correlation between three variables (snoring, bad habits, and anxiety) and SRDB. Conclusions: The prevalence obtained demonstrates the relevance of sleep disorders in the pediatric population and highlights the central role of pediatric dentists in the earlier diagnosis of these disorders.

Obstructing Sleep Apnea in Children with Genetic Disorders—A Special Need for Early Multidisciplinary Diagnosis and Treatment

“…The results of the present study showed that OSAS is a pathological condition with a significantly high prevalence in a selected population of children with neuromuscular, skeletal, genetic syndromes, and/or craniofacial abnormalities. The high prevalence of OSAS reported in this study (80.5%) is consistent with previously published studies for different populations and highlights the increased risk of OSAS among children with complex genetic disorders [ 17 , 21 , 23 , 26 ] compared with a much lower value of the prevalence of sleep-related breathing disorders (9.73%) in a general pediatric population [ 27 ]. Polysomnography played a key role in identifying OSAS in our pediatric population [ 22 ].…”

Obstructive Sleep Apnea Knowledge Among Dentists and Physicians

“…58 In the United States, many general dentists reported that they screen for OSA by interview, identifying OSA-associated anatomic parameters, using a sleep questionnaire or ordering a home sleep apnea test. 59 Although the experiences of physicians outside the United States may not be comparable to the experiences of There is a dearth of sleep physicians in the United States, according to a recent report from the 2018 American Academy of Sleep Medicine President, Dr. Ilene Rosen, largely due to the attrition rate of retiring sleep physicians from the workforce, which far exceeds the slow uptake of physicians seeking to replace them. 60 This speaks to an increasing gap in addressing the public health problem of OSA, especially with already low rates of recognition of sleep disorders in primary care.…”

Alih Bahasa Dan Reliabilitas Paediatric Sleep Questionnaire Terhadap Anak Usia 6-18 Tahun (Laporan Penelitian)

“…OSA adalah SRBD yang paling sering terjadi pada anak anak maupun dewasa, berupa berhentinya aliran udara pada hidung dan mulut yang bertahan selama minimal 10 detik saat pasien dalam keadaan tidur (1). OSA pada usia anakanak mulai mendapat perhatian lebih pada tahun berikutnya (1976) dikarenakan cukup signifikannya prevalensi gangguan sampai mencapai 4 % dan makin meningkat pada beberapa tahun terakhir (3)(4)(5)(6). Kondisi anak dengan OSA apabila tidak terdeteksi dan tidak dilakukan perawatan lebih lanjut akan menyebabkan keluhan rasa mengantuk berlebihan di siang hari, masalah perilaku, ketidakmampuan belajar, kelainan jantung dan kegagalan dalam pertumbuhan yang akan berpengaruh pada saat anak tersebut dewasa (7)(8)(9).…”