The correlation between craniofacial morphology and sleep-disordered breathing in children in an undergraduate orthodontic clinic

Tsuda, Hiroko; Fastlicht, Sandra; Almeida, Fernanda R.; Lowe, Alan A.

doi:10.1007/s11325-010-0345-4

Cited by 24 publications

(14 citation statements)

References 27 publications

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“…Malformations of the maxilla, mandible, and associated structures can contribute to upper airway obstruction during sleep. Recently, studies using cephalometry and dental casts of patients with obstructive sleep apnea have shown an association with craniofacial morphological features such as a long and narrow face, transverse facial deficiency (high and narrow palatal arch), and retrognathia, in both adults (Hoekema et al , ; Johal and Conaghan, ; Riha et al , ; Nuckton et al , ; Okubo et al , ; Johal et al , ; Ishiguro et al , ; Lee et al , ; Gulati et al , ) and children (Marino et al , ; Pirila‐Parkkinen et al , , ; Tsuda et al , ; Ikavalko et al , ). In 6‐ to 8‐year‐old children, a recent study suggests that abnormal craniofacial morphology, more than excess body fat, increases the risk of obstructive sleep apnea (Ikavalko et al , ).…”

Section: Sleep Disorders Oral Health and Oral Functionmentioning

confidence: 99%

Interactions between sleep disorders and oral diseases

et al. 2013

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Dental sleep medicine is a rapidly growing field that is in close and direct interaction with sleep medicine and comprises many aspects of human health. As a result, dentists who encounter sleep health and sleep disorders may work with clinicians from many other disciplines and specialties. The main sleep and oral health issues that are covered in this review are obstructive sleep apnea, chronic mouth breathing, sleep-related gastroesophageal reflux, and sleep bruxism. In addition, edentulism and its impact on sleep disorders are discussed. Improving sleep quality and sleep characteristics, oral health, and oral function involves both pathophysiology and disease management. The multiple interactions between oral health and sleep underscore the need for an interdisciplinary clinical team to manage oral healthrelated sleep disorders that are commonly seen in dental practice. Oral Diseases (2014) 20, 236-245

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Section: Sleep Disorders Oral Health and Oral Functionmentioning

confidence: 99%

Interactions between sleep disorders and oral diseases

et al. 2013

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“…Whereas in the current study, the presence of skeletal malocclusion, in the form of angle malocclusion (retrognathia/prognathia) and overjet, was significantly more common among school-age children with OSA compared with the preschool group. Craniofacial anatomical factors are believed to play a significant role in OSAS, together with upper airway compliance and muscle function mechanisms [26, 27]. D eng et al [28] found that a retrusive mandible and deficient chin are commonly detected in children aged 6–12 years presenting with OSA when compared with healthy controls.…”

Section: Discussionmentioning

confidence: 99%

Sleep clinical record: what differences in school and preschool children?

et al. 2016

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The sleep clinical record (SCR) may be a valid method for detecting children with obstructive sleep apnoea (OSA). This study aimed to evaluate whether there were differences in SCR depending on age and to identify the possible risk factors for OSA development.We enrolled children with sleep disordered breathing between 2013 and 2015, and divided them according to age into preschool- and school-age groups. All patients underwent SCR and polysomnography.OSA was detected in 81.1% and 83.6% of preschool- and school-age groups, respectively. Obesity, malocclusions, nasal septal deviation and inferior turbinate hypertrophy were significantly more prevalent in school-age children (p<0.05); however, only tonsillar hypertrophy had significant hazard ratio (2.3) for OSA development. Saddle nose, nasal hypotonia, oral breathing and tonsillar hypertrophy were significantly more prevalent for development of OSA in preschoolers (p<0.03). The SCR score was significantly higher among preschool children than in school-age children (8.4±2.22 versus 7.9±2.6; p=0.044). Further, SCR score >6.5 had a sensitivity of 74% in predicting OSA in preschool children with positive predictive value of 86% (p=0.0001).Our study confirms the validity of the SCR as a screening tool for patient candidates for a PSG study for suspected OSA, in both school and preschool children.

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“…[6][7][8] Along with the vast amount of research including animal experiments and literature reviews concerning airway and its influence on dentofacial growth and development, [9][10][11][12] many investigators have attempted to resolve pediatric OSAHS by the use of orthodontic appliances such as rapid maxillary expansion appliances. [13][14][15][16][17] However, few studies reported on the follow-up observation on the impact of OSAHS on patients treated with fixed orthodontic appliances.…”

Section: Introductionmentioning

confidence: 99%