“…5,6 Poor sleep quality can be a multifactorial situation and/or condition(s) that can be affected by a person's sleep environment, physiological features related to systemic health, oral myofunctional disorders, restricted airway, and/ or chemical and electrical imbalances related to melatonin or circadian rhythm. 1,3,7,8,11,16,24,25 Sleep deprivation, including OSA, does not discriminate according to age, gender, or body composition. OSA is not often identified in childhood, because the severity of signs and symptoms tend to increase through developmental growth into adulthood.…”