Changes in airway patency and sleep-breathing in healthy skeletal Class II children  undergoing functional Activator therapy

Medina, Cynthia Concepcion; Ueda, Hiroshi; Iwai, Koji; Kunimatsu, Ryo; Tanimoto, Kotaro

doi:10.26650/eor.2022807392

Cited by 4 publications

(9 citation statements)

References 24 publications

(33 reference statements)

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“…Six studies [ 15 , 16 , 17 , 18 , 19 , 20 ] containing data on cephalometric and polysomnographic outcomes after dental appliance application in OSA patients were included ( Table 1 ). The initial search found 619 studies.…”

Section: Resultsmentioning

confidence: 99%

“…Mean age and BMI are depicted in Table 1 . Three studies [ 15 , 17 , 19 ] describing 102 patients reported mean age and BMI in their respective cohorts. No significant difference in age was found between the two groups (mean difference: 0.52 years, 95% CI: [0.41, 1.46], p = 0.27, Chi 2 = 6.34, I 2 = 68%).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies [ 15 , 17 , 18 , 20 ] describing 203 patients provided data on maxilla-to-mandible lengths by measuring the SNA, SNB, and ANB in the two groups of patients. No significant difference in SNA was found between the two groups (mean difference: 0.13, 95% CI: [0.75, 1.00], p = 0.78, Chi 2 = 1.51, I 2 = 0%) ( Figure 4 A).…”

Section: Resultsmentioning

confidence: 99%

“…Several dental/oral appliances have been designed and tested with seemingly good results in improving oxygen delivery by reducing episodes of airway collapse [ 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]. These appliances are constructed to correct upper airway anomalies and to maintain airway patency by stabilizing the soft palate and by increasing the longitudinal diameter of the posterior oropharyngeal airway through mandibular protrusion.…”

Section: Introductionmentioning

confidence: 99%

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Dental Appliances for the Treatment of Obstructive Sleep Apnea in Children: A Systematic Review and Meta-Analysis

et al. 2023

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Background and objectives: Obstructive sleep apnea (OSA) in children is a debilitating disease, difficult to treat. Dental appliances have been proposed as a valid therapy for improving functional outcomes with good compliance rates. Herein, we aimed to perform a meta-analysis comparing clinical outcomes between OSA children treated with dental appliances versus controls. Materials Methods: The study was registered with PROSPERO. A systematic search was performed for all comparative studies examining outcomes in pediatric patients who underwent treatment of OSA with oral appliances versus controls. Data was extracted and analyzed using a random effects model via Rev Man 5.3. Results: Six studies including 180 patients were analyzed split into two groups: patients treated with dental appliances (n = 123) and the controls (n = 119). Therapy with dental appliances was shown to significantly improve the apnea–hypopnea index (p = 0.009) and enlarge the superior posterior airway space (p = 0.02). Maxilla-to-mandible measurements were not significantly different between the two groups, nor was the mean SO2 (p = 0.80). Conclusions: This is the most updated meta-analysis assessing the role of dental appliances for OSA in children; it shows that such devices can improve functional outcomes by decreasing the apnea–hypopnea index.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dental Appliances for the Treatment of Obstructive Sleep Apnea in Children: A Systematic Review and Meta-Analysis

et al. 2023

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“…The performance of the orthodontist after surgical removal, with the rapid expansion of the maxilla and even with intraoral appliances of mandibular advancement (11)(12)(13)(14), depending on the skeletal deformity, allows an improvement in the respiratory picture, apparently reducing the AHI of cases of persistent OSAHS (2). However, studies of orthopedic/orthodontic therapy in the improvement of OSAHS Development and its applications in scientific knowledge…”

Section: Dental Approachmentioning

confidence: 99%

The role of orthodontics in obstructive sleep apnea and Hypopnea Syndrome in children

Kawauchi¹

2023

Development and Its Applications in Scientific Knowledge

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Orthodontics often comes across mouth-breathing patients whose cause of upper airway obstruction consists of hypertrophy of the pharyngeal or adenoid tonsils and/or palatine tonsils. The effects of mouth breathing on craniofacial growth are characterized by maxillary atresia with the deep palate and the expression of preponderant growth in the vertical direction, and anterior open bite and mandibular retrusion may occur. After the referral and the evaluation/performance of the otorhinolaryngologist, the procedure of rapid expansion of the maxilla is indicated, in addition to the other procedures according to the orthopedic/orthodontic problem presented. Often, the performance of the speech therapist becomes necessary and important for the maintenance of the results obtained with the treatment performed by orthodontics. However, despite conducts already readily established in the daily life of orthodontic professionals, this chapter deals with a health condition that may be associated with the mouth-breathing child, which is Obstructive Sleep Apnea and Hypopnea Syndrome (OSAHS) and that many professionals are still unfamiliar with. Disease screening allows for a more efficient and complete approach to the patient's problem by all professionals involved.

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Diagnosis and Orthodontic Treatment of Obstructive Sleep Apnea Syndrome Children—A Systematic Review

Ferati,

Bexheti-Ferati,

Palermo

et al. 2024

Diagnostics

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Obstructive sleep apnea syndrome (OSAS) is a respiratory illness that is associated with recurrent episodes of either partial or full obstruction of the upper airways, or apnea, among other sleep disorders. This study aims to analyze, through a literature review, whether orthodontic treatment can be a good treatment strategy for this type of disorder. We performed a database search on Scopus, Web of Science, and Pubmed with the keywords OSA(S) and orthodontics to select the papers under evaluation. The criteria for inclusion were articles related to OSA(S) children undergoing an orthodontic treatment and clinical studies or case series, excluding systematic reviews, narrative reviews, meta-analyses, adult studies, animal models, and in vitro studies. The screening phase ended with the selection of 16 publications for this work. RME, or rapid maxillary expansion, turned out to be the preferred orthodontic treatment in cases of pediatric OSAS. The goal of this orthodontic procedure is to increase the hard palate’s transverse diameter by reopening the mid-palatal suture. Children with maxillary contraction and dental malocclusion typically undergo such a procedure and have excellent results. However, OSAS is a multifactorial disorder; it does not seem related to the morphology of the oral cavity, and therefore, it is not always possible to cope with this problem exclusively through orthodontic treatment.

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Changes in airway patency and sleep-breathing in healthy skeletal Class II children undergoing functional Activator therapy

Cited by 4 publications

References 24 publications

Dental Appliances for the Treatment of Obstructive Sleep Apnea in Children: A Systematic Review and Meta-Analysis

Dental Appliances for the Treatment of Obstructive Sleep Apnea in Children: A Systematic Review and Meta-Analysis

The role of orthodontics in obstructive sleep apnea and Hypopnea Syndrome in children

Diagnosis and Orthodontic Treatment of Obstructive Sleep Apnea Syndrome Children—A Systematic Review

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