Sleep-disordered breathing and orthodontic variables in children—Pilot study

Carvalho, Fabrício Kitazono de; Lentini-Oliveira, Débora Aparecida; Carvalho, Graziele Maria Missiano; Prado, Lucila Bizari Fernandes do; Prado, Gilmar Fernandes do; Carvalho, Luciane Bizari Coin de

doi:10.1016/j.ijporl.2014.08.040

Cited by 22 publications

(46 citation statements)

References 41 publications

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“…The mean duration of breastfeeding and the proportion of children who were breastfed up to 3 months of age in our study were similar to those found in the general cohort study, 14 suggesting that selection bias may not have occurred. Moreover, biological traits 10,12 such as cephalic perimeter and birth weight, as well as respiratory diseases, 25 which may play an important role on the adequate Never breastfed was the reference category for all models. Model 1: unadjusted prevalence ratios; Model 2: adjusted prevalence ratios for confounder variables; and Model 3: adjusted prevalence ratios for variables in model 2 and pacifier use.…”

Section: Discussionmentioning

confidence: 99%

Exclusive Breastfeeding and Risk of Dental Malocclusion

et al. 2015

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OBJECTIVES: The distinct effect of exclusive and predominant breastfeeding on primary dentition malocclusions is still unclear. We hypothesized that exclusive breastfeeding presents a higher protective effect against malocclusions than predominant breastfeeding and that the use of a pacifier modifies the association between breastfeeding and primary dentition malocclusions.METHODS: An oral health study nested in a birth cohort study was conducted at age 5 years (N = 1303). The type of breastfeeding was recorded at birth and at 3, 12, and 24 months of age. Open bite (OB), crossbite, overjet (OJ), and moderate/severe malocclusion (MSM) were assessed. Poisson regression analyses were conducted by controlling for sociodemographic and anthropometric characteristics, sucking habits along the life course, dental caries, and dental treatment.RESULTS: Predominant breastfeeding was associated with a lower prevalence of OB, OJ, and MSM, but pacifier use modified these associations. The same findings were noted between exclusive breastfeeding and OJ and between exclusive breastfeeding and crossbite. A lower prevalence of OB was found among children exposed to exclusive breastfeeding from 3 to 5.9 months (33%) and up to 6 months (44%) of age. Those who were exclusively breastfed from 3 to 5.9 months and up to 6 months of age exhibited 41% and 72% lower prevalence of MSM, respectively, than those who were never breastfed.CONCLUSIONS: A common risk approach, promoting exclusive breastfeeding up to 6 months of age to prevent childhood diseases and disorders, should be an effective population strategy to prevent malocclusion. WHAT'S KNOWN ON THIS SUBJECT:Breastfeeding provides a protective effect against some malocclusions, and there is a strong inverse correlation between the duration of breastfeeding and the duration of pacifier use. WHAT THIS STUDY ADDS:The protective effects of predominant and exclusive breastfeeding against malocclusion are distinct: exclusive breastfeeding reduces the risk of malocclusions regardless of pacifier use, whereas the effect of predominant breastfeeding depends on the duration of the pacifier use. Dr K. Peres coordinated the oral health data collection, conceptualized the study, and drafted the initial manuscript; Dr Cascaes conducted all statistical analyses and reviewed and revised the manuscript; Dr M. Peres trained field workers and supervised data collection and critically reviewed the manuscript; Dr Demarco, together with Dr K. Peres, coordinated the oral health data collection, trained field workers and supervised data collection, and critically reviewed the manuscript; Dr Santos coordinated all stages of the birth cohort study and critically reviewed the manuscript; Dr Matijasevich critically reviewed the manuscript; and Dr Barros, together with Dr Santos, coordinated all stages of the birth cohort study and critically reviewed the manuscript. All authors approved the final version of the manuscript and agree to be accountable for all aspects of the work. It is well known that b...

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Section: Discussionmentioning

confidence: 99%

Exclusive Breastfeeding and Risk of Dental Malocclusion

et al. 2015

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“…SDB represents a continuum of manifestations from simple snoring to Obstructive sleep apnea (OSA), and this condition tends to progress from mild SDB to severe OSA over a varying period, which may be surprisingly short in the case of weight gain and the lack of effective treatment 31,41 . In children, adenotonsillar hypertrophy, as well as deviations concerning craniofacial morphology and dental occlusion, are risk factors for SDB, which seems to be complex, multifactor pathogenesis in children 31,37 . Thus, timely orthodontic intervention could prevent SDB in adulthood 11,16 .…”

Section: Discussionmentioning

confidence: 99%

“…Sleep-disordered breathing (SDB) includes a spectrum of upper airway disorders ranging from primary snoring (PS) to obstructive sleep apnea (OSA) 4 . PS is a respiratory noise, in which sleep architecture, alveolar ventilation, and blood oxygen saturation are maintained at normal values whereas OSA is partial or complete obstruction of the upper airways that impairs normal ventilation during sleep and normal sleep patterns 5 .The prevalence of SDB in children ranges from 0.7% to 16.9%; however, in the current literature, PS ranges from 4.3 to 16.9% and OSA from 0.7 to 3% 6,7,8,9 . Thus, abnormal craniofacial morphology, such as retrognathia and dental malocclusion contribute to upper airway obstruction and increase the risk of SDB 6,10 . Therefore, SDB is commonly associated with oro and dentofacial features and may be related to malocclusion.…”

Section: Introductionmentioning

confidence: 94%

“…Posterior crossbite, defined as a labiolingual relationship between the maxillary and mandibular teeth, when out of the normal standards, Inverted. 16 recorded on a Likert scale of 1-5: 1 point for ''never'', 2 points for ''occasionally'' (once or twice per month), 3 points for ''sometimes'' (once or twice per week), 4 points for ''often'' (3-5 times per week), and 5 points for ''always'' (daily). Hence, the sum score for the three questions can be at least 3 and at most 15.…”

Section: Transversal Analysismentioning

confidence: 99%

“…According to the total score obtained for these three SDSC items, participants were classified into 3 groups: group 1, at high risk of SDB (12-15 points); group 2, at moderate risk of SDB (7-11 points); and group 3, at low risk of SDB (3-6 points). This variable, dichotomized in children without SDB (group 1 and 2) and children with SDB (group 3) 16 . This study also evaluated the BMI of children, since according to Kaditis el al 23…”

Section: Transversal Analysismentioning

confidence: 99%

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Prevalence of sleep-disordered breathing and associations with malocclusion in children

Lyra

Aguiar

Paiva

et al. 2019

Preprint

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Objective: This study aimed to determine the prevalence of sleep-disordered breathing (SDB) and its association with malocclusion among children in Recife, Brazil. Methods: 390 children aged seven to eight years took part in the study, comprised by the body mass measurement, orthodontic examination and parent's information required by the Sleep Disturbance Scale for Children. Statistics tools were Pearson's chi-square and Lemeshow test. Results: SDB was found in 33.3% of the children and associated with overjet (p= 0.007), anterior open bite (p=0.008) and posterior crossbite (p= 0.001). There was no association between BMI and SDB.The multivariate logistic regression model indicated that the anterior open bite (p= 0.002) and posterior crossbite (p = 0.014) have an association with SDB. Conclusions: Results of this study indicated that the prevalence of SDB was high and highly associated with malocclusion;anterior open bite and posterior crossbite are risk factors for SDB.

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