Differences in dentofacial morphology in children with sleep disordered breathing are detected with routine orthodontic records.
Background: Residual snoring in children with obstructive sleep disordered breathing (SDB) may continue post-adenotonsillectomy. This study aims to identify baseline dentofacial differences in children with SDB using routine orthodontic records that might aid effective early intervention for the upp...
| Publicado en: | Sleep Medicine Vol. 55; pp. 109 - 115 |
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| Autores principales: | , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Mar2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135138378&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 135138378 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13899457 JJR jtl: Sleep Medicine issn: 13899457 maglogo: N pubinfo: dt: Mar2019 vid: 55 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 135138378 135138378 NLM30780114 135138378 10.1016/j.sleep.2018.12.019 NLM30780114 135138378 ppf: 109 ppct: 6 formats: tig: atl: Differences in dentofacial morphology in children with sleep disordered breathing are detected with routine orthodontic records. aug: au: Yap, Benlee Kontos, Anna Pamula, Yvonne Martin, James Kennedy, Declan Sampson, Wayne Dreyer, Craig affil: Department of Orthodontics, Adelaide Dental Hospital, Adelaide, Australia sug: subj: Palate Anatomy and Histology Sleep Apnea Syndromes Facial Bones Anatomy and Histology Palate Documentation Facial Bones Male Tonsillectomy Methods Snoring Adolescence Snoring Physiopathology Polysomnography Methods Sleep Apnea Syndromes Physiopathology Sleep Apnea Syndromes Surgery Adenoidectomy Methods Snoring Surgery Human Female Child Validation Studies Comparative Studies Evaluation Research Multicenter Studies Arthritis Impact Measurement Scales Adolescent: 13-18 years Child: 6-12 years Male Female ab: Background: Residual snoring in children with obstructive sleep disordered breathing (SDB) may continue post-adenotonsillectomy. This study aims to identify baseline dentofacial differences in children with SDB using routine orthodontic records that might aid effective early intervention for the upper airway to prevent continued obstruction.Methods: Children (6-16 years) with clinically diagnosed SDB from a paediatric Otolaryngology Clinic who required adenotonsillectomy were participants (n = 10). The control group (n = 9) comprised healthy non-snoring children from the community. Baseline overnight polysomnography (PSG), standardised frontal and right profile photographs and alginate impressions were taken of all children. Facial width, length, depth, convexity and mandibular position were measured from the photographs. The occlusion, arch width, arch depth, maxillary arch form, palatal height and volume were recorded from digitised dental models. Inter-group differences were compared.Results: SDB patients had a significantly increased lower face height, maxillo-mandibular angle (1.73°; 95% CI 0.45-3.0) and a narrower maxillary arch in the upper posterior region. There was a trend towards a decreased palatal volume, increased posterior crossbite and Class II molar relationship.Conclusion: Dentofacial phenotypic differences between children with SDB and controls can be detected using facial photographs and dental models. Increased awareness of these features may help to identify children who to continue to snore post adenotonsillectomy. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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