Pediatric obstructive sleep apnea in orthodontic patients – the importance of interdisciplinary approach

MARINČÁK VRANKOVÁ, Zuzana, Tomáš KRATOCHVÍL, Marek VRANKA, Pavel HORNÍK, Alena BRYŠOVÁ and Petra BOŘILOVÁ LINHARTOVÁ. Pediatric obstructive sleep apnea in orthodontic patients – the importance of interdisciplinary approach. In 53rd International Congress of the Italian Society of Orthodontics (SIDO). 2022.

Basic information

• Original name: Pediatric obstructive sleep apnea in orthodontic patients – the importance of interdisciplinary approach
• Authors: MARINČÁK VRANKOVÁ, Zuzana (703 Slovakia, guarantor, belonging to the institution), Tomáš KRATOCHVÍL (203 Czech Republic, belonging to the institution), Marek VRANKA (703 Slovakia, belonging to the institution), Pavel HORNÍK (203 Czech Republic), Alena BRYŠOVÁ (203 Czech Republic, belonging to the institution) and Petra BOŘILOVÁ LINHARTOVÁ (203 Czech Republic, belonging to the institution).
• Edition: 53rd International Congress of the Italian Society of Orthodontics (SIDO), 2022.

Other information

• Original language: English
• Type of outcome: Conference abstract
• Field of Study: 30208 Dentistry, oral surgery and medicine
• Country of publisher: Italy
• Confidentiality degree: is not subject to a state or trade secret
• WWW: poster
• RIV identification code: RIV/00216224:14110/22:00126998
• Organization unit: Faculty of Medicine
• Keywords in English: pediatric obstructive sleep apnea; orthodontic patients; interdisciplinary approach
• Tags: International impact

Abstract

Objective: The prevalence of pediatric obstructive sleep apnea (POSA) in the general population varies usually between 2 to 4%, however it appears to be severely underdiagnosed. We aimed to monitor the prevalence of POSA in orthodontic patients and to focus on the importance of interdisciplinary approach during the initial examination. Subjects: A total of 48 orthodontic patients (22 boys and 26 girls) aged 6-12 years were included in this study. Method: All patients underwent three step examination – 1) visit at the orthodontist including complex check-up, cephalogram and panoramic x-ray; 2) visit at the pediatric ENT specialist for endoscopic examination of the nose, nasopharynx and tonsils grading, and 3) a home sleep testing under the supervision of sleep specialist to determine the presence of POSA. A detailed medical history was taken from all patients, including data from questionnaire originally designed by us. Results: POSA was found in 73% children diagnosed with orthodontic anomaly – mild form (AHI=1-4) in 68.8% and moderate form (AHI=5-10) in 4.2% of children. Based on the ENT examination, the size of the palatine tonsils and the preference of mouth breathing during both day and night were positively correlated with the severity of POSA. POSA was found more often in patients diagnosed with maxillary constriction, crowding, increased overjet and ANB angle and decreased range of tongue mobility, than in children without these craniofacial dysmorphisms. Conclusion: Based on the results of our study, patients aged 6-12 years with specific craniofacial phenotype are very susceptible for the POSA development. As these risky characteristics may be easily diagnosed by orthodontist, ENT, and sleep specialist during the initial examination, interdisciplinary approach seems to be the most suitable way in the early diagnosis and later the treatment of this disease.

Links

• EF17_043/0009632, research and development project: Name: CETOCOEN Excellence
• LM2018121, research and development project: Name: Výzkumná infrastruktura RECETOX (Acronym: RECETOX RI)

Investor: Ministry of Education, Youth and Sports of the CR, RECETOX RI