Abstract

Objective: The aim of this article is to provide a detailed description for obstructive sleep apnea regarding its signs and symptoms, the way it is diagnosed, the risk factors, management, the role of dentists and oral appliances in treatment and consequences of untreated condition. Material and Method: Electronic searching was done in PubMed, Medline, EMBASE and CENTRAL databases. Inclusion criteria were: dental, oral and maxillofacial oriented articles. Exclusion criteria: cardiac, obesity and non dental oriented articles were excluded. Result: 59 articles meet the criteria. Conclusion: Obstructive sleep apnea (OSA) is a potentially life threatening disorder characterized by repeated collapse of the upper airway during sleep, with periodic cessation of breathing for more than ten seconds. The frequency of obstructive sleep apnea has been found to increase with age; ranging from two percent among children to two and half percent - six percent among adolescents. Overnight polysomnographic test at specialized sleep clinics remains the gold standard for diagnosing obstructive sleep apnea disorder. Management of this condition can be performed via surgical and non surgical methods. Continuous positive airway pressure represents the first line of treatment for most patients with obstructive sleep apnea.

Highlights

  • Introduction & DefinitionSleep ranks among the three most important considerations in maintaining good health

  • For up to 80% of children diagnosed with Obstructive sleep apnea (OSA) management via adenotonsillectomy was found to be an effective treatment [29]

  • Obstructive sleep apnea (OSA) remains a life threatening disorder that should be diagnosed and managed in order to prevent the negative consequences on affected individuals

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Summary

Introduction & Definition

Sleep ranks among the three most important considerations in maintaining good health. Obstructive sleep apnea (OSA) is a potentially life threatening disorder characterized by repeated collapse of the upper airway during sleep, with periodic cessation of breathing (for more than 10 seconds). These events usually result in fragmented sleep [1] [2]. The frequency of obstructive sleep apnea has been found to increase with age, ranging from 2% among children [3] [4] to 2.5% - 6% among adolescents [5]. It is documented that obstructive sleep apnea has a great negative effect on the patient’s life. It is of great importance to know how to diagnose and treat such a life threatening condition

Pathogenesis
Diagnosis
The Daytime Signs and Symptoms
Orofacial Findings
Consequences of Untreated OSA in Children
Management
Conclusions
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