Abstract
Background: Obstructive Sleep Apnea (OSA) is considered to be a real public health problem, often unrecognized or underdiagnosed, requiring multidisciplinary care including orthodontics that plays an essential role in the screening and the management of ventilation. Objective: The aim of our study is to explain the important place of orthodontic therapies, whether orthopedic or surgical, in the multidisciplinary management of OSA and in the improvement of nasal breathing through a systematic review. Material and methods: A search of the literature was performed in the following databases: PubMed, ScienceDirect, Cochrane Library . The search was limited to publications written in English and French from 2010 to January 2022. Results: On the basis of the keywords, eighty-three references were initially identified. After the elimination of duplicates, the number of articles was reduced to seventy-nine. The study of the titles and abstracts made it possible to select fifty articles. After reading the full text, sixteen publications were included in this systematic review. Eight studies have investigated rapid maxillary expansion (RME), five studies have evaluated the effect of mandibular advancement (MA) and three studies have investigated the effect of genioplasty in children with OSA. Conclusion: Orthodontic arsenal, whether orthopedic, orthodontic, or surgical correction of jaws, is well suited and extremely beneficial for OSA treatment.
Highlights
Obstructive sleep apnea (OSA) is an increasingly common pediatric, chronic disease defined by the American Academy of sleep medicine as a sleep-related breathing disorder characterized by repetitive episodes of complete or partial upper airway obstruction leading to a short-term cessation of ventilation or significant reduction of airflow during sleep. [1, 2] The prevalence of Obstructive Sleep Apnea (OSA) among children is defined to be ranging from 1% to 4% [3, 4]
Our study aims to explain the important place of orthodontic therapies, whether orthopedic or surgical, in the multidisciplinary management of OSA and the improvement of nasal breathing through a systematic review
OSA involving a narrow maxilla, and they reported after disorder with a profound effect on health and quality of 12 months follow-up that into adulthood present they still life
Summary
Obstructive sleep apnea (OSA) is an increasingly common pediatric, chronic disease defined by the American Academy of sleep medicine as a sleep-related breathing disorder characterized by repetitive episodes of complete or partial upper airway obstruction leading to a short-term cessation of ventilation or significant reduction of airflow during sleep. [1, 2] The prevalence of OSA among children is defined to be ranging from 1% to 4% [3, 4]. Some risk factors include obesity, increasing age, craniofacial morphology, genetics, and syndromes. It may induce a reduction of pharynx size or a rise in airway collapsibility, which leads to a higher prevalence of the pathology [5]. The severity of obstructive sleep apnea is classified based on the AHI (Apnea-Hypopnea Index). Categories are mild (AHI between 5 and 15), moderate (AHI between 15 and 30), and severe (AHI superior to 30). Requiring multidisciplinary care, including orthodontics, plays an essential role in screening the pathology through its craniofacial manifestations, and secondly, helping improve ventilation thanks to a sizeable therapeutic arsenal ranging from orthopedics to orthognathic surgery. Our study aims to explain the important place of orthodontic therapies, whether orthopedic or surgical, in the multidisciplinary management of OSA and the improvement of nasal breathing through a systematic review
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
