Orthodontic procedures in the treatment of obstructive sleep apnea in children
Abstract
Introduction Even minor dimensional changes in the child's upper airway can already affect the resistance therein. Craniofacial anomalies may constrict the upper airway and are suspected to be a direct cause of obstructive sleep apnea syndrome (OSAS) in children.Case reports In the present two cases we report on the successful orthodontic treatment of an 8-year-old girl and a 6 1/2-year-old boy with craniofacial anomalies and severe OSAS diagnosed during a sleep study. The primary treatment aim was to improve the cardio-respiratory situation during sleep by enlarging the upper airway and preventing its collapse. Prior to the onset of treatment we had ruled out the presence in both children of any adenotonsillar hypertrophy requiring surgical treatment. Patient 1 (the girl) presented mouth breathing predominantly while sleeping and a narrow skeletal maxilla that was treated via rapid maxillary expansion followed by a Fränkel-II appliance. A function regulator type-II was applied in the second patient, a boy suffering from OSAS, and spinal muscular dystrophy with a narrow skeletal upper jaw and mandibular retrognathism. We were able to successfully treat both cases of obstructive sleep apnea with these orthodontic procedures.Conclusion Orthodontic therapeutic measures should be considered as a causal treatment option in children with OSAS and craniofacial anomalies restricting the upper airway. Parents and patient cooperation, as well as good interdisciplinary care within the field of sleep medicine are mandatory for this kind of treatment.
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Zhang et al. and Rose and Schessl excluded children with adenotonsillar hypertrophy.
“Zhang et al. 28 and Rose and Schessl 32 excluded children with adenotonsillar hypertrophy.”
From Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review (2023) · cites this paper as [32]
Rose et al. (2006) reported that in the second case, it remains unclear whether the improved respiratory situation during sleep will be maintained in the long run.
“it remains unclear in the second case whether the improved respiratory situation during sleep that will be maintained in the long run.”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as Rose et al.,27 2006
Rose et al. (2006) reported that in the first case, OSAS could be eliminated long-term by the orthodontic procedure.
“While the OSAS in the first case could be eliminated long-term by the orthodontic procedure”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as Rose et al.,27 2006
Rose et al. (2006) reported that in an 8-year-old girl with OSAS treated with Frankel II for 20 months, there was improvement in cardiorespiratory performance parameters, with less apnea and oxygen desaturation.
“Improvement in cardiorespiratory performance parameters, with less apnea and oxygen desaturation.”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as Rose et al.,27 2006
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- Authors
- Rose, E., & Schessl, J.
- Affiliations
- University of Freiburg (DE)
- Corresponding author
- Rose, Edmund
- Venue
- Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie
- Published
- 2006-01
- Volume
- 67
- Issue
- 1
- Pages
- 58-67
- ISSN
- 0015-816X (ISSN-L)
- 1434-5293
- 1615-6714
- OpenAlex
- W29112174
- Cited by
- 30
- References
- 14
- Citations by year
- 2026: 3 · 2023: 3 · 2022: 4 · 2021: 1 · 2020: 2 · 2019: 1 · 2017: 1 · 2016: 2 · 2015: 6 · 2013: 1
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Craniofacial Disorders and Treatments
- Keywords
- obstructive sleep apnea, pediatric sleep apnea, craniofacial anomalies, upper airway obstruction, orthodontic treatment, rapid maxillary expansion, Fränkel appliance, functional orthodontic appliances, mouth breathing, mandibular retrognathism, spinal muscular atrophy, adenotonsillar hypertrophy
- MeSH terms
- Anodontia, Child, Female, Humans, Male, Orthodontics, Corrective, Palatal Expansion Technique, Practice Patterns, Physicians', Treatment Outcome, Practice Guidelines as Topic, Mandibular Advancement, Craniofacial Abnormalities, Sleep Apnea, Obstructive
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