Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up
Abstract
Purpose In view of the positive outcome of orthodontic treatment using rapid maxillary expansion (RME) on sleep-disordered breathing, we generated data on RME in children with obstructive sleep apnea (OSA) by evaluating objective and subjective data over a 36-month follow-up period, to determine whether RME is effective in the long-term treatment of OSA. We selected all patients with dental malocclusions and OSA syndrome (OSAS) confirmed by polysomnography.Methods Ten of the 14 children who completed the 12-month therapeutic trial using RME were enrolled in our follow-up study. The study was performed 24 months after the end of the RME orthodontic treatment. We enrolled all children presented with deep, retrusive or crossbite at the orthodontic evaluation. All subjects underwent an overnight polysomnography at the baseline, after 1 year of treatment and 24 months after the end of the orthodontic treatment. The children's mean age was 6.6 ± 2.1 years at entry and 9.7 ± 1.6 years at the end of follow-up.Results After treatment, the apnea hypopnoea index (AHI) decreased and the clinical symptoms had resolved by the end of the treatment period. Twenty-four months after the end of the treatment, no significant changes in the AHI or in other variables were observed.Conclusions RME may be a useful approach in children with malocclusion and OSAS, as the effects of such treatment were found to persist 24 months after the end of treatment.
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Maxillary constriction and skeletal class II with retruded small mandible and hyperdivergent pattern have been widely accepted as dominant risk factors of OSA.
“Maxillary constriction and skeletal class II with retruded small mandible and hyperdivergent pattern have been widely accepted as dominant risk factors of OSA.32, 33, 34”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as [34]
Early treatment of craniofacial abnormalities can prevent the development of long-term respiratory failure, impacting quality of life in adulthood.
“Therefore, early treatment of craniofacial abnormalities can prevent the development of long-term respiratory failure, impacting the quality of life in adulthood.23, 34, 39, 40, 41”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as [34]
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- Authors
- Villa, M. P., Rizzoli, A., Miano, S., & Malagola, C.
- Affiliations
- Azienda Ospedaliera Sant'Andrea (IT)
- Corresponding author
- Villa, Maria Pia
- Venue
- Sleep And Breathing
- Published
- 2011-03-25
- Volume
- 15
- Issue
- 2
- Pages
- 179-184
- ISSN
- 1520-9512 (ISSN-L)
- 1522-1709
- OpenAlex
- W2091094838
- Cited by
- 249
- References
- 24
- Citations by year
- 2026: 14 · 2025: 9 · 2024: 9 · 2023: 9 · 2022: 15 · 2021: 20 · 2020: 13 · 2019: 15 · 2018: 14 · 2017: 21 · 2016: 16 · 2015: 19 · 2014: 39 · 2013: 16 · 2012: 17
- FWCI
- 16.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Sleep And Breathing (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Keywords
- rapid maxillary expansion, obstructive sleep apnea, pediatric sleep-disordered breathing, malocclusion, crossbite, overbite, apnea-hypopnea index, long-term treatment outcomes, orthodontic treatment
- MeSH terms
- Adenoidectomy, Female, Humans, Male, Palatal Expansion Technique, Tonsillectomy, Sleep Apnea, Obstructive
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