Cited by 284Obstructive Sleep Apnea ResearchOrthodontics and Dentofacial OrthopedicsTemporomandibular Joint Disorders

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

Obstructive sleep apnea and orthodontics: An American Association of Orthodontists White Paper

Behrents, Rolf G., Shelgikar, Anita Valanju, Conley, R. Scott, Flores-Mir, Carlos, Hans, Mark, Levine, Mitchell, McNamara, James A., Palomo, Juan Martin, Pliska, Benjamin, Stockstill, John W., Wise, John, Murphy, Sean, Nagel, Norman J., Hittner, Jackie·2019·American Journal of Orthodontics and Dentofacial Orthopedics

DOI 10.1016/j.ajodo.2019.04.009

Open this paper in CoChat — free account

Abstract

The Board of Trustees of the American Association of Orthodontists asked a panel of medical and dental experts in sleep medicine and dental sleep medicine to create a document designed to offer guidance to practicing orthodontists on the suggested role of the specialty of orthodontics in the management of obstructive sleep apnea. This White Paper presents a summary of the Task Force's findings and recommendations.

Integrity signals

Registry

Crossref · 10.1016/j.ajodo.2019.04.009

Cites

54 of 54 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364
Untitled work
(2007) · Cited by 6,530
The International Classification of Sleep Disorders
Daroff, R. B. (1991) · Neurology · doi:10.1212/wnl.41.1.160 · Cited by 5,023
Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline
Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6506 · Cited by 3,253
Using the Berlin Questionnaire To Identify Patients at Risk for the Sleep Apnea Syndrome
Netzer, N. C., Stoohs, R. A., Netzer, C. M., Clark, K., & Strohl, K. P. (1999) · Annals of Internal Medicine · doi:10.7326/0003-4819-131-7-199910050-00002 · Cited by 2,973
International Classification of Sleep Disorders
Thorpy, M. (2017) · Sleep Disorders Medicine · doi:10.1007/978-1-4939-6578-6_27 · Cited by 2,505
Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
Marcus, C. L., Brooks, L. J., Draper, K. A., Gozal, D., Halbower, A. C., Jones, J., Schechter, M. S., Sheldon, S. H., Spruyt, K., Ward, S. D., et al. (2012) · Pediatrics · doi:10.1542/peds.2012-1671 · Cited by 2,432
A clinical sign to predict difficult tracheal intubation; a prospective study
Mallampati, S. R., Gatt, S. P., Gugino, L. D., Desai, S. P., Waraksa, B., Freiberger, D., & Liu, P. L. (1985) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/bf03011357 · Cited by 2,429
STOP Questionnaire: A Tool to Screen Patients for Obstructive Sleep Apnea
Chung, F., Yegneswaran, B., Liao, P., Chung, S. A., Vairavanathan, S., Islam, S., Khajehdehi, A., & Shapiro, C. M. (2008) · Anesthesiology · doi:10.1097/aln.0b013e31816d83e4 · Cited by 2,355
Adherence to Continuous Positive Airway Pressure Therapy: The Challenge to Effective Treatment
Weaver, T. E., & Grunstein, R. R. (2008) · Proceedings of the American Thoracic Society · doi:10.1513/pats.200708-119mg · Cited by 1,680

Show all 54 references

Research works printed but not linked: 2

Taylor, 1996, Soft tissue growth of the oropharynx, Angle Orthod, 66, 393
Johns, 2015, The assessment of sleepiness in children and adolescents, Sleep Biol Rhythm, 13, 97

Sorted by citations

An Update on Obstructive Sleep Apnea Syndrome—A Literature Review
Platon, A. L., Stelea, C. G., Boișteanu, O., Pătrășcanu, E., Zetu, I. N., Rosu, S. N., Trifan, V., & Palade, D. O. (2023) · Medicina · doi:10.3390/medicina59081459 · Cited by 86
Mini-implant assisted rapid palatal expansion (MARPE) effects on adult obstructive sleep apnea (OSA) and quality of life: a multi-center prospective controlled trial
Brunetto, D. P., Moschik, C., Dominguez-Mompell, R., Jaria, E., Sant’Anna, E. F., & Moon, W. (2022) · Progress in Orthodontics · doi:10.1186/s40510-021-00397-x · Cited by 75
Effect of orthopedic and functional orthodontic treatment in children with obstructive sleep apnea: A systematic review and meta-analysis
Bucci, R., Rongo, R., Zunino, B., Michelotti, A., Bucci, P., Bonetti, G. A., Parenti, S. I., & D’Antò, V. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101730 · Cited by 67
“These secondary effects may improve OSA [72] and support the significant improvements observed in the current SR, concerning respiratory outcomes (both AHI and SaO2%) at different time-points.”
BackgroundResult
PATIENT-REPORTED OUTCOMES WHILE MANAGING OBSTRUCTIVE SLEEP APNEA WITH ORAL APPLIANCES: A SCOPING REVIEW
Fagundes, N. C. F., Minervini, G., Alonso, B. F., Nucci, L., Grassia, V., d’Apuzzo, F., Pérez, A. P., Perillo, L., & Flores‐Mir, C. (2022) · Journal of Evidence Based Dental Practice · doi:10.1016/j.jebdp.2022.101786 · Cited by 55
Self-citation
The dental and craniofacial characteristics among children with obstructive sleep apnoea: a systematic review and meta-analysis
Liu, Y., Zhao, T., Ngan, P., Qin, D., Hua, F., & He, H. (2022) · European Journal of Orthodontics · doi:10.1093/ejo/cjac074 · Cited by 59
Imaging in Orthodontics
Tanna, N. K., AlMuzaini, A. A. A. Y., & Mupparapu, M. (2021) · Dental Clinics of North America · doi:10.1016/j.cden.2021.02.008 · Cited by 54
Pediatric obstructive sleep apnea—Dental professionals can play a crucial role
Fagundes, N. C. F., & Flores‐Mir, C. (2021) · Pediatric Pulmonology · doi:10.1002/ppul.25291 · Cited by 50
“agement by orthodontists have been synthesized in a recent White Paper by the American Association of Orthodontists.(33) Emphasis is pointed out on additional training to improve content knowledge, increase screening and referral when indicated by the orthodontists,”
MethodSelf-citation
Automated Adenoid Hypertrophy Assessment with Lateral Cephalometry in Children Based on Artificial Intelligence
Zhao, T., Zhou, J., Yan, J., Cao, L., Cao, Y., Hua, F., & He, H. (2021) · Diagnostics · doi:10.3390/diagnostics11081386 · Cited by 47
“As cephalometry is routinely performed in orthodontic practice, orthodontists are strongly recommended to screen their patients for sleep breathing disorders and AH in clinical practice [35].”
Background
The role of rapid maxillary expansion in pediatric obstructive sleep apnea: Efficacy, mechanism and multidisciplinary collaboration
Xie, B., Zhang, L., & Lu, Y. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101733 · Cited by 39
Effects of twin-block appliance on upper airway parameters in OSA children with class II malocclusion and mandibular retrognathia: a CBCT study
Zreaqat, M., Hassan, R., Samsudin, A. R., & Alforaidi, S. (2023) · European Journal of Pediatrics · doi:10.1007/s00431-023-05226-3 · Cited by 33
Combined Surgical and Orthodontic Treatments in Children with OSA: A Systematic Review
Templier, L., Rossi, C., Miguez, M., Pérez, J. D. L. C., Curto, A., Albaladejo, A., & Lagravère, M. O. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9082387 · Cited by 31
“As OSA is a multifactorial syndrome [36], a multidisciplinary approach should be taken to treat OSA in children.”
Background
Efficacy of Rapid Maxillary Expansion with or without Previous Adenotonsillectomy for Pediatric Obstructive Sleep Apnea Syndrome Based on Polysomnographic Data: A Systematic Review and Meta-Analysis
Quinzi, V., Saccomanno, S., Manenti, R. J., Giancaspro, S., Paskay, L. C., & Marzo, G. (2020) · Applied Sciences · doi:10.3390/app10186485 · Cited by 30
“Although subtotal resection also carries an increased risk of tonsillar regrowth [8], tonsillar tissue reacts to pathogens such as bacteria, dust, or pollen in the body, so partial removal of tonsillar tissue without identification and removal or reduction of pathogens will not be successful neither in the short nor i…”
Background
Dental and Skeletal Side Effects of Oral Appliances Used for the Treatment of Obstructive Sleep Apnea and Snoring in Adult Patients—A Systematic Review and Meta-Analysis
Tsolakis, I. A., Palomo, J. M., Matthaios, S., & Tsolakis, A. I. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12030483 · Cited by 34
Self-citation
Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review
Bariani, R. C. B., Bigliazzi, R., Cappellette Junior, M., Moreira, G., & Fujita, R. R. (2022) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/j.bjorl.2021.02.010 · Cited by 28
“Outcome ---- Primary outcome was the apnea-hypopnea ndex (AHI); secondary outcomes were (1) oxygen saturation evel, (2) sleep quality (SQ), (3) improvement on sagital relationship between the maxilla-mandible measured by ephalometric data; and (4) upper-airway space.”
Background
The role of orthodontics in management of obstructive sleep apnea
Alansari, R. A. (2022) · The Saudi Dental Journal · doi:10.1016/j.sdentj.2022.02.001 · Cited by 30
“Therefore, dentists must record patients’ height, weight, and neck circumference (Behrents et al., 2019).”
Influential
Changes in the hyoid bone, tongue, and oropharyngeal airway space after mandibular setback surgery evaluated by cone-beam computed tomography
Kim, S.-H., & Choi, S. (2020) · Maxillofacial Plastic and Reconstructive Surgery · doi:10.1186/s40902-020-00271-6 · Cited by 27
Effect of extraction treatment on upper airway dimensions in patients with bimaxillary skeletal protrusion relative to their vertical skeletal pattern
Cho, H.-N., Yoon, H. J., Park, J. H., Park, Y., & Kim, S. (2021) · The Korean Journal of Orthodontics · doi:10.4041/kjod.2021.51.3.166 · Cited by 27
Advancements in tooth autotransplantation
Dokova, A. F., Lee, J. Y., Mason, M., Moretti, A., Reside, G., & Christensen, J. R. (2024) · The Journal of the American Dental Association · doi:10.1016/j.adaj.2024.01.006 · Cited by 26
Dental sleep-related conditions and the role of oral healthcare providers: A scoping review
Huang, Z., Zhou, N., Lobbezoo, F., Almeida, F. R., Cistulli, P. A., Dieltjens, M., Huynh, N. T., Kato, T., Lavigne, G. J., Massé, J.-F., et al. (2022) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2022.101721 · Cited by 32
Self-citation
The use of CBCT in orthodontics with special focus on upper airway analysis in patients with sleep-disordered breathing
Savoldi, F., Dagassan‐Berndt, D. C., Patcas, R., Mak, W.-S., Kanavakis, G., Verna, C., Gu, M., & Bornstein, M. M. (2024) · Dentomaxillofacial Radiology · doi:10.1093/dmfr/twae001 · Cited by 30
“75 For example, RME may be effective in the management of paediatric OSA, 76 and it can be considered in cases of transverse maxillary deficit.”
Background
Screening of obstructive sleep apnea (OSA) risk in adolescent population and study of association with craniofacial and upper airway morphology
Ahmad, L., Kapoor, P., Bhaskar, S., & Khatter, H. (2020) · Journal of Oral Biology and Craniofacial Research · doi:10.1016/j.jobcr.2020.10.006 · Cited by 24
“These parameters include vertical growth, steep mandibular plane angle, long and narrow face, mandibular retrognathism, narrow and deep palate, anterior open bite and lower hyoid position.(14) However, they emphasize that the strength of the relationship of these parameters with development of OSA requires further exp…”
Result
Nasal ventilation and rapid maxillary expansion (RME): a randomized trial
Iwasaki, T., Papageorgiou, S. N., Yamasaki, Y., Darendeliler, M. A., & Papadopoulou, A. K. (2021) · European Journal of Orthodontics · doi:10.1093/ejo/cjab001 · Cited by 25
The role of the dentist in the diagnosis and management of pediatric obstructive sleep apnea
Anwer, H. M. M., Albagieh, H., Kalladka, M., Chiang, H. K., Malik, S., McLaren, S. W., & Khan, J. (2021) · The Saudi Dental Journal · doi:10.1016/j.sdentj.2021.02.001 · Cited by 23
“Morning head-aches, sleep enuresis, and hyperextended neck posture while sleeping are also common ﬁndings (Marcus et al., 2012, Alexopoulos et al., 2014, Behrents et al., 2019) (Fig.”
Influential
Craniofacial Sleep Medicine: The Important Role of Dental Providers in Detecting and Treating Sleep Disordered Breathing in Children
Heit, T., Tablizo, B. J., Salud, M., Mo, F., Kang, M. S., Tablizo, M. A., & Witmans, M. (2022) · Children · doi:10.3390/children9071057 · Cited by 20
Does rapid maxillary expansion enlarge the nasal cavity and pharyngeal airway? A three‐dimensional assessment based on validated analyses
Niu, X., Motro, M., Will, L. A., Cornelis, M. A., & Cattaneo, P. M. (2021) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12526 · Cited by 19
Wearable Orofacial Technology and Orthodontics
Prasad, S., Sivakumar, A., Boillat, T., Ghoneima, A. A. M., Gandedkar, N. H., & Diar-Bakirly, S. (2023) · Dentistry Journal · doi:10.3390/dj11010024 · Cited by 27
“Orthodontists are well positioned to perform obstructive sleep apnea (OSA) screening assessments and refer at-risk patients for a diagnostic evaluation [78].”
Background
Effects of bicuspid extractions and incisor retraction on upper airway of Asian adults and late adolescents: A systematic review
Ng, J. H., Song, Y. L., & Yap, A. U. (2019) · Journal of Oral Rehabilitation · doi:10.1111/joor.12854 · Cited by 18
Accuracy of convolutional neural networks-based automatic segmentation of pharyngeal airway sections according to craniofacial skeletal pattern
Cho, H.-N., Gwon, E., Kim, K., Baek, S., Kim, N., & Kim, S. (2022) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2022.01.011 · Cited by 18
Prevalence of adenoid hypertrophy among 12-year-old children and its association with craniofacial characteristics: a cross-sectional study
Tse, K. L., Savoldi, F., Li, K. Y., McGrath, C. P. J., Yang, Y., & Gu, M. (2023) · Progress in Orthodontics · doi:10.1186/s40510-023-00481-4 · Cited by 18
“Especially, given that AH may predispose children to sleep-disordered breathing [1], screening for this condition is advisable during treatment planning [20].”
Background
Association between adenotonsillar hypertrophy and dentofacial characteristics of children seeking for orthodontic treatment: A cross-sectional study
Zhao, T., Yang, Z. K., Ngan, P., Luo, P., Zhang, J., Hua, F., & He, H. (2023) · Journal of Stomatology Oral and Maxillofacial Surgery · doi:10.1016/j.jormas.2023.101751 · Cited by 18
Effect of premolar extraction on upper airway volume and hyoid position in hyperdivergent adults with different mandibular length
Ning, R., Guo, J., & Martín, D. (2022) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2021.01.027 · Cited by 17
Novel three-dimensional methods to analyze the morphology of the nasal cavity and pharyngeal airway
Niu, X., Madhan, S., Cornelis, M. A., & Cattaneo, P. M. (2021) · The Angle Orthodontist · doi:10.2319/070620-610.1 · Cited by 17
“In addition, orthodontists have a broad patient population, with contact maintained over a long time; they are therefore in a unique position to screen for SDB, as clearly emphasized recently.(1) Cone beam computed tomography (CBCT) is becoming the first choice for three-dimensional (3D) imaging in dentistry because i…”
Background
Correlation between craniofacial changes and respiratory improvement after nasomaxillary skeletal expansion in pediatric obstructive sleep apnea patients
Kim, J., Hwang, K.-J., Kim, S. W., Liu, S. Y., & Kim, S. (2021) · Sleep And Breathing · doi:10.1007/s11325-021-02426-9 · Cited by 16
A clinical trial on 3D CT scan and polysomnographyc changes after rapid maxillary expansion in children with snoring
Bariani, R. C. B., Bigliazzi, R., Badreddine, F. R., Yamamoto, L. H., Tufik, S. B., Moreira, G. A., & Fujita, R. R. (2022) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/j.bjorl.2022.04.004 · Cited by 16
Obstructive sleep apnea: a review for the orthodontist
Palomo, J. M., Piccoli, V. D., & de Menezes, L. M. (2023) · Dental Press Journal of Orthodontics · doi:10.1590/2177-6709.28.1.e23spe1 · Cited by 19
“(2) Pontifícia Universidade Católica do Estado do Rio Grande do Sul, Faculdade de Odontologia (Porto Alegre/RS, Brazil).”
BackgroundSelf-citation
Dimensional analysis of the upper airway in obstructive sleep apnoea syndrome patients treated with mandibular advancement device: A bi‐ and three‐dimensional evaluation
Marco‐Pitarch, R., García‐Selva, M., Plaza‐Espín, A., Puertas, F. J., Agustín‐Panadero, R., Fernández‐Julián, E., Marco‐Algarra, J., & Fons‐Font, A. (2021) · Journal of Oral Rehabilitation · doi:10.1111/joor.13176 · Cited by 15
Sleep-disordered breathing and orthodontics: An American Association of Orthodontists white paper update
Palomo, J. M., Cohen-Lévy, J., Flores‐Mir, C., Khosravi, R., Levine, M., Pickard, M., Hittner, J., Callahan, J., & Siegel, S. M. (2026) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2026.01.014 · Cited by 16
Self-citation
Critical issues concerning biocreative strategy in contemporary temporary skeletal anchorage device orthodontics: A narrative review
Park, K., Choi, J., Kim, K., Kim, S., Chung, K., & Kim, S. (2020) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12444 · Cited by 14
Upper airway changes in Class III patients using miniscrew-anchored maxillary protraction with hybrid and hyrax expanders: a randomized controlled trial
Miranda, F., Garib, D. G., Pugliese, F., Bastos, J. C. D. C., Janson, G., & Palomo, J. M. (2021) · Clinical Oral Investigations · doi:10.1007/s00784-021-03989-3 · Cited by 14
“The airway volumetric increase after maxillary advancement can benefit the OSA management in growing subjects [29].”
BackgroundSelf-citation
Changes in behavioral and cognitive abilities after rapid maxillary expansion in children affected by persistent snoring after long-term adenotonsillectomy: A noncontrolled study
Bariani, R. C. B., Bigliazzi, R., Medda, M. G., Micieli, A. P. R., Tufik, S., Fujita, R. R., de Mello, C. B., & Moreira, G. A. (2023) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2023.10.011 · Cited by 14
Medium-term effects of rapid maxillary expansion on nasal cavity and pharyngeal airway volumes considering age as a factor: A retrospective study
Ronsivalle, V., Leonardi, R. M., Lagravère, M. O., Flores‐Mir, C., Grippaudo, C., Bonetti, G. A., & Giudice, A. L. (2024) · Journal of Dentistry · doi:10.1016/j.jdent.2024.104934 · Cited by 14
Self-citation
Obstructive sleep apnea: What is an orthodontist’s role?
Kazmierski, R. H. (2024) · Progress in Orthodontics · doi:10.1186/s40510-024-00524-4 · Cited by 14
“The American Association of Orthodontists (AAO) white paper on obstructive sleep apnea (OSA) and orthodontics stands as the definitive statement on this subject [1].”
Influential
Impact of oral appliance therapy on quality of life (QoL) in patients with obstructive sleep apnea — a systematic review and meta-analysis
Rangarajan, H., Padmanabhan, S., Ranganathan, S., & �Kailasam, V. (2021) · Sleep And Breathing · doi:10.1007/s11325-021-02483-0 · Cited by 14
“These appliances work by holding the mandible and the associated tissues forward, thereby increasing the caliber of the upper airway [6].”
Background
Craniofacial treatment protocol for a pediatric patient with obstructive sleep apnea and skeletal Class III malocclusion: A 13-year follow-up
Kim, K., Lee, K., Kim, J., Cho, H.-N., Yoon, H. J., & Kim, S. (2022) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2021.02.028 · Cited by 14
Dental and Occlusal Changes during Mandibular Advancement Device Therapy in Japanese Patients with Obstructive Sleep Apnea: Four Years Follow-Up
Ishida, E., Kunimatsu, R., Medina, C. C., Iwai, K., Miura, S., Tsuka, Y., & Tanimoto, K. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11247539 · Cited by 13
Differences in the effects of orthodontic treatment on airway-craniocervical functional environment in adult and adolescent patients with skeletal class II high-angle: a retrospective pilot study
Shen, Y., Li, X., Feng, X., Yu, L., Weng, L., Zhang, C., Shang, Y., & Lin, J. (2023) · BMC Oral Health · doi:10.1186/s12903-023-03328-w · Cited by 13
“As revealed by recent research, OSHAS patients are getting younger, i.e., an increasing number of adolescents are subjected to narrowed airways [13–15].”
Background
Analysis of nasal airway symmetry and upper airway changes after rapid maxillary expansion
DiCosimo, C. J., Alsulaiman, A. A., Shah, C., Motro, M., Will, L. A., & Parsi, G. K. (2021) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2020.06.038 · Cited by 15
The effect of orthodontic vertical control on the changes in the upper airway size and tongue and hyoid position in adult patients with hyperdivergent skeletal class II
Liu, Y., Chen, W., Wei, Y., Zhang, G., Zhang, X., Sharhan, H. M., & Cao, B. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02580-w · Cited by 13
“obstructive sleep apnea-hypopnea syndrome (OSAHS), craniofacial deformities, arrhythmia, and increased blood pressure [1].”
Background
Impacts of using orthodontic appliances on the quality of life of children and adolescents: systematic review and meta-analysis
Vidigal, M. T. C., Mesquita, C. M., de Oliveira, M. N., Vieira, W. D. A., Blumenberg, C., Nascimento, G. G., Pithon, M. M., & Paranhos, L. R. (2022) · European Journal of Orthodontics · doi:10.1093/ejo/cjac003 · Cited by 12
Explainable artificial intelligence to quantify adenoid hypertrophy-related upper airway obstruction using 3D Shape Analysis
Mattos, C. T., Dole, L., Júnior, S. L. M., Cury-Saramago, A. D. A., Bianchi, J., Oh, H., Evangelista, K., Valladares‐Neto, J., Ruellas, A. C. D. O., Prieto, J. C., et al. (2025) · Journal of Dentistry · doi:10.1016/j.jdent.2025.105689 · Cited by 12
The effects of rapid maxillary expansion on persistent pediatric snoring post-tonsillectomy
Bariani, R. C. B., Bigliazzi, R., Guimarães, T. M., Tufik, S. B., Moreira, G. A., & Fujita, R. R. (2022) · Sleep And Breathing · doi:10.1007/s11325-022-02724-w · Cited by 14
“Supporting evidence suggests that maxillary constriction and mandibular retrusion predispose children to snoring and OSA [11, 12].”
Background
Obstructive sleep apnea and early orthodontic intervention: How early is early?
Kandasamy, S. (2024) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2023.12.005 · Cited by 13
The Occlusal Side Effects of Mandibular Advancement Device Therapy in Adult Sleep Apnea Patients: A Systematic Review
Rana, A., Raut, A., & Mathur, A. (2023) · Cureus · doi:10.7759/cureus.48682 · Cited by 12
“Untreated sleep apnea has been reported to cause morbid effects on the affected individual’s health [3].”
Background
Impact of adenotonsillectomy and palatal expansion on the apnea‐hypopnea index and minimum oxygen saturation in nonobese pediatric obstructive sleep apnea with balanced maxillomandibular relationship: A cross‐over randomized controlled trial
Magalhães, M. C. M. M., Normando, D., Soares, C. J., Araújo, E., Novaes, R. M. O., Teodoro, V. V., Flores‐Mir, C., Kim, K. B., & Almeida, G. D. A. (2024) · Pediatric Pulmonology · doi:10.1002/ppul.27239 · Cited by 12
“However, several studies, 4,6,9,28 – 34 have emphasized that conclusions regarding the secondary effect of rapid palatal expansion (RPE) in cases with pediatric OSA should be considered with caution due to limitations such as inconsistent diagnostic criteria, poor inclusion and exclusion criteria,…”
Self-citation
Mandibular advancement device as treatment trial for catathrenia (nocturnal groaning)
Yu, M., Hao, Z., Xu, L., Wen, Y., Han, F., & Gao, X. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.9290 · Cited by 11
“21 However,patientswith catathreniahadcraniofa-cial characteristics that were different from those in patients with OSA 22 ; therefore, the differences in the application of the MAD for catathrenia should be evaluated.”
Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review
Cozzi-Machado, C., Albertini, F. R., Silveira, S., & Machado-Júnior, A. J. (2023) · Sleep Science · doi:10.1055/s-0043-1776747 · Cited by 10
Rapid maxillary expansion may increase the upper airway volume of growing patients with maxillary transverse deficiency
Zhao, T., Hua, F., & He, H. Y. (2021) · Journal of Evidence Based Dental Practice · doi:10.1016/j.jebdp.2021.101579 · Cited by 10
Assessment of pharyngeal airway in Korean adolescents according to skeletal pattern, sex, and cervical vertebral maturation: A cross-sectional CBCT study
Elagib, T., Kyung, H., Hung, B. Q., & Hong, M. (2022) · The Korean Journal of Orthodontics · doi:10.4041/kjod21.267 · Cited by 10
Orthodontic treatment: Getting the timing right
Fleming, P. S., & Andrews, J. (2023) · Seminars in Orthodontics · doi:10.1053/j.sodo.2023.03.003 · Cited by 10
Mouth breathing and orthodontic intervention: Does the evidence support keeping our mouths shut?
Kandasamy, S. (2025) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2025.02.005 · Cited by 10
Making Sense of the Noise: Toward Rational Treatment for Obstructive Sleep Apnea
Kezirian, E. J., Simmons, M., Schwab, R. J., Cistulli, P. A., Li, K. K., Weaver, E. M., Goldberg, A. N., & Malhotra, A. (2020) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202005-1939pp · Cited by 11
Obstructive sleep apnea-related knowledge, attitude, experience, and behaviors among orthodontic professionals: a survey
Lin, L., Zhao, T., Ngan, P., Zhuang, Y., Qin, D., Hua, F., & He, H. (2023) · Sleep And Breathing · doi:10.1007/s11325-023-02852-x · Cited by 11
Comparison of screening methods for obstructive sleep apnea in the context of dental clinics: A systematic review
Rossi, C., Templier, L., Miguez, M., Cruz, J. D. L., Curto, A., Albaladejo, A., & Lagravère, M. O. (2020) · CRANIO® · doi:10.1080/08869634.2020.1823104 · Cited by 10
“This, together with the use of simple screening questions, questionnaires and/or techniques, means that dentists are ideally placed to perform OSA screening and to identify potential patients [6,21,22].”
Background
Advanced interdisciplinary treatment protocol for pediatric obstructive sleep apnea including medical, surgical, and orthodontic care: a narrative review
Kim, S., Ahn, H., & Kim, S.-W. (2020) · CRANIO® · doi:10.1080/08869634.2020.1839722 · Cited by 10
Pediatric Obstructive Sleep Apnea: Knowledge and Attitudes of Medical and Dental Students and Fresh Graduates from Saudi Arabia
Alharbi, L. N., Alsaikhan, M. A., Ali, S. N. A., & Farah, R. I. (2021) · Children · doi:10.3390/children8090768 · Cited by 10
Oral appliance–generated malocclusion traits during the long-term management of obstructive sleep apnea in adults:
Karadeniz, C., Lee, K. W. C., Lindsay, D., Karadeniz, E. İ., & Flores‐Mir, C. (2021) · The Angle Orthodontist · doi:10.2319/041921-316.1 · Cited by 10
Self-citation
The role of orthodontists in the multidisciplinary management of obstructive sleep apnea
Faber, J., Mota, A., Ho, L.-I., & Darendeliler, M. A. (2024) · Progress in Orthodontics · doi:10.1186/s40510-024-00541-3 · Cited by 9
“Treatment with MAA begins with obtaining a bite registration with the mandible advanced, typically set at about 50–75% of the maximum advancement potential [32, 33].”
Background
Intra-individual variation of upper airway measurements based on computed tomography
Zhou, N., Ho, J. T. F., Klop, C., Schreurs, R., Beenen, L. F. M., Aarab, G., & de Lange, J. (2021) · PLoS ONE · doi:10.1371/journal.pone.0259739 · Cited by 9
“As recommended by the American Association of Orthodontists White Paper [36], three-dimensional imaging of the airway is a snapshot of a specific moment of the breathing cycle and such technique currently does not represent a proper and reliable risk assessment tool for OSA.”
Background
Are multi-detector computed tomography and cone-beam computed tomography exams and software accurate to measure the upper airway? A systematic review
Templier, L., Rossi, C., Lagravère, M. O., Pujol, R. F., Muwanguzi, M., & Gianoni‐Capenakas, S. (2023) · European Journal of Orthodontics · doi:10.1093/ejo/cjad060 · Cited by 8
Hyoid Bone Position and Upper Airway Morphology of Children With Obstructive Sleep Apnea: A Systematic Review and Meta‐analysis
Li, Y., Zhao, T., Ngan, P., Yi, S., Wei, Z., Hua, F., & He, H. (2024) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12873 · Cited by 11
“If untreated, it can adversely affect growth, cognitive function and cardiovascular health in children [6].”
Changes in upper airway airflow after rapid maxillary expansion considering normal craniofacial development as a factor: a retrospective study using computer fluid dynamics
Giudice, A. L., Polizzi, A., Lagravère, M. O., Flores‐Mir, C., Isola, G., Ronsivalle, V., & Leonardi, R. M. (2024) · European Journal of Orthodontics · doi:10.1093/ejo/cjae077 · Cited by 8
Self-citation
Screening sleep-disordered breathing (SDB) in the everyday dental office – Pediatric and adult patients
Oh, H., Arab, M., Kim, E., Vaughan, M. A., Park, J., & Yoon, A. J.-S. (2025) · Seminars in Orthodontics · doi:10.1053/j.sodo.2025.03.005 · Cited by 8
Management of Paediatric Obstructive Sleep Apnoea: From a Multidisciplinary to an Interdisciplinary Care Model
Arab, M., Ansari, Y. S. E., Pelayo, R., & Yoon, A. J.-S. (2025) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12930 · Cited by 8
Effect of functional appliances on the airway in Class II malocclusions
Padmanabhan, S. (2020) · Journal of the World Federation of Orthodontists · doi:10.1016/j.ejwf.2020.08.006 · Cited by 8
Aerodynamic characteristics in upper airways among orthodontic patients and its association with adenoid nasopharyngeal ratios in lateral cephalograms
Feng, X., Chen, Y.-C., Cai, W., Lie, S. A., Hellén‐Halme, K., & Shi, X. (2021) · BMC Medical Imaging · doi:10.1186/s12880-021-00659-4 · Cited by 8
Treatment of a high angle protrusion case optimized with interdisciplinary approaches and TSADs
Liaw, J. J. L., Park, J. H., Shih, I. Y. H., Yang, S. Y. H., & Tsai, F. F. (2021) · AJO-DO Clinical Companion · doi:10.1016/j.xaor.2021.08.001 · Cited by 8
Comparison of nasal cavity changes between the expander with differential opening and the fan-type expander: a secondary data analysis from an RCT
Teixeira, R. E., Massaro, C. D. S., & Garib, D. G. (2023) · Clinical Oral Investigations · doi:10.1007/s00784-023-05213-w · Cited by 8
Association between the Obstructive Sleep Apnea and Cephalometric Parameters in Teenagers
Manrikyan, G., Vardanyan, I., Markaryan, M. M., Manrikyan, M., Badeyan, E. H., Manukyan, A. H., Gevorgyan, M. A., & Khachatryan, S. G. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12216851 · Cited by 8
“For pediatric patients, treatment may include non-surgical maxillary expansion and orthodontic functional appliances [24,25].”
Background
Evaluation of upper airway characteristics in patients with and without sleep apnea using cone‐beam computed tomography and computational fluid dynamics
Desai, R., Komperda, J., Elnagar, M. H., Viana, G., & Galang‐Boquiren, M. T. (2023) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12728 · Cited by 9
“12 The relationship between minimal cross-sectional area (min CSA) or total volume and OSA remains unclear, and there is a lack of robust CFD studies comparing non-OSA and OSA subjects.”
Novel Therapies for Preventing, Managing and Treating Obstructive Sleep Apnea and Snoring in Pediatric and Adult Patients
Sheats, R. D., Massé, J.-F., Levine, M., Aarab, G., Cruz, M. G. M. E., Simmons, M., Stauffer, J., Carstensen, S., Chiang, H. K., Galang‐Boquiren, M. T., et al. (2024) · Journal of Dental Sleep Medicine · doi:10.15331/jdsm.7332 · Cited by 11
Self-citation
Dentists’ role in obstructive sleep apnea: A more comprehensive review
Alrejaye, N. S., & Al-Jahdali, H. H. (2024) · Sleep Epidemiology · doi:10.1016/j.sleepe.2024.100073 · Cited by 8
Airway morphology, hyoid position, and serum inflammatory markers of obstructive sleep apnea in children treated with modified twin-block appliances
Duan, J., Xia, W., Li, X., Zhang, F., Wang, F., Chen, M., Chen, Q., Wang, B., & Li, B. (2025) · BMC Oral Health · doi:10.1186/s12903-025-05528-y · Cited by 8
“The main outcome index, AHI, validated the conclusion of the American Society of Orthodontists’ White Paper [26] that MAA can reduce AHI.”
Association between knowledge and attitudes towards pediatric obstructive sleep apnea and dental specialty
Díaz, M. F. D., Arrieta, X. S., Caballero‐García, S., & Palti, D. G. (2023) · CRANIO® · doi:10.1080/08869634.2023.2281286 · Cited by 7
“The most common symptoms of POSA include snoring, paradoxical breathing, excessive daytime sleepiness, hyperactivity/behavioral problems [2,4,6,7].”
The Relationship between Nocturnal Enuresis and Obstructive Sleep Apnea in Children
Andreu-Codina, M., Jovanovic, D. N., Esteller, E. C. I., Clusellas, N., Artés, M., Moyano, J., & Pérez, A. P. (2024) · Children · doi:10.3390/children11091148 · Cited by 7
“The prevalence of childhood OSA diagnosed by varying criteria was reported to be 1% to 4% [3].”
BackgroundInfluential
Three-dimensional pharyngeal airway space changes after bimaxillary advancement
Rocha, T. L., Lima, L. M., Pinzan, A., Sant’Ana, E., Nogueira, R. L. M., Bronfman, C. N., & Janson, G. (2021) · Dental Press Journal of Orthodontics · doi:10.1590/2177-6709.26.5.e2119364.oar · Cited by 9
Translation and cross-cultural adaptation of the sleep-related breathing disorder scale of the Pediatric Sleep Questionnaire into Danish language
Niu, X., Yung, A. K. C., Strickertsson, T. I. B., Stoustrup, P. B., Cornelis, M. A., & Cattaneo, P. M. (2022) · Acta Odontologica Scandinavica · doi:10.1080/00016357.2021.2023755 · Cited by 7
“The recommendation for SDB screening has also been supported in the white paper published by the American Association of Orthodontists in 2019, aiming at offering guidance to the orthodontist about his/her role in the clinical risk assessment for management of obstructive SDB, where the PSQ/SRDB was recommended as a p…”
BackgroundMethodInfluential
Development and validation of predictive models for skeletal malocclusion classification using airway and cephalometric landmarks
Marya, A., Inglam, S., Chantarapanich, N., Wanchat, S., Rithvitou, H., & Naronglerdrit, P. (2024) · BMC Oral Health · doi:10.1186/s12903-024-04779-5 · Cited by 7
“In 2019, the Board of Trustees of the American Association of Ortho-dontists (AAO) published a white paper utilizing inputs from experts in dental sleep medicine [27].”
Background
Is malocclusion a risk factor for obstructive sleep apnea and temporomandibular disorders? An orthodontic point of view
Paradowska-Stolarz, A. M. (2025) · Dental and Medical Problems · doi:10.17219/dmp/194232 · Cited by 7
Relationship between craniofacial and dental arch morphology with pharyngeal airway space in adolescents
de Oliveira, I. C. V., Santos, R. T. P., Freitas, B. V., Reher, P., & Rodrigues, V. P. (2022) · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie · doi:10.1007/s00056-022-00403-9 · Cited by 7
Oropharynx and hyoid bone changes in female extraction patients with distinct sagittal and vertical skeletal patterns: a retrospective study
Guo, R., Wang, S., Zhang, L., Li, L., Yu, Q., Huang, Y., & Li, W. (2022) · Head & Face Medicine · doi:10.1186/s13005-022-00334-1 · Cited by 7
“It is also important to note that there is no direct link between a narrow airway and OSA.”
BackgroundInfluential
Dental Sleep Medicine Education Amongst Accredited Orthodontic Programmes in Thailand
Peanchitlertkajorn, S., Chalidapongse, P., Jiansuwannapas, T., Surinsirirat, N., Khamphuang, P., Boonyai, P., & Sipiyaruk, K. (2023) · International Dental Journal · doi:10.1016/j.identj.2023.10.020 · Cited by 7
The enigma of sleep
Thomas, D. C., Somaiya, T. S., Cruz, M. G. M. E., Pitchumani, P. K., Ardeshna, A. P., Ravi, A., & Prabhakar, S. (2024) · The Journal of the American Dental Association · doi:10.1016/j.adaj.2024.05.007 · Cited by 6
Practices and Perception of Paediatric Obstructive Sleep Apnea Among Orthodontists and Paediatric Dentists in Brazil: A Mixed‐Methods Study
Fagundes, N. C. F., Bastos, R. T. D. R. M., Perez, A. J., Flores‐Mir, C., & Normando, D. (2024) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12866 · Cited by 6
Self-citation
Sleep‐disordered breathing in children seeking orthodontic care—an Australian perspective
Wellham, A., Kim, C., Kwok, S., Lee, R., Naoum, S. J., Razza, J. M., & Goonewardene, M. (2022) · Australian Dental Journal · doi:10.1111/adj.12945 · Cited by 6
Impacts of mandibular setback with or without maxillary advancement for class III skeletal correction on sleep‐related respiratory parameters: A systematic review and meta‐analysis
Honglertnapakul, Y., Peanchitlertkajorn, S., Likitkulthanaporn, A., Saengfai, N. N., Chaweewannakorn, C., & Boonpratham, S. (2024) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12798 · Cited by 6
3D analysis of upper airway morphology related to obstructive sleep apnea severity
Jessadapornchai, T., Samruajbenjakun, B., Chanmanee, P., & Chalidapongse, P. (2024) · Journal of the World Federation of Orthodontists · doi:10.1016/j.ejwf.2024.03.003 · Cited by 7
Extraction of premolars in orthodontic treatment does not negatively affect upper airway volume and minimum cross-sectional area: a systematic review with meta-analysis
Papageorgiou, S. N., Zyli, M., & Papadopoulou, A. K. (2025) · European Journal of Orthodontics · doi:10.1093/ejo/cjaf012 · Cited by 10
Multidisciplinary Approach in a 12-Year-Old Patient Affected by Severe Obstructive Sleep Apnea: a Case-Report
Bignotti, D., STEFANI, A. D., Mezzofranco, L., Bruno, G., & Gracco, A. L. T. (2019) · Sleep Medicine Research · doi:10.17241/smr.2019.00465 · Cited by 7
“In fact the long-term results of these therapies are not yet certain and therefore it is important that the therapeutic objective is twofold: orthodontic and directed to solve the OSAS in the period of development [12].”
Background
Follow-up observation of patients with obstructive sleep apnea treated by maxillomandibular advancement
AlSaty, G., Xiang, J. Y., Burns, M., Eliliwi, M., Palomo, J. M., Martin, C. A., Weaver, B. D., & Ngan, P. (2020) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2019.09.016 · Cited by 9
Self-citation
Self‐reported oral moistening disorders in obstructive sleep apnoea: A scoping review
Raoof, M., Verhoeff, M. C., Kooshki, R., Aarab, G., & Lobbezoo, F. (2023) · Journal of Oral Rehabilitation · doi:10.1111/joor.13532 · Cited by 6

Authors: Behrents, R. G., Shelgikar, A. V., Conley, R. S., Flores-Mir, C., Hans, M., Levine, M., McNamara, J. A., Palomo, J. M., Pliska, B., Stockstill, J. W., Wise, J., Murphy, S., Nagel, N. J., & Hittner, J.
Affiliations: Saint Louis University (US)
University of Michigan (US)
University at Buffalo, State University of New York (US)
Case Western Reserve University (US)
University of Tennessee Health Science Center (US)
University of British Columbia (CA)
Fresno City College (US)
American Association of Orthodontists (US)
Corresponding author: Behrents, Rolf G.
ORCID: Shelgikar, Anita Valanju
Conley, R. Scott
Hans, Mark
McNamara, James A.
Pliska, Benjamin
Nagel, Norman J.
Venue: American Journal of Orthodontics and Dentofacial Orthopedics
Publisher: Elsevier BV
Published: 2019-07
Volume: 156
Issue: 1
Pages: 13-28.e1
ISSN: 0889-5406 (ISSN-L)
DOI: 10.1016/j.ajodo.2019.04.009
OpenAlex: W2954751744
Cited by: 284
References: 54
Citations by year: 2026: 39 · 2025: 37 · 2024: 50 · 2023: 44 · 2022: 51 · 2021: 45 · 2020: 15 · 2019: 3
FWCI: 19.55
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: American Journal of Orthodontics and Dentofacial Orthopedics (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Health Sciences › Dentistry › Orthodontics › Orthodontics and Dentofacial Orthopedics
Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
Keywords: obstructive sleep apnea, orthodontics, dental sleep medicine, sleep medicine, clinical guidelines
MeSH terms: Academies and Institutes, Orthodontists, Humans, Orthodontic Appliances, Orthodontics, Physicians, Radiography, Dental, Risk Factors, Severity of Illness Index, United States, Prevalence, Treatment Outcome, Polysomnography, Sleep Apnea, Obstructive, Surgeons

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Obstructive sleep apnea and orthodontics: An American Association of Orthodontists White Paper

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks