Orthodontics treatments for managing obstructive sleep apnea syndrome in children: A systematic review and meta- analysis
Abstract
A small maxilla and/or mandible may predispose children to sleep-disordered breathing, which is a continuum of severity from snoring to obstructive sleep apnea. Preliminary studies have suggested that orthodontic treatments, such as orthopedic mandibular advancement or rapid maxillary expansion, may be effective treatments. The aim is to investigate the efficacy of orthopedic mandibular advancement and/or rapid maxillary expansion in the treatment of pediatric obstructive sleep apnea. Pubmed, Medline, Embase, and Internet were searched for eligible studies published until April 2014. Articles with adequate data were selected for the meta-analysis; other articles were reported in the qualitative assessment. Data extraction was conducted by two independent authors. A total of 58 studies were identified. Only eight studies were included in the review; of these, six were included in the meta-analysis. The research yielded only a small number of studies. Consequently, any conclusions from the pooled diagnostic parameters and their interpretation should be treated carefully. Although the included studies were limited, these orthodontic treatments may be effective in managing pediatric snoring and obstructive sleep apnea. Other related health outcomes, such as neurocognitive and cardiovascular functions have not yet been systematically addressed. More studies are needed with larger sample size, specific inclusion and exclusion criteria and standardized data reporting to help establish guidelines for the orthodontic treatment of pediatric obstructive sleep apnea.
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In three included studies, Yanyan et al., Carvalho et al., and Huynh et al., a reduction of at least 50% in the apnea-hypopnea index was observed after mandibular advancement appliance treatment, and this was considered therapeutic success.
“In the other 3 studies, 17 20 21 a reduction of at least 50% in the AHI was observed, which was considered as therapeutic success, even if the scores were not within the normal range.”
From Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review (2023) · cites this paper as [21]
Mandibular advancement combined with rapid maxillary expansion is an alternative treatment method for pediatric patients with sleep respiratory disturbances.
“Mandibular advancement combined with RME is an alternative treatment method for pediatric patients with sleep respiratory disturbances. 17 21”
From Mandibular Advancement Appliances in Pediatric Obstructive Sleep Apnea: An Umbrella Review (2023) · cites this paper as [21]
In pediatric obstructive sleep apnea, mandibular advancement aims to correct a retrognathic mandible by re-directing its growth into a more forward position and stimulating mandibular growth in a passive or active manner.
“Mandibular advancement is widely used in adult OSA, while in the treatment of pediatric OSA, it aims to correct retrognathic mandible by re-directing its growth into a more forward position and stimulates mandibular growth in a passive or active manner [22], which may be accomplished by various functional appliances, such as twin-block, activator, Herbst, Frankel-II, and Bionator, etc. [23].”
From Mandibular advancement appliances for the treatment of obstructive sleep apnea in children: a systematic review and meta-analysis (2019) · cites this paper as [22]
Orthodontic treatment for correction of maxillomandibular anomalies or mandibular retrusion has been shown to improve obstructive sleep apnea.
“Orthodontic treatment for correction of maxillomandibular anomalies or mandibular retrusion has been shown to improve OSA.”
From Effectiveness of functional orthodontic appliances in obstructive sleep apnea treatment in children: literature review (2022) · cites this paper as [11]
Cites
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000100 · Cited by 28,164 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.005 · Cited by 19,575 · see citing works
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009) · BMJ · doi:10.1136/bmj.b2700 · Cited by 17,648 · see citing works
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
the CONSORT Group, Schulz, K. F., Altman, D. G., & Moher, D. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-18 · Cited by 13,371 · see citing works
A basic introduction to fixed-effect and random-effects models for meta-analysis
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2010) · Research Synthesis Methods · doi:10.1002/jrsm.12 · Cited by 6,793 · see citing works
Improving bioscience research reporting: The ARRIVE guidelines for reporting animal research
Kilkenny, C., Browne, W. J., Cuthill, I. C., Emerson, M., & Altman, D. G. (2010) · Journal of Pharmacology and Pharmacotherapeutics · doi:10.4103/0976-500x.72351 · Cited by 6,277 · see citing works
Danaei, G., Ding, E. L., Mozaffarian, D., Taylor, B., Rehm, J., Murray, C. J. L., & Ezzati, M. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000058 · Cited by 2,860 · see citing works
CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials
Schulz, K. F., Altman, D. G., Moher, D., & for the CONSORT Group (2010) · PLoS Medicine · doi:10.1371/journal.pmed.1000251 · Cited by 2,296 · see citing works
Chervin, R. D., Hedger, K. M., Dillon, J. E., & Pituch, K. (2000) · Sleep Medicine · doi:10.1016/s1389-9457(99)00009-x · Cited by 1,470 · see citing works
Blows, F. M., Driver, K. E., Schmidt, M. K., Broeks, A., van Leeuwen, F. E., Wesseling, J., Cheang, M. C. U., Gelmon, K. A., Nielsen, T. O., BLOMQVIST, C. P., et al. (2010) · PLoS Medicine · doi:10.1371/journal.pmed.1000279 · Cited by 1,116 · see citing works
Bhattacharjee, R., Kheirandish-Gozal, L., Spruyt, K., Mitchell, R. B., Promchiarak, J., Simakajornboon, N., Kaditis, A. G., Splaingard, D., Splaingard, M., Brooks, L. J., et al. (2010) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200912-1930oc · Cited by 745 · see citing works
A diagnostic approach to suspected obstructive sleep apnea in children
Brouillette, R. T., Hanson, D., David, R. J., Klemka, L., Szatkowski, A., Fernbach, S. K., & Hunt, C. E. (1984) · The Journal of Pediatrics · doi:10.1016/s0022-3476(84)80348-0 · Cited by 571 · see citing works
Holty, J.-E. C., & Guilleminault, C. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.11.003 · Cited by 500 · see citing works
Primate experiments on oral respiration
Harvold, E. P., Tomer, B. S., Vargervik, K., & Chierici, G. (1981) · American Journal of Orthodontics · doi:10.1016/0002-9416(81)90379-1 · Cited by 467 · see citing works
Friedman, M., Wilson, M., Lin, H., & Chang, H. (2009) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2009.01.043 · Cited by 465 · see citing works
Practice Parameters for the Respiratory Indications for Polysomnography in Children
Aurora, R. N., Zak, R., Karippot, A., Lamm, C. I., Morgenthaler, T. I., Auerbach, S. H., Bista, S. R., Casey, K. R., Chowdhuri, S., Kristo, D. A., et al. (2011) · SLEEP · doi:10.1093/sleep/34.3.379 · Cited by 444 · see citing works
Neurocognitive Impairment in Obstructive Sleep Apnea
Lal, C., Strange, C., & Bachman, D. (2012) · Chest · doi:10.1378/chest.11-2214 · Cited by 406 · see citing works
Rapid maxillary expansion in children with obstructive sleep apnea syndrome
Pirelli, P., Saponara, M., & Guilleminault, C. (2004) · SLEEP · doi:10.1093/sleep/27.4.761 · Cited by 361 · see citing works
Systematic reviews and meta-analysis
GILBODY, S. (2007) · Routledge eBooks · doi:10.4324/9780203966006-14 · Cited by 317 · see citing works
Pediatric Obstructive Sleep Apnea Syndrome
Guilleminault, C., Lee, J., & Chan, A. (2005) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.159.8.775 · Cited by 316 · see citing works
Titrated mandibular advancement <i>versus</i> positive airway pressure for sleep apnoea
Gagnadoux, F., Fleury, B., Vielle, B., Pételle, B., Meslier, N., N’Guyen, X. L., Trzepizur, W., & Racineux, J. L. (2009) · European Respiratory Journal · doi:10.1183/09031936.00148208 · Cited by 275 · see citing works
Rapid maxillary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up
Villa, M. P., Malagola, C., Pagani, J., Montesano, M., Rizzoli, A., Guilleminault, C., & Ronchetti, R. (2007) · Sleep Medicine · doi:10.1016/j.sleep.2006.06.009 · Cited by 266 · see citing works
Villa, M. P., Rizzoli, A., Miano, S., & Malagola, C. (2011) · Sleep And Breathing · doi:10.1007/s11325-011-0505-1 · Cited by 249 · see citing works
Villa, M. P., Bernkopf, E., Pagani, J., Broia, V., Montesano, M., & Ronchetti, R. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.165.1.2011031 · Cited by 233 · see citing works
Side Effects of Mandibular Advancement Devices for Sleep Apnea Treatment
Fritsch, K., ISELI, A., RUSSI, E. W., & Bloch, K. E. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.164.5.2003078 · Cited by 220 · see citing works
Treatment of Obstructive Sleep Apnea Syndrome by Rapid Maxillary Expansion
Cistulli, P. A., Palmisano, R. G., & Poole, M. D. (1998) · Sleep · doi:10.1093/sleep/21.8.831 · Cited by 214 · see citing works
Morphometric facial changes and obstructive sleep apnea in adolescents
Guilleminault, C., Partinen, M., Praud, J., Quera-Salva, M.-A., Powell, N. B., & Riley, R. W. (1989) · The Journal of Pediatrics · doi:10.1016/s0022-3476(89)80447-0 · Cited by 211 · see citing works
Krailassiri, S., Anuwongnukroh, N., & Dechkunakorn, S. (2002) · PubMed · doi:10.1043/0003-3219(2002)072 · Cited by 205 · see citing works
Attention-deficit/hyperactivity disorder with obstructive sleep apnea: A treatment outcome study
Huang, Y.-S., Guilleminault, C., Li, H.-Y., Yang, C.-M., Wu, Y.-Y., & Chen, N.-H. (2007) · Sleep Medicine · doi:10.1016/j.sleep.2006.05.016 · Cited by 202 · see citing works
Felippe, N. L. O. D., Silveira, A. C. D., Viana, G., et al. (2008) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2006.10.034 · Cited by 186 · see citing works
Halo Distraction of the Le Fort III in Syndromic Craniosynostosis: A Long-Term Assessment
Fearon, J. A. (2005) · Plastic & Reconstructive Surgery · doi:10.1097/01.prs.0000160271.08827.15 · Cited by 178 · see citing works
Aarab, G., Lobbezoo, F., Hamburger, H., & Naeije, M. (2010) · Respiration · doi:10.1159/000319595 · Cited by 171 · see citing works
Dental arch morphology in children with sleep-disordered breathing
Pirilä-Parkkinen, K., Pirttiniemi, P. M., Nieminen, P., Tolonen, U., Pelttari, U., & Löppönen, H. (2008) · European Journal of Orthodontics · doi:10.1093/ejo/cjn061 · Cited by 158 · see citing works
Obstructive Sleep Apnea in Children: Implications for the Developing Central Nervous System
Gozal, D. (2008) · Seminars in Pediatric Neurology · doi:10.1016/j.spen.2008.03.006 · Cited by 145 · see citing works
Trzepizur, W., Gagnadoux, F., Abraham, P., Rousseau, P., Meslier, N., Saumet, J.-L., & Racineux, J.-L. (2009) · Sleep Medicine · doi:10.1016/j.sleep.2008.06.013 · Cited by 144 · see citing works
Adeno-tonsillectomy and rapid maxillary distraction in pre-pubertal children, a pilot study
Guilleminault, C., Monteyrol, P.-J., Huynh, N. T., Pirelli, P., Quo, S. D., & Li, K. K. (2010) · Sleep And Breathing · doi:10.1007/s11325-010-0419-3 · Cited by 143 · see citing works
Self-citationAarab, G., Lobbezoo, F., Heymans, M. W., Hamburger, H., & Naeije, M. (2011) · Respiration · doi:10.1159/000324580 · Cited by 140 · see citing works
Pediatric Obstructive Sleep Apnea
Schwengel, D. A., Dalesio, N. M., & Stierer, T. L. (2014) · Anesthesiology Clinics · doi:10.1016/j.anclin.2013.10.012 · Cited by 128 · see citing works
Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children
Carvalho, F. R., Lentini-Oliveira, D. A., Prado, L. B., Prado, G. F., & Carvalho, L. B. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005520.pub3 · Cited by 127 · see citing works
Holley, A. B., Lettieri, C. J., & Shah, A. A. (2011) · Chest · doi:10.1378/chest.10-2851 · Cited by 125 · see citing works
Cephalometric evaluation of children with nocturnal sleep-disordered breathing
Pirilä-Parkkinen, K., Löppönen, H., Nieminen, P., Tolonen, U., & Pirttiniemi, P. M. (2010) · European Journal of Orthodontics · doi:10.1093/ejo/cjp162 · Cited by 123 · see citing works
Class II correction improves nocturnal breathing in adolescents
Schütz, T. C. B., Dominguez, G. C., Hallinan, M. P., Cunha, T. C. A., & Tufik, S. (2011) · The Angle Orthodontist · doi:10.2319/052710-233.1 · Cited by 115 · see citing works
Hoekema, A., Stegenga, B., Bakker, M., Brouwer, W. H., de Bont, L. G. M., Wijkstra, P. J., & van der Hoeven, J. H. (2007) · Sleep and Breathing · doi:10.1007/s11325-006-0093-7 · Cited by 107 · see citing works
Effects of mandibular advancement on airway curvature and obstructive sleep apnoea severity
Tsuiki, S., Lowe, A. A., Almeida, F. R., Kawahata, N., & Fleetham, J. A. (2004) · European Respiratory Journal · doi:10.1183/09031936.04.00094304 · Cited by 106 · see citing works
Self-citationRapid Maxillary Expansion for the Treatment of Nasal Obstruction in Children Younger Than 12 Years
Monini, S., Malagola, C., Villa, M. P., Tripodi, C., Tarentini, S., Malagnino, I., Marrone, V., Lazzarino, A. I., & Barbara, M. (2009) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archoto.2008.521 · Cited by 102 · see citing works
Evidence for persistence of upper airway narrowing during sleep, 12 years after adenotonsillectomy
Tasker, C. (2002) · Archives of Disease in Childhood · doi:10.1136/adc.86.1.34 · Cited by 90 · see citing works
Maxillomandibular Expansion for the Treatment of Sleep‐Disordered Breathing: Preliminary Result
Guilleminault, C., & Li, K. K. (2004) · The Laryngoscope · doi:10.1097/00005537-200405000-00020 · Cited by 86 · see citing works
Vignoletti, F., & Abrahamsson, I. (2012) · Journal Of Clinical Periodontology · doi:10.1111/j.1600-051x.2011.01830.x · Cited by 85 · see citing works
Hanggi, M. P., Teuscher, U. M., Roos, M., & Peltomaki, T. A. (2008) · The European Journal of Orthodontics · doi:10.1093/ejo/cjn055 · Cited by 85 · see citing works
A modified monobloc for the treatment of obstructive sleep apnoea in paediatric patients
Cozza, P. (2004) · The European Journal of Orthodontics · doi:10.1093/ejo/26.5.523 · Cited by 81 · see citing works
The influence of orthognathic surgery on ventilation during sleep
Foltán, R., Hoffmannová, J., Pavlíková, G., Hanzelka, T., Klíma, K., Horká, E., Adámek, S., & Šedý, J. (2010) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.ijom.2010.10.006 · Cited by 78 · see citing works
Surgical Therapy for Severe Refractory Sleep Apnea in Infants and Children
Burstein, F. D., Cohen, S. R., Scott, P., et al. (1995) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199507000-00005 · Cited by 76 · see citing works
Primate experiments on mandibular growth direction
Tomer, B. S., & Harvold, E. P. (1982) · American Journal of Orthodontics · doi:10.1016/0002-9416(82)90490-0 · Cited by 74 · see citing works
Rapid maxillary expansion in the treatment of nocturnal enuresis.
Timms, D. J. (1990) · PubMed · doi:10.1043/0003-3219(1990)060 · Cited by 71 · see citing works
Orthodontics and obstructive sleep apnea in children
Pirelli, P., Saponara, M., De Rosa, C., & Fanucci, E. (2010) · Medical Clinics of North America · doi:10.1016/j.mcna.2010.02.004 · Cited by 69 · see citing works
Miano, S., Rizzoli, A., Evangelisti, M., Bruni, O., Ferri, R., Pagani, J., & Villa, M. P. (2008) · Sleep Medicine · doi:10.1016/j.sleep.2008.04.003 · Cited by 65 · see citing works
Nout, E., Bannink, N., Koudstaal, M. J., et al. (2011) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2011.04.017 · Cited by 65 · see citing works
Some Medical Aspects of Rapid Maxillary Expansion
Timms, D. J. (1974) · British Journal of Orthodontics · doi:10.1179/bjo.1.4.127 · Cited by 65 · see citing works
Orthodontics in 3 millennia. Chapter 9: Functional appliances to midcentury
Wahl, N. (2006) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2006.03.019 · Cited by 62 · see citing works
Villa, M. P., Miano, S., & Rizzoli, A. (2012) · Sleep And Breathing · doi:10.1007/s11325-011-0595-9 · Cited by 62 · see citing works
RESTREPO, C., SANTAMARÍA, A., PELÁEZ, S., & TAPIAS, A. (2011) · Journal of Oral Rehabilitation · doi:10.1111/j.1365-2842.2011.02199.x · Cited by 61 · see citing works
Long-term effects of orthodontic therapy on the maxillary dental arch and nasal cavity
Felippe, N. L. O. D., Bhushan, N., Silveira, A. C. D., Viana, G., & Smith, B. E. (2009) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2009.02.019 · Cited by 60 · see citing works
Pirelli, P., Saponara, M., & Attanasio, G. (2005) · PubMed · Cited by 57 · see citing works
Systematic reviews and meta-analysis
Askie, L. M., & Offringa, M. (2015) · Seminars in Fetal and Neonatal Medicine · doi:10.1016/j.siny.2015.10.002 · Cited by 51 · see citing works
Pediatric Obstructive Sleep Apnea Syndrome
Alexander, N. S., & Schroeder, J. W. (2013) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2013.04.009 · Cited by 51 · see citing works
Down syndrome: otolaryngological effects of rapid maxillary expansion
Moura, C. P., de Andrade, D. C., Cunha, L. M., Tavares, M. J., Cunha, M. J., Vaz, P., Barros, H., Pueschel, S. M., & Clemente, M. P. (2008) · The Journal of Laryngology & Otology · doi:10.1017/s002221510800279x · Cited by 48 · see citing works
Craniofacial morphology in preschool children with obstructive sleep apnoea syndrome.
Marino, A., Malagnino, I., Ranieri, R., Mp, V., & Malagola, C. (2009) · PubMed · Cited by 47 · see citing works
Rapid Maxillary Expansion Effects on Nocturnal Enuresis in Children
Schütz-Fransson, U., & Kurol, J. (2007) · The Angle Orthodontist · doi:10.2319/021407-71.1 · Cited by 45 · see citing works
Ikävalko, T., Tuomilehto, H., Pahkala, R. H., Tompuri, T., Laitinen, T. T., Myllykangas, R., Vierola, A., Lindi, V., Närhi, M. V. O., & Lakka, T. A. (2012) · European Journal of Pediatrics · doi:10.1007/s00431-012-1757-x · Cited by 45 · see citing works
The impact of rapid palatal expansion on children’s general health: a literature review
Eichenberger, M., & Baumgartner, S. (2014) · PubMed · doi:10.5167/uzh-94158 · Cited by 42 · see citing works
Changes in hyoid bone position following rapid maxillary expansion in adolescents
Phoenix, A., Valiathan, M., Nelson, S. S., Strohl, K. P., & Hans, M. G. (2011) · The Angle Orthodontist · doi:10.2319/060710-313.1 · Cited by 42 · see citing works
Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children
de Carvalho, F. R., Lentini-Oliveira, D. A., Machado, M. A. C., Saconato, H., Prado, L. B., & do Prado, G. F. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005520.pub2 · Cited by 42 · see citing works
Evaluation of the Posterior Airway Space Following Biobloc Therapy: Geometric Morphometrics
Singh, G. D., Garcia-Motta, A. V., & Hang, W. M. (2007) · CRANIO® · doi:10.1179/crn.2007.014 · Cited by 41 · see citing works
Management of obstructive sleep apnoea in children with modified monobloc appliances.
Cozza, P., Gatto, R., Ballanti, F., & Prete, L. D. (2004) · PubMed · Cited by 39 · see citing works
Rapid maxillary expansion in children with Obstructive Sleep Apnoea Syndrome (OSAS).
Marino, A., Ranieri, R., Chiarotti, F., Villa, M. P., & Malagola, C. (2012) · PubMed · Cited by 38 · see citing works
Miano, S., Paolino, M. C., Castaldo, R., et al. (2009) · Clinical Neurophysiology · doi:10.1016/j.clinph.2009.09.016 · Cited by 37 · see citing works
Pirelli, P., Saponara, M., & Guilleminault, C. (2012) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-012-0560-2 · Cited by 36 · see citing works
Effectiveness and Outcome of Oral Appliance Therapy
Pliska, B. T., & Almeida, F. R. (2012) · Dental Clinics of North America · doi:10.1016/j.cden.2012.02.003 · Cited by 36 · see citing works
Self-citationTsuda, H., Fastlicht, S., Almeida, F. R., & Lowe, A. A. (2010) · Sleep And Breathing · doi:10.1007/s11325-010-0345-4 · Cited by 33 · see citing works
Self-citationOrthodontic procedures in the treatment of obstructive sleep apnea in children
Rose, E., & Schessl, J. (2006) · Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie · doi:10.1007/s00056-006-0534-8 · Cited by 30 · see citing works
Unattended sleep studies in pediatric OSA: A systematic review and meta‐analysis
Certal, V., Camacho, M., Winck, J. C., Capasso, R., Azevedo, I., & Costa‐Pereira, A. (2014) · The Laryngoscope · doi:10.1002/lary.24662 · Cited by 30 · see citing works
Treatment of snoring and obstructive sleep apnoea by rapid maxillary expansion
PALMISANO, R. G., Wilcox, I., Sullivan, C. E., et al. (1996) · Australian and New Zealand Journal of Medicine · doi:10.1111/j.1445-5994.1996.tb01941.x · Cited by 27 · see citing works
Capua, M., Ahmadi, N., & Shapiro, C. M. (2009) · PubMed · Cited by 26 · see citing works
Yoshida, K. (1999) · Journal of Prosthetic Dentistry · doi:10.1016/s0022-3913(99)70248-9 · Cited by 25 · see citing works
Parameswaran, A., Narayanan, V., Manikandhan, R., et al. (2008) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2007.11.015 · Cited by 25 · see citing works
Severe Obstructive Sleep Apnea Alleviated by Oral Appliance in a Three-Year-Old Boy
Schessl, J., Rose, E. C., Korinthenberg, R., & Henschen, M. (2007) · Respiration · doi:10.1159/000098407 · Cited by 21 · see citing works
A case report on the efficacy of transverse expansion in severe obstructive sleep apnea syndrome
Bonetti, G. A., Piccin, O., Lancellotti, L., Bianchi, A., & Marchetti, C. (2008) · Sleep And Breathing · doi:10.1007/s11325-008-0206-6 · Cited by 20 · see citing works
Obstructive Sleep Apnea: From Simple Upper Airway Obstruction to Systemic Inflammation
BaHammam, A. S. (2011) · Annals of Saudi Medicine · doi:10.4103/0256-4947.75770 · Cited by 20 · see citing works
Reporting of subgroup analyses from clinical trials
Sormani, M. P., & Bruzzi, P. (2012) · The Lancet Neurology · doi:10.1016/s1474-4422(12)70181-3 · Cited by 19 · see citing works
Bach, N., Tuomilehto, H., Gauthier, C., Papadakis, A., Remise, C., Lavigne, F., Lavigne, G. J., & Huynh, N. T. (2013) · Journal of Oral Rehabilitation · doi:10.1111/joor.12102 · Cited by 17 · see citing works
Self-citationA mandibular advancement device for the ENT office to treat obstructive sleep apnea
Maurer, J. T., Huber, K., Verse, T., et al. (2007) · Otolaryngology · doi:10.1016/j.otohns.2006.08.008 · Cited by 14 · see citing works
Behavioral evaluation in children with obstructive sleep disorders
Uema, S. F. H., Vidal, M. V. R., Fujita, R. R., Moreira, G. A., & Pignatari, S. S. N. (2006) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/s1808-8694(15)30044-6 · Cited by 12 · see citing works
Thickett, E., Hirani, S., Williams, A., et al. (2009) · The Surgeon · doi:10.1016/s1479-666x(09)80061-9 · Cited by 8 · see citing works
Geraads, A., d’Athis, P., Lerousseau, L., Larzul, J. J., Bénichou, M., Guyonnaud, C. D., Figueredo, M., Steinbauer, J., Bedicam, J.-M., Martin, F., et al. (2010) · Revue de Pneumologie Clinique · doi:10.1016/j.pneumo.2009.12.014 · Cited by 7 · see citing works
Primate experiments on mandibular growth direction
Gold, N. (1983) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/0278-2391(83)90277-x · Cited by 6 · see citing works
Nunes, W. R., & Francesco-Mion, R. C. D. (2009) · Sleep Medicine · doi:10.1016/s1389-9457(09)70153-4 · Cited by 6 · see citing works
Avaliação comportamental em crianças com disturbios obstrutivos do sono
Uema, S. F. H., Vidal, M. V. R., Fujita, R. R., Moreira, G. A., & Pignatari, S. S. N. (2006) · Revista Brasileira de Otorrinolaringologia · doi:10.1590/s0034-72992006000100019 · Cited by 5 · see citing works
Oral appliance therapy for a child with sleep apnea syndrome due to palatine tonsil hypertrophy
Miyao, E., Nakayama, M., Noda, A., Miyao, M., & Arasaki, H. (2007) · Sleep and Biological Rhythms · doi:10.1111/j.1479-8425.2007.00323.x · Cited by 4 · see citing works
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Treatment of Obstructive Sleep Apnea in Children: Handling the Unknown with Precision
Gozal, D., Tan, H.-L., & Kheirandish-Gozal, L. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9030888 · Cited by 99 · see citing works
Yanyan, M., Min, Y., & Xuemei, G. (2019) · Sleep Medicine · doi:10.1016/j.sleep.2018.12.022 · Cited by 55 · see citing works
Idris, G., Galland, B., Robertson, C. J., Gray, A., & Farella, M. (2018) · Journal of Dentistry · doi:10.1016/j.jdent.2018.01.006 · Cited by 35 · see citing works
Vásquez-Cárdenas, J., Zapata-Noreña, Ó., Carvajal-Flórez, Á., Barbosa-Liz, D. M., Giannakopoulos, N. N., & Faggion, C. M. (2019) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2019.05.009 · Cited by 34 · see citing works
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 · see citing works
Al-Jewair, T. S., Gaffar, B. O., & Flores-Mir, C. (2016) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6062 · Cited by 10 · see citing works
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 · see citing works
Nunes Jr, W. R., Gozal, D., & Di Francesco, R. C. (2019) · Journal of Child Science · doi:10.1055/s-0039-1692987 · Cited by 5 · see citing works
- Authors
- Huynh, N. T., Desplats, E., & Almeida, F. R.
- Affiliations
- Centre Hospitalier Universitaire Sainte-Justine (CA)
- University of British Columbia (CA)
- Corresponding author
- Huynh, Nelly T.
- Venue
- Sleep Medicine Reviews
- Publisher
- Elsevier BV
- Published
- 2016-02
- Volume
- 25
- Pages
- 84-94
- ISSN
- 1087-0792 (ISSN-L)
- OpenAlex
- W1994380071
- Cited by
- 171
- References
- 99
- Citations by year
- 2026: 4 · 2025: 19 · 2024: 15 · 2023: 11 · 2022: 21 · 2021: 17 · 2020: 18 · 2019: 20 · 2018: 12 · 2017: 13 · 2016: 19 · 2015: 2
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (PLC-122659)
- 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
- obstructive sleep apnea, pediatric sleep apnea, orthodontic treatment, rapid maxillary expansion, snoring, sleep-disordered breathing
- MeSH terms
- Child, Humans, Orthodontics, Palatal Expansion Technique, Snoring, Mandibular Advancement, Sleep Apnea, Obstructive
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.
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