Sleep Breathing Disorders’ Screening Among Children Approaching Orthodontic Evaluation: A Preliminary Study

Background: The orthodontist can play an important role in the early detection of sleep-disordered breathing (SDB), aiding in the prevention of dentoskeletal complications and systemic issues. Early intervention supports proper pediatric development, emphasizing the need for SDB screening in orthodo...

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Main Authors: Marco Storari, Francesca Stramandinoli, Maurizio Ledda, Alberto Verlato, Alessio Verdecchia, Enrico Spinas
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/1/101
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author Marco Storari
Francesca Stramandinoli
Maurizio Ledda
Alberto Verlato
Alessio Verdecchia
Enrico Spinas
author_facet Marco Storari
Francesca Stramandinoli
Maurizio Ledda
Alberto Verlato
Alessio Verdecchia
Enrico Spinas
author_sort Marco Storari
collection DOAJ
description Background: The orthodontist can play an important role in the early detection of sleep-disordered breathing (SDB), aiding in the prevention of dentoskeletal complications and systemic issues. Early intervention supports proper pediatric development, emphasizing the need for SDB screening in orthodontics. SDB involves abnormal breathing during sleep, with obstructive sleep apnea (OSA) in children presenting unique diagnostic challenges compared to adults. Aim: This study aimed to identify children at risk for SDB through a validated screening questionnaire during orthodontic evaluations. Methods: This prospective study recruited children under 12 years of age between July 2023 and July 2024. The Sleep Clinical Record was used to screen for SDB indicators. Results: Among the 48 participants (31 females, 17 males) aged 5–12 years, 69% were identified as being at risk for SDB. Risk factors included oral breathing, nasal obstruction, tonsillar hypertrophy, malocclusion, high Friedman scores, narrow palates, and positive Brouillette phenotypes, all showing significant correlations (<i>p</i> < 0.05). Conclusion: The findings underline the critical importance of early SDB screening in orthodontic settings. These preliminary results encourage further research on larger cohorts to refine diagnostic tools and interventions. Early recognition and management of SDB can significantly enhance systemic health and craniofacial outcomes in pediatric patients.
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spelling doaj-art-1d052c2fad114139bb48238ab558470e2025-01-10T13:14:26ZengMDPI AGApplied Sciences2076-34172024-12-0115110110.3390/app15010101Sleep Breathing Disorders’ Screening Among Children Approaching Orthodontic Evaluation: A Preliminary StudyMarco Storari0Francesca Stramandinoli1Maurizio Ledda2Alberto Verlato3Alessio Verdecchia4Enrico Spinas5Department of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, ItalyDepartment of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, ItalyDepartment of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, ItalyRenal Unit, Department of Medicine, University Hospital of Verona, 37126 Verona, ItalyDepartment of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, ItalyDepartment of Surgical Sciences, Postgraduate School in Orthodontics, University of Cagliari, 09124 Cagliari, ItalyBackground: The orthodontist can play an important role in the early detection of sleep-disordered breathing (SDB), aiding in the prevention of dentoskeletal complications and systemic issues. Early intervention supports proper pediatric development, emphasizing the need for SDB screening in orthodontics. SDB involves abnormal breathing during sleep, with obstructive sleep apnea (OSA) in children presenting unique diagnostic challenges compared to adults. Aim: This study aimed to identify children at risk for SDB through a validated screening questionnaire during orthodontic evaluations. Methods: This prospective study recruited children under 12 years of age between July 2023 and July 2024. The Sleep Clinical Record was used to screen for SDB indicators. Results: Among the 48 participants (31 females, 17 males) aged 5–12 years, 69% were identified as being at risk for SDB. Risk factors included oral breathing, nasal obstruction, tonsillar hypertrophy, malocclusion, high Friedman scores, narrow palates, and positive Brouillette phenotypes, all showing significant correlations (<i>p</i> < 0.05). Conclusion: The findings underline the critical importance of early SDB screening in orthodontic settings. These preliminary results encourage further research on larger cohorts to refine diagnostic tools and interventions. Early recognition and management of SDB can significantly enhance systemic health and craniofacial outcomes in pediatric patients.https://www.mdpi.com/2076-3417/15/1/101pediatric sleep breathing disorderspediatric sleep apneaattention deficit hyperactivity disorderorthodontics
spellingShingle Marco Storari
Francesca Stramandinoli
Maurizio Ledda
Alberto Verlato
Alessio Verdecchia
Enrico Spinas
Sleep Breathing Disorders’ Screening Among Children Approaching Orthodontic Evaluation: A Preliminary Study
Applied Sciences
pediatric sleep breathing disorders
pediatric sleep apnea
attention deficit hyperactivity disorder
orthodontics
title Sleep Breathing Disorders’ Screening Among Children Approaching Orthodontic Evaluation: A Preliminary Study
title_full Sleep Breathing Disorders’ Screening Among Children Approaching Orthodontic Evaluation: A Preliminary Study
title_fullStr Sleep Breathing Disorders’ Screening Among Children Approaching Orthodontic Evaluation: A Preliminary Study
title_full_unstemmed Sleep Breathing Disorders’ Screening Among Children Approaching Orthodontic Evaluation: A Preliminary Study
title_short Sleep Breathing Disorders’ Screening Among Children Approaching Orthodontic Evaluation: A Preliminary Study
title_sort sleep breathing disorders screening among children approaching orthodontic evaluation a preliminary study
topic pediatric sleep breathing disorders
pediatric sleep apnea
attention deficit hyperactivity disorder
orthodontics
url https://www.mdpi.com/2076-3417/15/1/101
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