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Sleep Diagnosis and Therapy

Sleep Diagnosis and Therapy

Official Publication of the American Sleep and Breathing Academy

Rapid maxillary expansion in children with Obstructive Sleep Apnoea Syndrome (OSAS).

July 3, 2012 by admin

Marino A, Ranieri R, Chiarotti F, Villa MP, Malagola C.

Source

Dentistry and Orthodontics Unit, NESMOS Department, Sapienza University of Rome, School of Medicine and Psicology, Italy.

Abstract

AIM:

to evaluate the effects of rapid maxillary expansion (RME) in a group of OSAS preschool children.

MATERIALS AND METHODS:

Lateral cephalograms of 15 OSAS children (8 boys and 7 girls, age mean ± SD: 5.94 ± 1.64 years) were analysed at the start of treatment with RME (T0). All subjects were revaluated after a mean period of 1.57 ± 0.58 years (T1). At this time the sample was divided into 2 groups according to the change in the respiratory disturbance index (RDI): an improved group (I: 8 subjects) and a stationary/worsened group (SW: 7 subjects). Differences between I and SW children with respect to values of cephalometric variables at T0 and to variations between T0 and T1 were evaluated using Mann-Whitney U test. Differences between T0 and T1 values in the overall group of children and separately in I and SW groups were assessed using Wilcoxon test.

RESULTS:

At the start of treatment, the I group was characterised by more retrognathic jaws with lower values of SNA (p=0.055) and SNB (p=0.020) and higher age values (p=0.093) when compared to SW group. After treatment, the I group showed an increase in SNA and SNB angle significantly higher than SW group (p=0.004 and p=0.003, respectively). On the contrary, I and SW groups did not differ as for variation in the skeletal divergency and in the total facial height.

CONCLUSION:

OSAS preschool children with retrognathic jaws could benefit from RME treatment.

 Eur J Paediatr Dent. 2012 Mar;13(1):57-63.
 

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SleepDT Sleep Diagnosis and Therapy is a clinical Journal for allied Sleep Professionals, Neurologists, Psychiatrists, Pulmonologists, Primary Care Physicians, and other medical specialists. We also advocate on behalf of patient care in the field of Sleep Medicine

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