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Management of obstructive sleep apnoea in children with modified monobloc appliances

P Cozza1, R Gatto, F Ballanti

  • 1Department of Orthodontics, University of Rome Tor Vergata, Italy.

European Journal of Paediatric Dentistry
|March 25, 2004
PubMed

Insights

Oral appliances effectively treat obstructive sleep apnoea (OSA) in children. This study found that modified monobloc devices significantly reduced OSA episodes in pediatric patients after six months of nightly use.

Area of Science:

  • Pediatric Sleep Medicine
  • Orthodontics
  • Otolaryngology

Background:

  • Obstructive sleep apnoea (OSA) is a common condition in children.
  • Current treatment options for pediatric OSA may have limitations.
  • Orthodontic appliances offer a potential alternative therapy.

Purpose of the Study:

  • To investigate the efficacy of orthodontic appliances in treating pediatric obstructive sleep apnoea (OSA).
  • To evaluate polysomnographic variables before and after appliance therapy.

Main Methods:

  • A cohort of 20 children (10 boys, 10 girls) aged 4-8 years with OSA participated.
  • Patients used modified monobloc devices nightly for 6 months.
  • Polysomnography was performed for baseline and post-treatment assessment.

Main Results:

  • A significant reduction in the obstructive apnoea-hypopnoea index was observed.
  • The mean number of OSA episodes decreased from 7.88 to 3.66 (p<0.001).
  • The modified monobloc appliance demonstrated effectiveness in reducing OSA severity.

Conclusions:

  • Modified monobloc appliances are a viable treatment option for children with OSA.
  • This orthodontic approach may be an effective alternative for mild to moderate pediatric OSA.
  • Further research can explore long-term outcomes and broader applications.
Abstract

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