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Clustering of craniofacial patterns in Korean children with snoring
Stephanie Maritza Anderson1, Hoi-Jeong Lim2, Ki-Beom Kim3
1Department of Dentistry, Kyung Hee University Graduate School, Seoul, Korea.
Insights
Craniofacial patterns in Korean children with snoring and adenotonsillar hypertrophy (ATH) form three age-related clusters. Hyperdivergent vertical discrepancies were common across all groups, indicating a consistent skeletal trait.
Area of Science:
- Pediatric Dentistry
- Orthodontics
- Sleep Medicine
Background:
- Snoring and adenotonsillar hypertrophy (ATH) in children can be associated with craniofacial morphology.
- Understanding these associations is crucial for diagnosis and treatment planning.
Purpose of the Study:
- To investigate age-related craniofacial pattern clusters in Korean children with snoring and ATH.
- To identify specific cephalometric characteristics within these clusters.
Main Methods:
- Cephalometric analysis of 236 Korean children (5-12 years) with snoring and ATH.
- Classification of sagittal (Class I, II, III) and vertical (normodivergent, hypodivergent, hyperdivergent) skeletal patterns.
- Cluster analysis incorporating age and cephalometric principal components.
Main Results:
- Three distinct craniofacial clusters were identified based on age.
- Cluster 1 (5-8 years): Class I/mild Class II, hyperdivergent.
- Cluster 2 (9-12 years): Class II, hyperdivergent.
- Cluster 3 (7-8 years): Class III, hyperdivergent.
Conclusions:
- Craniofacial patterns in children with snoring and ATH can be age-categorized into three clusters.
- Hyperdivergent vertical discrepancy is a consistent finding across all identified clusters.
- While sagittal discrepancies varied, vertical skeletal patterns showed a notable trend.
Objective:
The purpose of this study was to investigate whether the craniofacial patterns of Korean children with snoring and adenotonsillar hypertrophy (ATH) could be categorized into characteristic clusters according to age.
Methods:
We enrolled 236 children with snoring and ATH (age range, 5-12 years) in this study. They were subdivided into four age groups: 5-6, 7-8, 9-10, and 11-12 years. Based on cephalometric analysis, the sagittal and vertical skeletal patterns of each individual were divided into Class I, II, and III, as well as the normodivergent, hypodivergent, and hyperdivergent patterns, respectively. Cluster analysis was performed using cephalometric principal components in addition to the age factor.
Results:
Three heterogeneous clusters of craniofacial patterns were obtained in relation to age: cluster 1 (41.9%) included patients aged 5-8 years with a skeletal Class I or mild Class II and hyperdivergent pattern; cluster 2 (45.3%) included patients aged 9-12 years with a Class II and hyperdivergent pattern; and cluster 3 (12.8%) included patients aged 7-8 years with a Class III and hyperdivergent pattern.
Conclusions:
This study found that the craniofacial patterns of Korean children with snoring and ATH could be categorized into three characteristic clusters according to age groups. Although no significantly dominant sagittal skeletal discrepancy was observed, hyperdivergent vertical discrepancy was consistently evident in all clusters.
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