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Sleep disordered breathing in children seeking orthodontic care

Ashok K Rohra1, Catherine A Demko2, Mark G Hans3

  • 1Private practice, Cleveland, Ohio.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|June 30, 2018
PubMed

Insights

Approximately 7% of children in orthodontic treatment show high risk for sleep disordered breathing (SDB). This study highlights the need for screening in this pediatric population.

Area of Science:

  • Pediatric Sleep Medicine
  • Orthodontics
  • Public Health

Background:

  • Sleep disordered breathing (SDB) encompasses a range of conditions from primary snoring to obstructive sleep apnea.
  • Identifying high-risk factors for SDB in pediatric populations is crucial for early intervention.

Purpose of the Study:

  • To determine the prevalence of high-risk factors for SDB in a cohort of children undergoing orthodontic treatment.
  • To assess the utility of the Pediatric Sleep Questionnaire in identifying at-risk children.

Main Methods:

  • A sample of 303 healthy children aged 9-17 years was evaluated.
  • The Pediatric Sleep Questionnaire, a 22-item validated instrument, was used to assess SDB risk.
  • High risk was defined as answering "yes" to 33% or more of the questionnaire items.

Main Results:

  • The prevalence of high-risk status for SDB was 7.3% (95% CI: 4.7%-10.6%) within the study sample.
  • High-risk status was not significantly associated with sex, age, or race in this population.
  • Test-retest reliability was confirmed with 16 patients repeating the questionnaire after one month.

Conclusions:

  • The findings suggest that approximately 7% of adolescent orthodontic patients may be at significant risk for SDB.
  • Routine screening for SDB risk factors in orthodontic settings could identify children needing further evaluation.
  • This highlights a potential public health concern within the orthodontic patient population.
Abstract

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