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Updated: Feb 2, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Insights
Obstructive sleep apnea syndrome (OSAS) in children is common and often missed. Early diagnosis and management by dentists are crucial for preventing serious health issues.
Area of Science:
- Pediatric Medicine
- Sleep Medicine
- Dentistry
Background:
- Obstructive sleep apnea syndrome (OSAS) is a prevalent and underdiagnosed condition in children.
- OSAS can lead to significant central nervous system, cardiovascular, and metabolic complications, impacting academic performance, behavior, and physical development.
- Key contributing factors to pediatric OSAS include adenotonsillar hypertrophy and obesity.
Purpose of the Study:
- To highlight the role of dentists in diagnosing and managing pediatric OSAS.
- To emphasize the importance of early identification and intervention for OSAS in children.
Main Methods:
- Review of the definition, consequences, and causes of pediatric OSAS.
- Discussion of the diagnostic utility of dental history and examination.
- Acknowledgement of polysomnography as the gold standard for diagnosis.
Main Results:
- OSAS disrupts normal ventilation and sleep patterns in children.
- Dental practitioners can identify potential OSAS indicators through patient history and examination.
- Dentists can contribute to the comprehensive management of pediatric OSAS.
Conclusions:
- Pediatric OSAS is a serious condition with far-reaching health consequences.
- Dental professionals are well-positioned to aid in the early detection and management of OSAS in children.
- Collaborative efforts involving dentists are essential for improving outcomes for children with OSAS.
Abstract:
Obstructive sleep apnea syndrome (OSAS) in children is defined as a "disorder of breathing during sleep characterized by prolonged partial upper airway obstruction [hypopnea] and/or intermittent complete obstruction (obstructive apnea) that disrupts normal ventilation during sleep and normal sleep patterns." OSAS is both prevalent and underdiagnosed in children. OSAS has harmful central nervous system, cardiovascular, and metabolic consequences, which can include an inability to concentrate in school, poor academic performance, behavioral problems, cardiovascular effects, and poor growth and development. Apneas in children are produced by an imbalance between upper airway load and neuromuscular tone. Many factors influence these attributes, but the most important are adenotonsillar hypertrophy and obesity. History and examination are fundamental areas that dentists can use to help diagnose OSAS in pediatric patients. Full-night polysomnography is the gold standard for obtaining a definitive diagnosis. Dental practitioners also can play a crucial role in the treatment and management of this condition.
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