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Published on: November 28, 2011
Craniofacial and occlusal development in 2.5-year-old children with obstructive sleep apnoea syndrome
Saara Markkanen1, Pekka Niemi2, Markus Rautiainen1,3
1Department of Ear and Oral Diseases, Tampere University Hospital.
Insights
Early signs of paediatric obstructive sleep apnoea syndrome (OSAS) include narrower inter canine width and a tendency for mouth breathing in 2.5-year-olds. Larger adenoid size was also observed in children with OSAS.
Area of Science:
- Pediatric Dentistry
- Sleep Medicine
- Craniofacial Development
Background:
- Pediatric obstructive sleep apnoea syndrome (OSAS) is linked to craniofacial and occlusal development changes.
- Knowledge regarding the early onset of these changes in young children is limited.
Purpose of the Study:
- To investigate early craniofacial and occlusal changes in 2.5-year-old children diagnosed with OSAS.
- To assess dental arch morphology, occlusion, facial profile, tonsil size, breathing habits, and BMI in relation to early OSAS.
Main Methods:
- A cohort of 52 children was studied, with 9 diagnosed with OSAS via polysomnography.
- Comparison between children with OSAS and non-snoring children (18 participants) on polysomnographic, otorhinolaryngological, and dental variables.
Main Results:
- Children with OSAS exhibited narrower inter canine width compared to non-snoring peers (P=0.032).
- Larger adenoid size relative to nasopharyngeal volume (P=0.020) and a greater tendency for mouth breathing (P=0.002) were noted in the OSAS group.
- No significant differences were found in palatine tonsil size, occlusal characteristics, soft tissue profile, or BMI.
Conclusions:
- Narrower upper inter canine width, larger adenoid size, and mouth breathing tendency are observable in 2.5-year-old children with OSAS.
- Further research with larger sample sizes is required to confirm these findings and explore other potential craniofacial developmental changes.
Objectives:
Paediatric obstructive sleep apnoea syndrome (OSAS) is associated with a range of changes in craniofacial and occlusal development. There is, however, little knowledge of how early in life these changes can be found. The aim of the present study was to determine whether changes in dental arch morphology, occlusion, facial profile, tonsil size, breathing habit or body mass index (BMI) can already be found among 2.5-year-old children with OSAS.
Materials And Methods:
Fifty-two children were recruited to the study. Of these, OSAS was diagnosed in 9 children and 18 children did not snore in polysomnography. These two groups were subsequently compared when evaluating polysomnographic, otorhinolaryngological and dental variables.
Results:
Children with OSAS had narrower inter canine width than non-snoring children (P = 0.032). Furthermore, children with OSAS had larger adenoid size with respect to the nasopharyngeal volume (P = 0.020) and more tendency to mouth breathing (P = 0.002). No statistically significant differences were found when comparing palatine tonsil size, occlusal characteristics, soft tissue profile measurements or BMI.
Limitations:
The limitation of the study is the small sample size.
Conclusion:
Children with OSAS had narrower upper inter canine width than non-snoring children at the age of 2.5 years. Larger adenoid size and mouth breathing tendency were also more common among children with OSAS. Further studies with larger sample sizes are needed to determine if other changes in craniofacial and occlusal development can be found in this age group.
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