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Association of sleep disturbances and craniofacial characteristics in children with class ii malocclusion: An
Krishna Balraj1, Vabitha Shetty1, Amitha Hegde1
1Department of Pedodontics and Preventive Dentistry, A B Shetty Memorial Institute of Dental Sciences, Karnataka, India.
Insights
Children with skeletal class II malocclusion often experience sleep problems, including snoring and decreased airway space. These sleep issues are significantly associated with specific craniofacial characteristics.
Area of Science:
- Pediatric Dentistry
- Orthodontics
- Sleep Medicine
Background:
- Sleep problems in children can lead to behavioral issues, poor academic performance, and failure to thrive.
- Evaluating the prevalence and associations of sleep problems in children with skeletal class II malocclusion with mandibular retrognathism is crucial.
Purpose of the Study:
- To determine the associations between sleep practices/problems and craniofacial characteristics in children with skeletal class II malocclusion and mandibular deficiency.
Main Methods:
- A cross-sectional study involved 50 children (aged 8-14) with skeletal class II malocclusion and mandibular retrognathism.
- Sleep practices and problems were assessed using a validated questionnaire.
- Clinical examinations and lateral cephalograms evaluated craniofacial variables, including pharyngeal airway space.
Main Results:
- All participants reported at least one sleep problem, with 76% experiencing snoring.
- Reduced upper airway was observed in 42%, and reduced lower airway in 80% of children.
- Significant associations were found between mandibular plane angle (SN-MP) and noisy breathing/snoring, and between airway dimensions and sleep positions.
Conclusions:
- Every child in the study exhibited at least one sleep problem.
- A strong association exists between specific sleep practices/problems and measurable cephalometric variables in this population.
Background:
Behaviour problems, poor academic performance and failure to thrive are some of the potential sequelae of sleep problems in children. Hence, there is a need to evaluate the prevalence of sleep problems and significant associations in children with skeletal class II malocclusion with mandibular retrognathism.
Aims:
This study aimed to determine associations if any between sleep practices and problems and craniofacial characteristics in children with skeletal class II malocclusion with mandibular deficiency.
Settings And Design:
A cross-sectional study was conducted among a group of children with skeletal class II malocclusion with mandibular retrognathism.
Materials And Methods:
Fifty children aged 8-14 years with skeletal class II with mandibular retrognathism and who required myofunctional therapy were selected. A validated sleep questionnaire assessed the sleep practices and problems. A detailed clinical examination including tonsils and evaluation for mouth breathing was performed. A lateral cephalogram recorded specific linear, angular variables as well as upper and lower pharyngeal airway space.
Statistical Analysis:
Descriptive statistics, frequency, and percentages were calculated, and the Chi-square test was used.
Results:
All children reported at least one sleep problem, with snoring reported by 76% of the children. Forty-two percent of the children showed a decreased upper airway, whereas 80% showed a decreased lower airway. Significant associations were seen between SN-MP and noisy breathing, upper airway, and snoring with a P value of 0.017. We also found significant associations between upper and lower airway and sleep positions with a P value of 0.021 and 0.005, respectively.
Conclusion:
All the children exhibited at least one sleep problem. There was a strong association of certain sleep practices and sleep problems with cephalometric variables.
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