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Published on: December 6, 2016
Sleep-related breathing disorders in young orthodontic patients
Hadas Orbach1, Alon Wexler1, Ariel Orbach2
1Department of Orthodontics, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Israel.
Insights
Ten percent of young orthodontic patients show high risk for sleep-related breathing disorders (SRBD). Boys are at higher risk for SRBD than girls, necessitating early screening in orthodontic care.
Area of Science:
- Pediatric Sleep Medicine
- Orthodontics
- Public Health
Background:
- Sleep-related breathing disorders (SRBD) involve prolonged upper airway obstruction during sleep.
- SRBD prevalence in pediatric orthodontic populations is not well-established.
Purpose of the Study:
- To determine the frequency of SRBD risk in young orthodontic patients in Israel.
- To identify demographic factors associated with SRBD risk in this population.
Main Methods:
- A cohort of 309 children (aged 6-17) attending an orthodontic clinic was evaluated.
- Validated Pediatric Sleep Questionnaire administered to parents to assess SRBD risk.
Main Results:
- 10% of the study group were identified as high-risk for SRBD.
- Male patients exhibited a higher risk for SRBD and at a younger age compared to females.
- Post-adenotonsillectomy, 50% of boys remained high-risk for SRBD, while girls showed low risk.
Conclusions:
- A significant proportion (10%) of pediatric orthodontic patients are at high risk for SRBD.
- Early screening for SRBD in orthodontic patients is recommended, with particular attention to young males.
- Referral of high-risk individuals for medical evaluation and treatment is crucial for managing SRBD.
Introduction:
This study aimed to find out the frequency of sleep-related breathing disorders (SRBD) in young orthodontic patients in Israel. SRBD is characterized by prolonged upper airway obstruction during sleep.
Methods:
The study group consisted of 309 children aged 6-17 years who attended the Orthodontic Clinic at Hadassah Medical Center. Parents were asked to complete a translated validated Pediatric Sleep Questionnaire.
Results:
Of the examined children, 10% were at high risk for SRBD. Boys were at higher risk for SRBD and were at high risk at a younger age than girls. Girls had a low risk of SRBD after adenotonsillectomy, whereas 50% of the boys that underwent adenotonsillectomy were at high risk for SRBD.
Conclusions:
Our findings propose that 10% of the children aged 6-17 years, who were seeking orthodontic consultation at our medical center, were at high risk for SRBD. Boys were significantly at a higher risk for SRBD than girls and were at high risk at a younger age. It is important to screen young orthodontic patients for SRBD and to refer high-risk patients to their physicians for further evaluation and treatment.
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