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Sleep-disordered breathing in children seeking orthodontic care-an Australian perspective

A Wellham1, C Kim1, S S Kwok1

  • 1Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.

Australian Dental Journal
|November 8, 2022
PubMed

Insights

A study found 7.3% of children in an Australian orthodontic population are at risk of sleep-disordered breathing. Early identification through questionnaires can improve diagnosis and management for better child development.

Area of Science:

  • Pediatric Sleep Medicine
  • Orthodontics
  • Public Health

Background:

  • Sleep-disordered breathing (SDB) in children is often undetected, potentially impacting quality of life and development.
  • Orthodontists are well-positioned to identify children at risk of SDB due to their patient demographic.
  • Early detection and management of SDB are crucial for optimal child growth and development.

Purpose of the Study:

  • To determine the prevalence of children at risk of sleep-disordered breathing within an Australian orthodontic population.
  • To highlight the role of orthodontists in identifying at-risk children for SDB.
  • To assess the utility of a modified pediatric sleep questionnaire in orthodontic settings.

Main Methods:

  • A 1-year retrospective study was conducted in a Western Australian orthodontic practice.
  • Data were collected from new patients using a modified pediatric sleep questionnaire and medical history.
  • The study included 1209 children aged 4-18 years.

Main Results:

  • 7.3% of the orthodontic patient population (n=1209) were identified as being at risk of sleep-disordered breathing.
  • A statistically significant association was found between sex and SDB risk, with 11% of males at risk compared to 7% of females (P=0.012).

Conclusions:

  • The prevalence of children at risk of SDB in orthodontic settings is significant, presenting a key opportunity for early identification.
  • Routine screening using a pediatric sleep questionnaire can facilitate timely referral for SDB diagnosis and management.
  • Early intervention in SDB can positively influence a child's quality of life, growth, and development.
Abstract

Keywords:
Malocclusionobstructive sleep apnoeapaediatric sleep questionnaireprevalencesleep-disordered breathing

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