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Assessment of Changes in Behavior and Quality of Life after Monobloc Treatment in Children with Obstructive Sleep
Eser Çapan1, Hülya Kılıçoğlu2, Hande Uzunçıbuk3
1Private Practitioner, Clinic of Orthodontics, İstanbul, Turkey.
Insights
Monobloc treatment improved sleep quality and reduced behavioral issues in children with obstructive sleep apnea (OSA) and primary snoring. This enhanced their overall quality of life.
Area of Science:
- Pediatric Sleep Medicine
- Orthodontics
- Behavioral Psychology
Background:
- Obstructive sleep apnea (OSA) and primary snoring in children are linked to behavioral disorders and reduced quality of life.
- Mandibular retrognathia often contributes to these sleep-disordered breathing conditions in pediatric patients.
Purpose of the Study:
- To evaluate the impact of monobloc appliance treatment on quality of life and behavioral disorders in children with OSA or primary snoring.
- To assess changes in behavioral symptoms and sleep quality following monobloc therapy.
Main Methods:
- A cohort of 14 children with primary snoring and 16 with OSA, all exhibiting skeletal class II malocclusion due to mandibular retrognathia, were treated with monobloc appliances.
- Parental completion of validated questionnaires (ADHD scale, SDQ, PSQ, PSQS) was used to assess behavioral disorders and quality of life.
- Statistical analysis included Mann-Whitney U and Wilcoxon signed-rank tests.
Main Results:
- Monobloc treatment led to significant improvements in sleep quality, as indicated by the PSQ and PSQS.
- Statistically significant reductions in total ADHD scores were observed in both OSA (p<0.01) and snoring (p<0.01) groups.
- The snoring group showed significant improvements in social behavior (p<0.05) and a decrease in peer bullying scores (p<0.05).
Conclusions:
- Monobloc appliance therapy effectively reduces sleep-breathing disorder symptoms in pediatric patients with primary snoring and OSA.
- Improved sleep quality following orthodontic monobloc treatment positively impacts the overall quality of life in these children.
Objective:
The aim of this study was to examine the quality of life and behavioral disorders in children with obstructive sleep apnea (OSA) or primary snoring, as well as how these problems changed after monobloc treatment.
Methods:
Fourteen children with primary snoring and 16 children with OSA who had skeletal class II malocclusion due to mandibular retrognathia were treated with monobloc appliances. To investigate the relationship between behavioral disorders and quality of life, parents were asked to complete four questionnaires: attention deficit and hyperactivity disorder (ADHD) scale, strength and difficulties questionnaire (SDQ), pediatric sleep questionnaire (PSQ), and Pittsburgh sleep quality scale (PSQS). Mann-Whitney U and Wilcoxon signed-rank tests were used to evaluate the data.
Results:
According to the results of the PSQ and PSQS, an increase in sleep quality was observed after monobloc treatment. The decrease in the total ADHD score at the end of the treatment was found to be statistically significant in both the OSA (p<0.01) and snoring (p<0.01) groups. According to the SDQ scores, the increase in the social behavior score and the decrease in the peer bullying score in the snoring group were statistically significant (p<0.05).
Conclusion:
The use of a monobloc appliance in pediatric patients exhibiting primary snoring and OSA resulted in a notable reduction in sleep-breathing disorder symptoms and a notable enhancement in their overall quality of life. Based on the analyses of the questionnaires, it was concluded that the increase in sleep quality improved the pediatric patients' quality of life after orthodontic treatment with orthodontic monobloc appliances.
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