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Sleep disorders, behavioral aspects, general and oral health in children aged 6 to 10 years: structural equation

Patrícia Gomes Fonseca1, Maria Letícia Ramos-Jorge2, Jéssica Madeira Bittencourt3

  • 1Department of Dentistry, School of Biological and Health Sciences, Federal University of the Jequitinhonha and Mucuri Valleys, MG, Diamantina, Brazil. path2233@hotmail.com.

Clinical Oral Investigations
|November 18, 2025
PubMed

Insights

Childhood sleep disorders (SD) are linked to who cares for the child, schooling, and oral health issues like cavities and pain. Addressing these factors can help promote healthy sleep in children.

Area of Science:

  • Pediatric Health
  • Sleep Medicine
  • Dental Public Health

Background:

  • Sleep disorders (SD) in children can impact overall well-being.
  • Oral health issues are common in childhood and may influence other health aspects.
  • Understanding the interplay between sleep, behavior, and health is crucial for pediatric care.

Purpose of the Study:

  • To develop a structural model identifying associations between sleep disorders (SD), behavioral factors, and general and oral health in children aged 6-10.
  • To explore the relationship between oral health status and the prevalence of sleep disorders in children.

Main Methods:

  • A cross-sectional study involving 516 schoolchildren (ages 6-10) and their caregivers.
  • Data collection included child demographics, socio-environmental factors, behavior, general health, and sleep disorders.
  • Clinical dental examinations assessed caries, trauma, and malocclusion; structural equation modeling was used for analysis.

Main Results:

  • Children with non-parental primary caregivers, full-time schooling, extensive carious lesions, and recent dental pain showed a higher likelihood of SD.
  • Frequent consumption of sugary snacks/drinks (>2 times/day) correlated with a higher prevalence of extensive dental caries.

Conclusions:

  • The primary caregiver, study period, extensive carious lesions, and dental pain were directly associated with childhood sleep disorders.
  • Integrated clinical strategies considering oral health, family, and educational contexts are essential for promoting healthy sleep in children.
Abstract

Keywords:
ChildDental cariesOral healthSleepSleep disorders

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