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Prevalence of Sleep-related Breathing Disorders in Children and Its Correlation with Oral Health Status Using

Shraddha Mahadeo Shirsat1, Madhura Pawar1, Kavita Sandeep Choudhari2

  • 1Department of Pedodontics & Pediatric Dentistry, Dr DY Patil Dental College and Hospital, Pune, Maharashtra, India.

International Journal of Clinical Pediatric Dentistry
|December 2, 2025
PubMed

Insights

Sleep-related breathing disorders (SRBDs) affect 5.2% of children, with symptoms linked to oral health issues like narrow palates. Early screening using tools like FAIREST-6 can aid in identifying children with SRBD.

Area of Science:

  • Pediatric dentistry
  • Sleep medicine
  • Public health

Background:

  • Sleep-related breathing disorders (SRBDs) involve airway collapse during sleep, leading to hypoxemia and wakefulness.
  • SRBDs are highly prevalent but often underdiagnosed and untreated in children.
  • Early screening is crucial for timely identification and management of pediatric SRBDs.

Purpose of the Study:

  • To assess the prevalence of SRBDs in children during the mixed dentition period.
  • To evaluate the correlation between SRBDs and oral health status using the FAIREST-6 screening tool.
  • To determine the utility of the Pediatric Sleep Questionnaire (PSQ) in identifying children at risk for SRBDs.

Main Methods:

  • A cross-sectional study involving 1,800 children aged 6-12 years during dental examinations.
  • Guardians completed the Pediatric Sleep Questionnaire (PSQ) for initial screening.
  • Children identified as high-risk were further screened using the FAIREST-6 tool by dental residents.

Main Results:

  • SRBDs were identified in 5.2% of the screened pediatric population.
  • A higher prevalence was observed in girls (52.2%) compared to boys (47.8%).
  • Significant correlations were found between SRBDs and tonsillar hypertrophy, narrow palate, and mentalis activity.

Conclusions:

  • The FAIREST-6 screening tool, alongside the PSQ, identified SRBDs in 5.2% of children.
  • Symptoms of sleep-disordered breathing (SDB) were strongly associated with tonsillar hypertrophy, narrow palate, and mentalis activity.
  • The FAIREST-6 is a validated chairside tool for dentists and healthcare providers to screen young patients for SDB.
Abstract

Keywords:
Child healthCross-sectional studyEarly interventionFAIREST-6PolysomnographySleep apnea syndromes

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