Changes in airway patency and sleep-breathing in healthy skeletal Class II children undergoing functional activator therapy.

Orthodontic activator at-home sleep monitoring retrognathic mandible sleep-breathing upper airway

Journal

European oral research
ISSN: 2651-2823
Titre abrégé: Eur Oral Res
Pays: Turkey
ID NLM: 101738487

Informations de publication

Date de publication:
01 Jan 2022
Historique:
received: 09 10 2020
revised: 20 01 2021
accepted: 15 03 2021
entrez: 28 4 2022
pubmed: 29 4 2022
medline: 29 4 2022
Statut: ppublish

Résumé

Several studies agree that an abnormal maxilla-mandible relationship correlates better as an Obstructive Sleep Apnea (OSA) predictor, rather than obesity. One of the orthodontic therapies recommended for this kind of craniofacial deformity is to advance the mandible forward with an orthodontic activator, therefore, the aim of this study is to determine if healthy children that use this appliance experience a widening of the upper airway as well as an improvement in their sleep-breathing patterns. 39 healthy children, 20 for activator group (10 boys and 10 girls, 4 mean age 10.9 + 0.9; BMI 16.2 + 1.4), 19 for control group (13 boys and 6 girls, mean age 5 9.8 + 1.4; BMI 17.6 + 2.1) participated in this study. They were required to submit 2 lateral cephalometric radiographs both at initial and final stages of evaluation, and finally three at- home sleep-breathing monitoring results for the activator group and one for the control group. After radiographic evaluation, it was found that children in the activator group experienced an increase in all measured variables. After evaluation with the sleep monitor, an improvement of sleep-breathing was found in children from the activator group (p<0.05). The activator not only provides a harmonious occlusion and proper development of the mandible, but it also helps improve the quality of sleep-breathing through widening of the upper airway and reducing the number of disordered breathing events in children that undergo this therapy.

Identifiants

pubmed: 35478710
doi: 10.26650/eor.2022807392
pii: eor-56-1-807392
pmc: PMC9012217
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1-9

Informations de copyright

Copyright © 2021 European Oral Research.

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Auteurs

Cynthia Concepción Medina (C)

Department of Orthodontics and Craniofacial Developmental Biology, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityJapan.

Hiroshi Ueda (H)

Department of Orthodontics and Craniofacial Developmental Biology, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityJapan.

Koji Iwai (K)

Department of Orthodontics and Craniofacial Developmental Biology, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityJapan.

Ryo Kunimatsu (R)

Department of Orthodontics and Craniofacial Developmental Biology, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityJapan.

Kotaro Tanimoto (K)

Department of Orthodontics and Craniofacial Developmental Biology, Graduate School of Biomedical and Health Sciences, Hiroshima UniversityJapan.

Classifications MeSH