Cephalometrics in Obstructive Sleep Apnea Patients with Mixed Dentition
Distal occlusion is one of the most common dentoalveolar anomalies and can be the reason for the obstructive sleep apnea (OSA) syndrome development among children. The aim of the study was to investigate the relationship between cephalometric and OSA parameters in the pediatric population. Methods:...
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2024-01-01
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author | Gayane E. Manrikyan Samson G. Khachatryan Marina M. Markaryan Hrant Yu. Ter-Poghosyan Anna G. Hakobyan Mikayel E. Manrikyan Izabella F. Vardanyan |
author_facet | Gayane E. Manrikyan Samson G. Khachatryan Marina M. Markaryan Hrant Yu. Ter-Poghosyan Anna G. Hakobyan Mikayel E. Manrikyan Izabella F. Vardanyan |
author_sort | Gayane E. Manrikyan |
collection | DOAJ |
description | Distal occlusion is one of the most common dentoalveolar anomalies and can be the reason for the obstructive sleep apnea (OSA) syndrome development among children. The aim of the study was to investigate the relationship between cephalometric and OSA parameters in the pediatric population. Methods: The cohort study included 39 children with OSA symptoms. Orthodontic examination consisted of a cephalometric analysis of 39 linear and angular variables. Patients underwent a sleep diagnostic study. Statistical analysis was performed using SPSS 19.0.0. Results: Of the general sample, 53.8% were mouth breathers and 46.2% had a mixed type of breathing. Moreover, 30.8% of patients had bruxism. The mean apnea-hypopnea index and oxygen desaturation index were 4.6/h and 3.9/h, respectively. A 1.06 times increase in the SNA index indicated the anterior position of the upper jaw. The MnPLSN° exceeded the norm by 1.3 times, which indicated the posterior position of the lower jaw and vertical type of the growth. An increase in ANSPNSSPT° by 1.1 times indicated an inclination of the upper jaw in the posterior position and a narrowing of the nasal passages. Patients with pediatric OSA had a significantly smaller lower airway space and MPH parameter. Conclusion: Systematic orthodontic monitoring of children with pediatric OSA is important for diagnosis and timely treatment. |
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language | English |
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spelling | doaj.art-23ca353e1a42436baa4fab668b1bffc42024-01-29T13:43:43ZengMDPI AGApplied Sciences2076-34172024-01-0114268810.3390/app14020688Cephalometrics in Obstructive Sleep Apnea Patients with Mixed DentitionGayane E. Manrikyan0Samson G. Khachatryan1Marina M. Markaryan2Hrant Yu. Ter-Poghosyan3Anna G. Hakobyan4Mikayel E. Manrikyan5Izabella F. Vardanyan6Department of Therapeutic Dentistry, Yerevan State Medical University, Koryun Str. 2, Yerevan 0002, ArmeniaCenter for Sleep Disorders, «Somnus» Neurology Clinic, Yerevan 0087, ArmeniaDepartment of Therapeutic Dentistry, Yerevan State Medical University, Koryun Str. 2, Yerevan 0002, ArmeniaDepartment of Pediatric Dentistry and Orthodontics, Yerevan State Medical University, Koryun Str. 2, Yerevan 0002, ArmeniaDepartment of Prosthodontics, Yerevan State Medical University, Koryun Str. 2, Yerevan 0002, ArmeniaDepartment of Pediatric Dentistry and Orthodontics, Yerevan State Medical University, Koryun Str. 2, Yerevan 0002, ArmeniaDepartment of Pediatric Dentistry and Orthodontics, Yerevan State Medical University, Koryun Str. 2, Yerevan 0002, ArmeniaDistal occlusion is one of the most common dentoalveolar anomalies and can be the reason for the obstructive sleep apnea (OSA) syndrome development among children. The aim of the study was to investigate the relationship between cephalometric and OSA parameters in the pediatric population. Methods: The cohort study included 39 children with OSA symptoms. Orthodontic examination consisted of a cephalometric analysis of 39 linear and angular variables. Patients underwent a sleep diagnostic study. Statistical analysis was performed using SPSS 19.0.0. Results: Of the general sample, 53.8% were mouth breathers and 46.2% had a mixed type of breathing. Moreover, 30.8% of patients had bruxism. The mean apnea-hypopnea index and oxygen desaturation index were 4.6/h and 3.9/h, respectively. A 1.06 times increase in the SNA index indicated the anterior position of the upper jaw. The MnPLSN° exceeded the norm by 1.3 times, which indicated the posterior position of the lower jaw and vertical type of the growth. An increase in ANSPNSSPT° by 1.1 times indicated an inclination of the upper jaw in the posterior position and a narrowing of the nasal passages. Patients with pediatric OSA had a significantly smaller lower airway space and MPH parameter. Conclusion: Systematic orthodontic monitoring of children with pediatric OSA is important for diagnosis and timely treatment.https://www.mdpi.com/2076-3417/14/2/688sleep apneasleep dentistryorthodontic(s)pediatric dentistrydentoalveolar anomaliesmixed dentition |
spellingShingle | Gayane E. Manrikyan Samson G. Khachatryan Marina M. Markaryan Hrant Yu. Ter-Poghosyan Anna G. Hakobyan Mikayel E. Manrikyan Izabella F. Vardanyan Cephalometrics in Obstructive Sleep Apnea Patients with Mixed Dentition Applied Sciences sleep apnea sleep dentistry orthodontic(s) pediatric dentistry dentoalveolar anomalies mixed dentition |
title | Cephalometrics in Obstructive Sleep Apnea Patients with Mixed Dentition |
title_full | Cephalometrics in Obstructive Sleep Apnea Patients with Mixed Dentition |
title_fullStr | Cephalometrics in Obstructive Sleep Apnea Patients with Mixed Dentition |
title_full_unstemmed | Cephalometrics in Obstructive Sleep Apnea Patients with Mixed Dentition |
title_short | Cephalometrics in Obstructive Sleep Apnea Patients with Mixed Dentition |
title_sort | cephalometrics in obstructive sleep apnea patients with mixed dentition |
topic | sleep apnea sleep dentistry orthodontic(s) pediatric dentistry dentoalveolar anomalies mixed dentition |
url | https://www.mdpi.com/2076-3417/14/2/688 |
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