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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Main Authors: Gayane E. Manrikyan, Samson G. Khachatryan, Marina M. Markaryan, Hrant Yu. Ter-Poghosyan, Anna G. Hakobyan, Mikayel E. Manrikyan, Izabella F. Vardanyan
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/14/2/688
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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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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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AT hrantyuterpoghosyan cephalometricsinobstructivesleepapneapatientswithmixeddentition
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