Salivary biomarker C-reactive protein levels in children with sleep problems and Class II malocclusion before and after twin-block therapy

Context: Disturbances in sleep affects the overall quality of a child's life, with several short- and long-lasting consequences. Hence, early diagnosis and monitoring is crucial in the management of sleep disorders in children. Aims: The aim of this study was to evaluate salivary C-reactive pro...

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Main Authors: Trupti B Bhosale, Vabitha Shetty, Meghna Bhandary, Prajna P Nayak
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Indian Society of Pedodontics and Preventive Dentistry
Subjects:
Online Access:http://www.jisppd.com/article.asp?issn=0970-4388;year=2023;volume=41;issue=3;spage=190;epage=196;aulast=Bhosale
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author Trupti B Bhosale
Vabitha Shetty
Meghna Bhandary
Prajna P Nayak
author_facet Trupti B Bhosale
Vabitha Shetty
Meghna Bhandary
Prajna P Nayak
author_sort Trupti B Bhosale
collection DOAJ
description Context: Disturbances in sleep affects the overall quality of a child's life, with several short- and long-lasting consequences. Hence, early diagnosis and monitoring is crucial in the management of sleep disorders in children. Aims: The aim of this study was to evaluate salivary C-reactive protein (CRP) levels in a group of children with Class II malocclusion and sleep problems before and after twin-block appliance therapy. Settings and Design: The study was a prospective clinical study with a 9-month follow-up period. Subjects and Methods: Eleven children aged 8–12 years with skeletal Class II malocclusion and at least one sleep disorder were enrolled in the study. All children were subjected to a recording of their sleep history and a clinical as well as radiographic examination. Pretreatment levels of salivary CRP were recorded. A twin-block appliance was custom made and delivered to every child. At the end of 9-month follow-up, all children were recalled for a re-evaluation of salivary biomarker levels. Statistical Analysis: Pretreatment and posttreatment changes in biomarker levels were assessed statistically using the students paired t-test. Results: Levels of salivary biomarker CRP were significantly decreased in children following myofunctional therapy using a twin-block appliance (P < 0.001). There was a considerable improvement in the clinical symptoms such as a decrease in snoring and noisy breathing in most children post-twin-block therapy. Conclusion: The measurement of salivary biomarker CRP could be used as an alternative and noninvasive method to evaluate prognosis of oral myofunctional therapy for children with sleep disordered breathing.
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spelling doaj.art-9d5df805aada481ea857e982cb88913e2024-04-04T14:36:58ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Pedodontics and Preventive Dentistry0970-43881998-39052023-01-0141319019610.4103/jisppd.jisppd_338_23Salivary biomarker C-reactive protein levels in children with sleep problems and Class II malocclusion before and after twin-block therapyTrupti B BhosaleVabitha ShettyMeghna BhandaryPrajna P NayakContext: Disturbances in sleep affects the overall quality of a child's life, with several short- and long-lasting consequences. Hence, early diagnosis and monitoring is crucial in the management of sleep disorders in children. Aims: The aim of this study was to evaluate salivary C-reactive protein (CRP) levels in a group of children with Class II malocclusion and sleep problems before and after twin-block appliance therapy. Settings and Design: The study was a prospective clinical study with a 9-month follow-up period. Subjects and Methods: Eleven children aged 8–12 years with skeletal Class II malocclusion and at least one sleep disorder were enrolled in the study. All children were subjected to a recording of their sleep history and a clinical as well as radiographic examination. Pretreatment levels of salivary CRP were recorded. A twin-block appliance was custom made and delivered to every child. At the end of 9-month follow-up, all children were recalled for a re-evaluation of salivary biomarker levels. Statistical Analysis: Pretreatment and posttreatment changes in biomarker levels were assessed statistically using the students paired t-test. Results: Levels of salivary biomarker CRP were significantly decreased in children following myofunctional therapy using a twin-block appliance (P < 0.001). There was a considerable improvement in the clinical symptoms such as a decrease in snoring and noisy breathing in most children post-twin-block therapy. Conclusion: The measurement of salivary biomarker CRP could be used as an alternative and noninvasive method to evaluate prognosis of oral myofunctional therapy for children with sleep disordered breathing.http://www.jisppd.com/article.asp?issn=0970-4388;year=2023;volume=41;issue=3;spage=190;epage=196;aulast=Bhosalebiomarkersc-reactive proteinmyofunctional therapyobstructive sleep apneasaliva
spellingShingle Trupti B Bhosale
Vabitha Shetty
Meghna Bhandary
Prajna P Nayak
Salivary biomarker C-reactive protein levels in children with sleep problems and Class II malocclusion before and after twin-block therapy
Journal of Indian Society of Pedodontics and Preventive Dentistry
biomarkers
c-reactive protein
myofunctional therapy
obstructive sleep apnea
saliva
title Salivary biomarker C-reactive protein levels in children with sleep problems and Class II malocclusion before and after twin-block therapy
title_full Salivary biomarker C-reactive protein levels in children with sleep problems and Class II malocclusion before and after twin-block therapy
title_fullStr Salivary biomarker C-reactive protein levels in children with sleep problems and Class II malocclusion before and after twin-block therapy
title_full_unstemmed Salivary biomarker C-reactive protein levels in children with sleep problems and Class II malocclusion before and after twin-block therapy
title_short Salivary biomarker C-reactive protein levels in children with sleep problems and Class II malocclusion before and after twin-block therapy
title_sort salivary biomarker c reactive protein levels in children with sleep problems and class ii malocclusion before and after twin block therapy
topic biomarkers
c-reactive protein
myofunctional therapy
obstructive sleep apnea
saliva
url http://www.jisppd.com/article.asp?issn=0970-4388;year=2023;volume=41;issue=3;spage=190;epage=196;aulast=Bhosale
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AT meghnabhandary salivarybiomarkercreactiveproteinlevelsinchildrenwithsleepproblemsandclassiimalocclusionbeforeandaftertwinblocktherapy
AT prajnapnayak salivarybiomarkercreactiveproteinlevelsinchildrenwithsleepproblemsandclassiimalocclusionbeforeandaftertwinblocktherapy