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Oral cavity morphology among children at risk of sleep disordered breathing

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Abstract

Purpose

The aim of this study was to evaluate oral cavity morphology in children at risk of sleep disordered breathing (SDB).

Methods

The study included children 3–17 years of age. The risk of SDB was evaluated using the paediatric sleep questionnaire (PSQ); afterwards, children at risk of SDB were enrolled in the study group. A control group was randomly established from patients with negative PSQ results. The oral cavity morphology evaluation included assessment of the oropharynx using Mallampati classification (MC), palatine tonsil size using the Pirquet scale, occlusion and the presence of a high-arched palate and lingual frenulum.

Results

A total of 131 children were evaluated, 65 in the study and 66 in the control group. The mean ages were 9.5 ± 3.0 and 9.4 ± 3.1 years, respectively. The presence of higher scores on the MC, higher scores in the Pirquet scale, a crossbite, a high-arched palate and a short frenulum were significantly more frequent in the study group than the control group.

Conclusion

The evaluation of oral morphology is an important part of paediatric examination. Enlarged palatine tonsils; higher scores on the MC; and the presence of a crossbite, short lingual frenulum and high-arched palate may suggest abnormal breathing during sleep in children.

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Funding

No funding was received for conducting this study.

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Authors and Affiliations

Authors

Contributions

ZB analysed the data and wrote the manuscript. MB conceived the idea, collected and analysed the data. EBM conceived the idea, analysed the data and wrote the manuscript. JS analysed statistical data. AK conceived the idea and collected the data.

Corresponding author

Correspondence to E. Brożek-Mądry.

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Conflict of interest

The authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethics approval

Approval of the Bioethical Committee at the Medical University of Warsaw was obtained (AKBE/207/2018).

Consent to participate

Informed consent was obtained from legal guardians.

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This article has been read and approved by all of the authors.

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Cite this article

Burska, Z., Burghard, M., Brożek-Mądry, E. et al. Oral cavity morphology among children at risk of sleep disordered breathing. Eur Arch Paediatr Dent 23, 429–435 (2022). https://doi.org/10.1007/s40368-022-00701-1

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  • DOI: https://doi.org/10.1007/s40368-022-00701-1

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