Sleep and Breathing

, Volume 16, Issue 4, pp 971–976 | Cite as

Mandibular advancement devices are an alternative and valid treatment for pediatric obstructive sleep apnea syndrome

  • Maria Pia VillaEmail author
  • Silvia Miano
  • Alessandra Rizzoli



Orthodontic and craniofacial abnormalities have often been reported in pediatric sleep-disordered breathing (SDB). While the reversibility of these craniofacial abnormalities by means of adenotonsillectomy has yet to be established, orthodontic treatment based on oral appliances is considered to be a potential additional treatment for pediatric SDB.


Oral appliances may help improve upper airway patency during sleep by enlarging the upper airway and/or by decreasing upper airway collapsibility, thereby enhancing upper airway muscle tone. Orthodontic therapy should be encouraged in pediatric OSAS, and an early approach may permanently modify nasal breathing and respiration, thereby preventing obstruction of the upper airway.


Obstructive sleep apnea Children Rapid maxillary expander Malocclusion Apnea–hypopnea index Polysomnography 


Conflicts of interest

All authors are disclosing any conflict of interests, any affiliation, financial agreement, or other involvement of any author with any company whose product figures prominently in the submitted manuscript, and any off-label or investigational use.


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Maria Pia Villa
    • 1
    Email author
  • Silvia Miano
    • 1
  • Alessandra Rizzoli
    • 1
  1. 1.Department of Pediatrics, Sleep Disease CentreUniversity of Rome La Sapienza-Sant’Andrea HospitalRomeItaly

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