Abstract
Purpose
To evaluate the prevalence of sleep disorders in Brazilian preschool children and its associations with parental report of dental pain and discomfort.
Methods
This cross-sectional study involved 604 Brazilian preschoolers (4–5 years old). Sleep disorders (SD) and the parental report of dental pain and discomfort (DPD) were evaluated using the Brazilian versions of the Sleep Disturbance Scale for Children (SDSC) and the Dental Discomfort Questionnaire (DDQ-B), respectively. Bivariate and multivariate Poisson regression analyses with robust variance were performed to analyze the association between SDSC and DP.
Results
Prevalence of SD ranged from 7 to 21%. 7.9% of the children had DPD indicating the need for more invasive dental procedures (DDQ-B ≥ 5). Significant associations were found between DPD and the following SDSC domains: sleep hyperhidrosis (p = 0.024; PRa = 1.38; 95% CI: 1.04–1.83), disorders of initiating and maintaining sleep (p < 0.001; PRa = 1.41; 95% CI: 1.15–1.73), parasomnias (p < 0.001; PRa = 1.82; 95% CI: 1.39–2.37), and sleep–wake transition disorders (p = 0.018; PRa = 1.28; 95% CI: 1.04–1.58). Children with higher prevalence of DPD presented 20% higher prevalence of SD than children lower prevalence of DPD (p = 0.039; PRa = 1.20; 95% CI: 1.01–1.44).
Conclusion
Preschool children with higher prevalence of DPD are more likely to have SD, such as hyperhidrosis, disorders of initiating and maintaining sleep, parasomnias, and sleep–wake transition.
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References
Banihani A, Deery C, Toumba J, Munyombwe T, Duggal M. The impact of dental caries and its treatment by conventional or biological approaches on the oral health-related quality of life of children and carers. Int J Paediatr Dent. 2018. https://doi.org/10.1111/ipd.12350.
Bruni O, Salvatore O, Guidetti V, Romoli M, Innocenzi M, Cortesi F, et al. The sleep disturbance scale for children (SDSC) construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence. J Sleep Res. 1996;5:251–61.
Carvalho F, et al. Oral appliances and functional orthopaedics appliances for obstructive sleep apnoea in children. Cochrane Database Syst Rev. 2005;15(10):CD005520: https://doi.org/10.1002/14651858.CD005520.
Carvalho FR, Lentini-Oliveira DA, Carvalho GMM, et al. Concordância intra e inter observadores no diagnóstico da má oclusão dentária nos distúrbios respiratórios do sono. Arq Neuropsiquiatr. 2014a. https://doi.org/10.1590/0004-282X20130214.
Carvalho FR, Lentini-Oliveira DA, Carvalho GMM, Prado LBF, Prado GF, Carvalho LBC. Sleep-disordered breathing and orthodontic variables in children-Pilot study. Int J Pediatr Otorhinolaryngol. 2014b. https://doi.org/10.1016/j.ijporl.2014.08.040.
Carvalho FR, Lentini-Oliveira DA, Prado LB, Prado GF, Carvalho LB. Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children. Cochrane Database Syst Rev. 2016. https://doi.org/10.1002/14651858.CD005520.pub3 (PMID: 27701747 PMCID: PMC6458031).
Daher A, Versloot J, Leles CR, Costa LR. Screening preschool children with toothache: validation of the Brazilian version of the Dental Discomfort Questionnaire. Health Qual Life Outcomes. 2014a. https://doi.org/10.1186/1477-7525-12-30.
Daher A, Versloot J, Costa LR. The cross-cultural process of adapting observational tools for pediatric pain assessment: the case of the Dental Discomfort Questionnaire. BMC Res Notes. 2014b. https://doi.org/10.1186/1756-0500-7-897.
Daher A, Abreu MHNG, Costa LR. Recognizing preschool children with primary teeth needing dental treatment because of caries-related toothache. Community Dent Oral Epidemiol. 2015. https://doi.org/10.1111/cdoe.12154.
Fernandes IB, Reis-Sá P, Gomes RL, Costa LR, Ramos-Jorge J, Ramos-Jorge ML. Factors associated with dental pain in toddlers detected using the dental discomfort questionnaire. J Indian Soc Pedod Prev Dent. 2018. https://doi.org/10.4103/JISPPD.JISPPD.
Ferreira VR, Carvalho LBC, Ruotolo F, de Morais JF, Prado LBF, Prado GF. Sleep disturbance scale for children: translation, cultural adaptation, and validation. Sleep Med. 2009. https://doi.org/10.1016/j.sleep.
Gilchrist F, Marshman Z, Deery C, Rodd HD. The impact of dental caries on children and young people: what they have to say? Int J Paediatr Dent. 2015. https://doi.org/10.1111/ipd.12186.
Kramer PF, Feldens CA, Ferreira SH, Bervian J, Rogridues PH, Peres MA. Exploring the impact of oral diseases and disorders on quality of life of preschool children. Community Dent Oral Epidemiol. 2013. https://doi.org/10.1111/cdoe.12035.
Lima SLA, Santana CCP, Paschoal MAB, Paiva SM, Ferreira MC. Impact of untreated dental caries on the quality of life of Brazilian children: population-based study. Int J Paediatr Dent. 2018. https://doi.org/10.1111/ipd.12365.
Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, Van Palenstein HW. PUFA—an index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol. 2010. https://doi.org/10.1111/j.1600-0528.2009.00514.x.
Moura-Leite FR, Ramos-Jorge ML, Bonanato K, Paiva SM, Vale MP, Pordeus IA. Prevalence, intensity and impact of in 5 year-old preschool children. Oral Health Prev Dent. 2008;6(4):295–301.
Moura-Leite FR, Ramos-Jorge J, Ramos-Jorge ML, Paiva SM, Vale MP, Pordeus IA. Impact of dental pain on daily living of five-year-old Brazilian preschool children : prevalence and associated factors. Eur Arch Paediatr Dent. 2011;12(5):245–9.
Oliveira MMT, Colares V. The relationship between dental anxiety and dental pain in children aged 18 to 59 months: a study in Recife, Pernambuco State. Brazil Cad Saude Publica. 2009. https://doi.org/10.1590/S0102-311X2009000400005.
Petit D, Montplaisir J, Tremblay RE, Touchette E, Boivin M. Dyssomnias and parasomnias in early childhood. Pediatrics. 2007. https://doi.org/10.1542/peds.2006-2132.
Potasz C, Juliano ML, Varela MJ, et al. Prevalence of sleep disorders in children of a public hospital in São Paulo. Arq Neuropsiquiatr. 2010. https://doi.org/10.1590/S0004-282X2010000200016.
Putois B, Leslie W, Paule M, et al. The french sleep disturbance scale for children. Sleep Med. 2017. https://doi.org/10.1016/j.sleep.2016.12.008.
Ramos-Jorge J, Pordeus IA, Ramos-Jorge ML, Marques LS, Paiva SM. Impact of untreated dental caries on quality of life of preschool children : different stages and activity. Community Dent Oral Epidemiol. 2014. https://doi.org/10.1111/cdoe.12086.
Redline S, Kirchner LH, Quan SF, Gottlieb DJ, Kapur V, Newman A. The effects of age, sex, ethnicity on sleep architecture. Arch Intern Med. 2004;164:406–18.
Romeo DM, Bruni O, Brogna C, et al. Application of the sleep disturbance scale for children ( SDSC ) in preschool age. Eur J Paediatr Neurol. 2012. https://doi.org/10.1016/j.ejpn.
Simola P, Laitalainen E, Liukkonen K, et al. Sleep disturbances in a community sample from preschool to school age. Child Care Health Dev. 2012. https://doi.org/10.1111/j.1365-2214.2011.01288.x.
Steinsbekk S, Berg-Nielsen TS, Wichstrøm L. Sleep disorders in preschoolers: prevalence and comorbidity with psychiatric symptoms. J Dev Behav Pediatr. 2013. https://doi.org/10.1097/01.DBP.0000437636.33306.49.
Valle E, et al. Sleep disorders in children – A Brazilian study. Sleep Med. 2013;14(Suppl 1):e292. https://doi.org/10.1016/j.sleep.2013.11.716.
Versloot J, Veerkamp J, Hoogstraten J. Dental discomfort questionnaire: assessment of dental discomfort and/or pain in very young children. Community Dent Oral Epidemiol. 2006;34(2):47–52.
Vieira-andrade RG, Gomes GB, De TC, Pinto-sarmento A, Firmino RT, Pordeus IA. Oral conditions and trouble sleeping among preschool children. J Public Health. 2016. https://doi.org/10.1007/s10389-016-0734-7.
Yap B, Kontos A, Pamula Y, Martin J, Kennedy D, Sampson W, Dreyer C. Differences in dentofacial morphology in children with sleep disordered breathing are detected with routine orthodontic records. Sleep Med. 2019;55:109–14. https://doi.org/10.1016/j.sleep.2018.12.019 (Epub 2019 Jan 6 PMID: 30780114).
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Ramos, B.L.M., Umemura, A.M.B., Bruni, O. et al. Parental report of dental pain and discomfort in preschool children is associated with sleep disorders: a cross-sectional study in Brazilian families. Eur Arch Paediatr Dent 24, 43–53 (2023). https://doi.org/10.1007/s40368-022-00747-1
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DOI: https://doi.org/10.1007/s40368-022-00747-1