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Craniofacial Signs, Symptoms and Orthodontic Objectives of Paediatric Obstructive Sleep Apnoea

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Sleep Disorders in Pediatric Dentistry

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Abstract

The study of craniofacial growth and development has a long history in the disciplines of Paediatric Dentistry and Orthodontics. Unbalanced facial growth is known to be causative for dental misalignment and malocclusion. However, historically, little emphasis has been placed on the possible link to obstructive sleep apnoea. Through greater understanding from contemporary studies and reflections from past research, we now are bringing to light the interrelationships of all proximal structures in the many chronic issues that ail our children.

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References

  1. Kaditis AG, et al. Obstructive sleep disordered breathing in 2-18 year old children: diagnosis and management. European Respiratory Society Statement. Eur Respir J. 2016;47:69.

    Article  PubMed  Google Scholar 

  2. Huang YS, Guilleminault C. Pediatric obstructive sleep apnea and the critical role of oral-facial growth: evidences. Front Neurol. 2013;22(3):184.

    Google Scholar 

  3. Dibbets JMH. Morphological associations between the Angle classes. Eur J Orthod. 1996;18:111–8.

    Article  PubMed  Google Scholar 

  4. Björk A. The use of metallic implants in the study of facial growth in children: method and application. Am J Phys Anthropol. 1968;29:243–54.

    Article  PubMed  Google Scholar 

  5. Ruf S, Baltromejus S, Pancherz H. Effective condylar growth and chin position changes in activator treatment. Angle Orthod. 2001;71:4–11.

    PubMed  Google Scholar 

  6. McNamara JA. Components of class II malocclusion in children 8–10 years of age. Angle Orthod. 1981;51(3):177–202.

    PubMed  Google Scholar 

  7. Platou C, Zachrisson BU. Incisor position in Scandinavian children with ideal occlusion. Am J Orthod. 1983;83:341–52.

    Article  PubMed  Google Scholar 

  8. Linder-Aronson S. Respiratory function in relation to facial morphology and the dentition. Br J Orthod. 1979;6(2):59–71.

    Article  PubMed  Google Scholar 

  9. Hultcrantz E, Lofstrand T. The development of sleep disorder breathing from 4 to 12 years and dental arch morphology. Int J Pediatr Otorhinolaryngol. 2009;73(9):1234–41.

    Article  PubMed  Google Scholar 

  10. Kim JH, Guilleminault C. The nasomaxillary complex, the mandible and sleep-disordered breathing. Sleep Breath. 2011;15(2):185–93.

    Article  PubMed  Google Scholar 

  11. Migueis DP, et al. Systematic review: the influence of nasal obstruction on sleep apnea. Braz J Otorhinolaryngol. 2016;82:223.

    Article  PubMed  Google Scholar 

  12. Venkamp RP, et al. Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep disordered breathing in children. Cochrane Database Syst Rev. 2015;(10):CD011165.

    Google Scholar 

  13. De Felicio CM, et al. Orofacial motor functions in pediatric obstructive sleep apnea and implications for myofunctional therapy. Int J Pediatr Otorhinolaryngol. 2016;90:5.

    Article  PubMed  Google Scholar 

  14. Glatz-Noll E, Berg R. Oral disfunction in children with Down’s Syndrome: an evaluation of treatment effects by means of video-registration. Eur J Orthod. 1991;13:446–51.

    Article  PubMed  Google Scholar 

  15. Trotman C, McNamara J, Dibbets J, van der Weele LT. Association of lip posture and the dimensions of the tonsils and sagittal airway with facial morphology. Angle Orthod. 1997;67:425–32.

    PubMed  Google Scholar 

  16. Luzi V. The CV value (Combined Variation) in the analysis of sagittal malocclusions. Am J Orthod. 1982;81:478–80.

    Article  PubMed  Google Scholar 

  17. Trenouth MJ, Timms DJ. Relationship of the functional oropharynx to craniofacial morphology A random sample of 82 British schoolchildren. Angle Orthod. 1999;69:419–23.

    PubMed  Google Scholar 

  18. Bernabe E, del Castillo CE, Flores-Mirb C. Intra-arch occlusal indicators of crowding in the permanent dentition. Am J Orthod Dentofacial Orthop. 2005;128:220–5.

    Article  PubMed  Google Scholar 

  19. Marcotte MR. Head posture & dento-facial proportion. Angle Orthod. 1981;51:208–15.

    PubMed  Google Scholar 

  20. Vig PS. Experimental manipulation of head posture. Am J Orthod. 1989;77:258–68.

    Article  Google Scholar 

  21. Mew JRC. The cause and cure of malocclusion. Heathfield: Brailsham Castle; 2013.

    Google Scholar 

  22. Matsuo K, Palmer J. Anatomy and physiology of feeding and swallowing – normal and abnormal. Phys Med Rehabil Clin N Am. 2008;19:691.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Van De Engel-Hoek L, et al. Feeding and swallowing disorders in pediatric neuromuscular diseases: an overview. J Neuromusc Dis. 2015;2:357.

    Article  Google Scholar 

  24. Machado AJ, et al. Radiographic position of the hyoid bone in children with atypical deglutition. Eur J Orthod. 2012;34:83.

    Article  Google Scholar 

  25. Almiro JM, et al. Cephalometric evaluation of the airway space and head posture in children with normal and atypical deglutition: correlations study. Int J Orofacial Myology. 2013;39:69.

    Article  PubMed  Google Scholar 

  26. Brace CK. Egg on the face, f in the mouth, and the overbite. Am Anthropol. 1986;88:695.

    Article  Google Scholar 

  27. Mathew JL, Narang I. Sleeping too close together: obesity and obstructive sleep apnea in childhood and adolescence. Paediatr Respir Rev. 2014;15:211.

    PubMed  Google Scholar 

  28. Narang I, Mathew JL. Childhood obesity and obstructive sleep apnea. J Nutr Metab. 2012;2012:134202.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Ruanpeng D, et al. Sugar and artificially sweetened beverages linked to obesity: a systematic review and meta analysis. QJM. 2017;110(8):513–20.

    Article  PubMed  Google Scholar 

  30. Flores-Mir C, et al. Craniofacial morphological characteristics in children with obstructive sleep apnea syndrome: a systematic review and meta analysis. JADA. 2013;144(3):269–77.

    PubMed  Google Scholar 

  31. Guilleminault C, Huseni S, Lo L. A frequent phenotype for paediatric sleep apnoea: short lingual frenulum. ERJ Open Res. 2016;2:00043.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Noronha AC, et al. Gastroesophageal reflux and obstructive sleep apnea in childhood. Int J Pediatr Otorhinolaryngol. 2009;73:383.

    Article  PubMed  Google Scholar 

  33. Ranjitkar S, Kaidonis J, Smales R. Gastroesophageal reflux disease and tooth erosion. Int J Dent. 2012;2012:479850.

    Article  PubMed  Google Scholar 

  34. Major MP, Flores-Mir C, Major PW. Assessment of lateral cephalometric diagnosis of adenoid hypertrophy and posterior upper airway obstruction: a systematic review. Am J Orthod Dentofacial Orthop. 2006;130(6):700–8.

    Article  PubMed  Google Scholar 

  35. Vieira BB, et al. Cephalometric evaluation of facial pattern and hyoid bone position in children with obstructive sleep apnea syndrome. Int J Pediatr Otorhinolaryngol. 2011;75:383.

    Article  PubMed  Google Scholar 

  36. Breik O, Tivey D, Umapathysivam K, Anderson P. Mandibular distraction osteogenesis for the management of upper airway obstruction in children with micrognathia: a systematic review. Int J Oral Maxillofac Surg. 2016;45:769.

    Article  PubMed  Google Scholar 

  37. Hsieh YJ, Lia YF. Effects of maxillomandibular advancement on the upper airway and surrounding structures in patients with obstructive sleep apnoea: a systematic review. Br J Oral Maxillofac Surg. 2013;51:834.

    Article  PubMed  Google Scholar 

  38. Zaghi S, et al. Maxillomandibular advancement for treatment of obstructive sleep apnea: a meta analysis. JAMA Otolaryngol Head Neck Surg. 2016;142:58.

    Article  PubMed  Google Scholar 

  39. Hsieh YJ, et al. Changes in the calibre of the upper airway and the surrounding structures after maxillomandibular advancement for obstructive sleep apnoea. Br J Oral Maxillofac Surg. 2014;52:445.

    Article  PubMed  Google Scholar 

  40. Schendel SA, Broujerdi JA, Jacobson RL. Three dimensional upper airway changes with maxillomandibular advancement for obstructive sleep apnea treatment. Am J Orthod Dentofacial Orthop. 2014;146:385.

    Article  PubMed  Google Scholar 

  41. Butterfield KJ, et al. Linear and volumetric airway changes after maxillomandibular advancement for obstructive sleep apnea. J Oral Maxillofac Surg. 2015;73:1133.

    Article  PubMed  Google Scholar 

  42. Iwasaki T, et al. Tongue posture improvement and pharyngeal airway enlargement as secondary effects of rapid maxillary expansion: a cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2013;143(2):235–45.

    Article  PubMed  Google Scholar 

  43. Knudesn TB, et al. Improved apnea hypopnea index and lowest oxygen saturation after maxillomandibular advancement with or without counterclockwise rotation in patients with obstructive sleep apnea: a meta analysis. J Oral Maxillofac Surg. 2015;73:719.

    Article  Google Scholar 

  44. Corruccini RS. An epidemiologic transition in dental occlusion in world populations. Am J Orthod. 1984;86:419.

    Article  PubMed  Google Scholar 

  45. Corruccini RS, et al. Genetic and environmental determinants of dental occlusal variation in twins of different nationalities. Hum Biol. 1990;62:353.

    PubMed  Google Scholar 

  46. Evensen JP, Ogarrd B. Are malocclusions more prevalent and severe now? A comparative study of medieval skulls from Norway. Am J Orthod Dentofacial Orthop. 2007;131(6):710–6.

    Article  PubMed  Google Scholar 

  47. Jerome R, et al. The origins of dental crowding and malocclusions: an anthropological perspective. Compend Contin Educ Dent. 2009;30:292.

    Google Scholar 

  48. Pinhasi R, et al. Incongruity between affinity patterns based on mandibular and lower dental dimensions following the transition to agriculture in the Near East, Anatolia and Europe. PLoS One. 2015;10:e0117301.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Mossey PA. The heritability of malocclusion: Part 1 Genetics, principles and terminology. Br J Orthod. 1999;26:103–13.

    Article  PubMed  Google Scholar 

  50. Uyeda JC, et al. The million year wait for macro evolutionary bursts. Proc Natl Acad Sci U S A. 2011;108:15908.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Cole JB, et al. Human facial shape and size heritability and genetic correlations. Genetics. 2017;205:967.

    Article  PubMed  Google Scholar 

  52. Lundstrom A, Woodside DG. Individual variation in growth directions expressed at the chin and the midface. Eur J Orthod. 1980;2:65.

    Article  PubMed  Google Scholar 

  53. Bork A, Skieller V. Normal and abnormal growth of the mandible. A synthesis of longitudinal cephalometric implant studies over a period of 25 years. Eur J Orthod. 1983;5:1.

    Article  Google Scholar 

  54. Carvalho FR, et al. Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children. Cochrane Database Syst Rev. 2016;10:CD005520.

    PubMed  Google Scholar 

  55. Villa MP, et al. Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow up. Sleep Breath. 2011;15:179–84.

    Article  PubMed  Google Scholar 

  56. Camacho M, et al. Rapid maxillary expansion for pediatric obstructive sleep apnea: a systematic review and meta analysis. Laryngoscope. 2017;127(7):1712–9.

    Article  PubMed  Google Scholar 

  57. Camacho M, et al. Myofunctional therapy to treat obstructive sleep apnea: a systematic review and meta analysis. Sleep. 2015;38(5):669–75.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Chuang LC, et al. Passive myofunctional therapy applied on children with obstructive sleep apnea: a 6 month follow up. J Formos Med Assoc. 2017;116:536.

    Article  PubMed  Google Scholar 

  59. Neelapu BC, et al. Craniofacial and upper airway morphology in adult obstructive sleep apnea patients: a systematic review and met analysis of cephalometric studies. Sleep Med Rev. 2017;31:79.

    Article  PubMed  Google Scholar 

  60. Momany SM, et al. Cone beam computed tomography analysis of upper airway measurements in patients with obstructive sleep apnea. Am J Med Sci. 2016;352:376.

    Article  PubMed  Google Scholar 

  61. Chen H, et al. Three dimensional imaging of the upper airway anatomy in obstructive sleep apnea: a systematic review. Sleep Med. 2016;21:19.

    Article  PubMed  Google Scholar 

  62. Chervin RD, et al. Pediatric sleep questionnaire: prediction of sleep apnea and outcomes. Arch Otolaryngol Head Neck Surg. 2007;133:216–22.

    Article  PubMed  Google Scholar 

  63. Villa MP, et al. Sleep clinical record: an aid to rapid and accurate diagnosis of paediatric sleep disorder breathing. Eur Respir J. 2013;41:1355–61.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Private Practice, Melbourne, VIC, Australia

    Seng-Mun (Simon) Wong

  2. Orthotropics Module, Department of Orthodontics, University of Valencia, Valencia, Spain

    Seng-Mun (Simon) Wong

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  1. Seng-Mun (Simon) Wong
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Editors and Affiliations

  1. Vancouver TMJ & Sleep Therapy Centre, Burnaby, BC, Canada

    Edmund Liem

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Wong, SM.(. (2019). Craniofacial Signs, Symptoms and Orthodontic Objectives of Paediatric Obstructive Sleep Apnoea. In: Liem, E. (eds) Sleep Disorders in Pediatric Dentistry . Springer, Cham. https://doi.org/10.1007/978-3-030-13269-9_4

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  • DOI: https://doi.org/10.1007/978-3-030-13269-9_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-13268-2

  • Online ISBN: 978-3-030-13269-9

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