Sleep-Disordered Breathing in Early Adolescent Orthodontic Patients: Prevalence and Correlation With Dentofacial Morphological Features

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-06-05 DOI:10.1111/joor.14047

Xiaowen Niu, Marie A. Cornelis, Peter B. Stoustrup, Paolo M. Cattaneo

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Abstract

Objective

The objectives were to (1) assess the frequency of adolescents potentially at risk for sleep-disordered breathing (SDB) as measured by the paediatric sleep questionnaire (PSQ), and (2) investigate any associations between adolescents at risk for SDB and specific dentofacial characteristics extracted from standard orthodontic records.

Methods

Patients aged 6–16 years, receiving orthodontic treatment, were included. All patients had completed the Danish version of PSQ. Based on the PSQ score, the sample was divided into two groups: high-risk and low-risk of SDB. Features related to clinical examination, dental cast analysis and cephalometric assessment were tested for intergroup differences between the high-risk and the low-risk PSQ groups. Student's t-tests, Chi-square test and linear mixed models were computed to compare the dentofacial variables of the two groups.

Results

A total of 246 patients were included (94 boys and 152 girls, mean age 12.7 ± 2.1). The prevalence of patients with a PSQ score indicating a high risk of SDB was 6.5% (n = 16). The mean values of A-N-Pog, A-N-B and S-N-A were significantly larger in the high-risk group compared to the low-risk group by 1.5° (p = 0.037), 1.3° (p = 0.043) and 2.0° (p = 0.050) respectively. When considering the results from a linear mixed model, A-N-Pog and A-N-B showed statistically significant differences between the two groups.

Conclusions

Six percent of patients presented a high risk of SDB. The present study showed that adolescents at a high risk for SDB displayed more sagittal skeletal discrepancies compared to those at low risk. This study's strength lies in its large and representative sample of orthodontic patients, enabling comprehensive analysis of SDB-related factors, yet the small number of high-risk SDB cases detected constitutes a statistical limitation, highlighting the need for further research with an even larger sample.

Abstract Image

查看原文本刊更多论文

青少年早期正畸患者睡眠呼吸障碍：患病率及其与牙面形态特征的相关性。

目的：目的是(1)通过儿童睡眠问卷（PSQ）评估青少年睡眠呼吸障碍（SDB）潜在风险的频率，(2)调查青少年睡眠呼吸障碍风险与标准正畸记录中提取的特定牙面特征之间的关系。方法：选取6 ~ 16岁接受正畸治疗的患者。所有患者均完成丹麦版PSQ。根据PSQ评分将样本分为SDB高危组和低危组。通过临床检查、铸型分析、头颅测量等相关特征检测PSQ高危组与低危组的组间差异。采用学生t检验、卡方检验和线性混合模型对两组牙面变量进行比较。结果：共纳入246例患者，其中男94例，女152例，平均年龄12.7±2.1岁。PSQ评分显示SDB高风险的患者患病率为6.5% （n = 16）。高危组A-N-Pog、A-N-B、S-N-A的平均值分别比低危组大1.5°（p = 0.037）、1.3°（p = 0.043）、2.0°（p = 0.050）。当考虑线性混合模型的结果时，a - n - pog和a - n - b在两组之间存在统计学差异。结论：6%的患者存在SDB的高风险。目前的研究表明，与低风险的青少年相比，SDB高风险的青少年表现出更多的矢状骨差异。本研究的优势在于正畸患者样本量大，具有代表性，可以全面分析与SDB相关的因素，但检测到的SDB高危病例较少，存在统计学上的局限性，需要进一步扩大样本量进行研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.