Effects of rapid maxillary expansion on respiratory and bruxism indexes in children with obstructive sleep apnea: a pilot study.

IF 1.9 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2025-09-04 DOI:10.1080/08869634.2025.2552537

Anna Colonna, Margherita Vianello, Luca Lombardo, Luca Cerritelli, Matteo Pollis, Daniele Manfredini

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引用次数: 0

Abstract

Objective: The aim of this study was to investigate the impact of rapid maxillary expansion (RME) on sleep bruxism (SB) and respiratory indexes in pediatric patients.

Methods: Twenty-four subjects needing orthodontic treatment and with suspicion of obstructive sleep apnea (OSA) were recruited. Before orthodontics, a clinical and anamnestic evaluation as well as a polygraphic recording was performed. The subjects underwent rapid palatal expansion and, after 6 months, the evaluations were repeated for the participants with an apnea-hypopnea index (AHI) > 1.

Results: Mean AHI was 2.3±1.4 and 2.2±1.2 at T0 and T1, respectively, while sleep bruxism events (SBEs) values were 15.1± 17 and 23.1±14.5. No significant differences between pre and post treatment values could be detected.

Conclusions: At the study population level, no statistically significant differences in the main (i.e., AHI and SBEs) and secondary outcomes with RME treatment were described. Specific phenotypes might be identified with future studies.

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上颌快速扩张对阻塞性睡眠呼吸暂停患儿呼吸和磨牙指标的影响：一项初步研究。

目的：探讨上颌快速扩张（RME）对小儿睡眠磨牙症（SB）及呼吸指标的影响。方法：选取24例疑似阻塞性睡眠呼吸暂停（OSA），需要正畸治疗的患者。在正畸治疗前，进行了临床和记忆评估以及测谎记录。受试者进行快速腭扩张，6个月后，对呼吸暂停低通气指数（AHI） bbb1的受试者重复评估。结果：T0和T1时平均AHI分别为2.3±1.4和2.2±1.2，睡眠磨牙事件（SBEs）值分别为15.1±17和23.1±14.5。处理前后数值无显著差异。结论：在研究人群水平上，RME治疗的主要（即AHI和SBEs）和次要结局无统计学意义差异。未来的研究可能会确定特定的表型。

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

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.