Research progress on the diagnosis and treatment of pediatric malocclusion combined with obstructive sleep apnea-hypopnea syndrome
10.12016/j.issn.2096-1456.2024.05.009
- VernacularTitle:儿童错(牙合)畸形合并阻塞性睡眠呼吸暂停综合征的诊疗研究进展
- Author:
Chaojie WANG
1
;
He WEN
;
Xinzhe JIN
;
Yafen ZHU
Author Information
1. 浙江大学医学院附属口腔医院,浙江大学口腔医学院,浙江省口腔疾病临床医学研究中心,浙江省口腔生物医学研究重点实验室,浙江大学癌症研究院,口腔生物材料与器械浙江省工程研究中心,浙江杭州(310000)
- Keywords:
children;
malocclusion;
obstructive sleep apnea hypopnea syndrome;
sleep disorder;
polysom-nography;
adenotonsillectomy;
multidisciplinary diagnosis and treatment;
orthodontic treatment
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2024;32(5):388-394
- CountryChina
- Language:Chinese
-
Abstract:
Pediatric malocclusion is common in dentistry.Some children with malocclusion combined with obstruc-tive sleep apnea-hypopnea syndrome(OSAHS)often fail to receive appropriate treatment due to a lack of multidisci-plinary diagnosis and treatment.It can cause abnormal ventilation during sleep,affecting the central nervous system and cardiovascular development and even causing neurological and behavioral problems.Pediatric OSAHS is caused by the narrowing of the upper respiratory tract,characterized by specific facial bone characteristics and neuromuscular factors and correlated with malocclusion.Due to its diverse clinical manifestations and etiology,the diagnosis and treatment of pediatric OSAHS require an interdisciplinary,personalized,and specialized approach.Questionnaires and physical ex-aminations can be used for preliminary screening.Moreover,children's stomatology and otorhinolaryngology examina-tions are the basis for disease diagnosis.Polysomnography(PSG)is currently the direct diagnostic method.There are var-ious treatment methods for OSAHS in children,and for OSAHS caused by adenoid tonsil hypertrophy,adenoidectomy and tonsillectomy are the main treatments.Othodontic treatment including mandibular advancement and rapid maxillary expansion et al is also effective for OSAHS in children with malocclusion.Currently,there is limited research on the cor-relation between childhood malocclusion and OSAHS,and multidisciplinary combination therapy may improve the cure rate,but there is a lack of sufficient evidence.In the future,the pathogenesis of OSAHS should be further elucidated,and research on multidisciplinary combination therapy should be promoted to achieve early intervention and treatment for potential and existing patients.
- Full text:儿童错__畸形合并阻塞性睡眠呼吸暂停综合征的诊疗研究进展.pdf
