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Orthodontic Removable Appliance with Posterior Bite Plane Use is not Associated with Developing Sleep-Disordered Breathing Symptoms in Healthy Children

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Purpose: The purpose of this study was to assess the development of sleep-disordered breathing (SDB) symptoms and the relationship between the amount of increased vertical dimension and severity of SDB symptoms in healthy children wearing orthodontic removable appliances with posterior bite planes.
Methods: The Obstructive Sleep Apnea-18 (OSA-18) questionnaire and Pediatric Sleep Questionnaire (PSQ) were used as data collecting tools. The questionnaires were filled out by 16 parents of children who had an anterior crossbite with Class I skeletal pattern. The data were collected three times: one month pre-insertion of the appliance; one day post-insertion; and one month post-insertion.
Results: There were no significant differences between the OSA-18 or PSQ results collected at different times. Pearson's correlation revealed no significant relationship between the posterior bite plane thickness and the difference in scores (P>0.05).
Conclusion: Short-term treatment using such appliances does not initiate SDB symptoms, and the amount of increased posterior bite plane thickness does not relate to the severity of SDB symptoms. (J Dent Child 2019;86(3):145-9)
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Keywords: CHILD; ORTHODONTICS; SLEEP APNEA; SLEEP DISORDERED BREATHING

Document Type: Research Article

Affiliations: 1: Dr. Changsiripun is an assistant professor, Department of Orthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand;, Email: [email protected] 2: Dr. Tokavanich is a dentist in private practice, Bangkok, Thailand 3: Dr. Almeida is an associate professor, Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada

Publication date: September 1, 2019

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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