Aroucha Lyra Maria Carlla, Aguiar Débora, Paiva Mabel, Arnaud Manuela, Filho Arnoldo Alencar, Rosenblatt Aronita, Thérèse Innes Nicola Patricia, Heimer Mônica Vilela
Department of Pediatric Dentistry, School of Dentistry, University of Pernambuco, Recife, Pernambuco, Brazil.
Department of Odontology, School of Dentistry, Uninassau, Recife, Pernambuco, Brazil.
J Clin Sleep Med. 2020 Jul 15;16(7):1007-1012. doi: 10.5664/jcsm.8370.
This study aimed to determine the prevalence of sleep-disordered breathing (SDB) and its association with malocclusion among children in Recife, Brazil.
This study included 390 children aged 7 to 8 years. The data comprised the measurement of body mass, orthodontic examination, and parental information required by the Sleep Disturbance Scale for Children. The statistics tools used were Pearson's chi-square test and the Lemeshow test.
Positively screened for SDB was found in 33.3% of the children, and the association with overjet was P = .007 (odds ratio [OR], 95%, confidence interval [CI]: 1.93). The association with anterior open bite was P = .008 (OR, 95% CI: 2.03), and the association with posterior crossbite was P = .001 (OR, 95% CI: 2.89). This report was unable to indicate an association between body mass index and SDB. The multivariate logistic regression model revealed that the anterior open bite (P = .002; OR, 95% CI: 2.34) and posterior crossbite (P = .014; OR, 95% CI: 2.79) had an association with positively screened for SDB.
The results of this study indicated that the prevalence of SDB was high and highly associated with malocclusion. Since posterior crossbite and anterior open bite were associated with positively screened for SDB, early diagnosis and intervention may prevent and minimize adverse effects of SDB on individuals lives.
本研究旨在确定巴西累西腓儿童睡眠呼吸障碍（SDB）的患病率及其与错牙合畸形的关联。
本研究纳入了390名7至8岁的儿童。数据包括体重测量、正畸检查以及儿童睡眠障碍量表所需的家长信息。所使用的统计工具为Pearson卡方检验和Lemeshow检验。
33.3%的儿童SDB筛查呈阳性，与覆盖的关联为P = 0.007（比值比[OR]，95%置信区间[CI]：1.93）。与前牙开牙合的关联为P = 0.008（OR，95%CI：2.03），与后牙反牙合的关联为P = 0.001（OR，95%CI：2.89）。本报告未能表明体重指数与SDB之间存在关联。多因素逻辑回归模型显示，前牙开牙合（P = 0.002；OR，95%CI：2.34）和后牙反牙合（P = 0.014；OR，95%CI：2.79）与SDB筛查呈阳性有关。
本研究结果表明，SDB的患病率很高，且与错牙合畸形高度相关。由于后牙反牙合和前牙开牙合与SDB筛查呈阳性有关，早期诊断和干预可能预防和最小化SDB对个体生活的不利影响。
