Department of Surgical, Medical and Molecular Pathology and Critical Area, Dental Clinic, University of Pisa, Pisa, Italy.
ScientificWorldJournal. 2021 Apr 23;2021:5591251. doi: 10.1155/2021/5591251. eCollection 2021.
OSA pediatric subjects suffer from episodes of upper airway obstruction that can be partial or complete, with atypical sleep patterns and blood-gas level alteration. If poor treated and/or diagnosed, it can cause cardiovascular disease, learning difficulties, behavioural issues, and retardation of growth. In the literature, there are conflicting evidence about OSA assessment and treatment in pediatric age, so the aim of this paper is to highlight the multidisciplinary approach in the management of sleep disorders, stressing the role of the pediatric dentist in both diagnosing and treating the OSAS in children, according to the current evidence of the treatment options effectiveness of the syndrome itself. . Scientific evidence shows that OSAS management requires a multidisciplinary approach in order to make an early diagnosis and a correct treatment plan. The orthodontic treatment approach includes orthopedic maxillary expansion and mandibular advancement using intraoral appliances. Hence, the orthodontist and the pediatric dentist play an important role not only in early diagnosis but also in the treatment of pediatric OSAS.
小儿阻塞性睡眠呼吸暂停低通气综合征(OSA)患者会出现上气道部分或完全阻塞,伴有不典型的睡眠模式和血气水平改变。如果治疗和/或诊断不当,可能会导致心血管疾病、学习困难、行为问题和生长发育迟缓。文献中对于小儿阻塞性睡眠呼吸暂停低通气综合征的评估和治疗存在相互矛盾的证据,因此本文旨在强调多学科方法在睡眠障碍管理中的作用,强调儿科牙医在诊断和治疗儿童阻塞性睡眠呼吸暂停低通气综合征(OSAS)中的作用,同时根据该综合征治疗方法有效性的现有证据。科学证据表明,阻塞性睡眠呼吸暂停低通气综合征的管理需要多学科方法,以便早期诊断和制定正确的治疗计划。正畸治疗方法包括使用口腔内矫治器进行上颌骨扩张和下颌骨前伸。因此,正畸医生和儿科牙医不仅在早期诊断中发挥重要作用,而且在儿童阻塞性睡眠呼吸暂停低通气综合征的治疗中也发挥重要作用。