Section of Orthodontics and Dental Sleep Clinic, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Department of Medical Sciences, Respiratory-, Allergy- and Sleep Research, Uppsala University, Uppsala, Sweden.
Acta Paediatr. 2022 Mar;111(3):473-477. doi: 10.1111/apa.16202. Epub 2021 Dec 7.
To ascertain and illustrate specific clinical dento-craniofacial characteristics associated with sleep-disordered breathing (SDB) in non-syndromic children.
Narrative review of literature on SDB, dental occlusion and craniofacial morphology retrieved through online literature database search for these terms. The review focused on clinical examples and graphical illustrations in order to ascertain the association between dento-craniofacial characteristics and SDB. Only publications concerning healthy non-syndromic children without any somatic or psychological diagnosis were included.
Dento-craniofacial characteristics such as anterior open bite, large overjet, cross bite and facial appearance such as convex profile due to mandibular retrognathia and inclination, narrow and high palate can predispose to SDB in non-syndromic children. Furthermore, extended head posture, mouth breathing and general adenoidal face may be symptoms or predisposing factors to SDB in non-syndromic children.
Dento-craniofacial characteristics as anterior open bite, large overjet due to mandibular retrognathia, cross bite, and narrow and high palate can predispose to SDB in non-syndromic children. Facial characteristics predisposing to SDB can be a convex facial profile, extended head posture, mouth breathing and general adenoidal face. Interdisciplinary collaboration between medical doctors and dentists can prove valuable in diagnostics, prevention and treatment of SDB in non-syndromic children.
确定并说明与非综合征儿童睡眠呼吸障碍（SDB）相关的特定临床牙颌面特征。
通过在线文献数据库搜索 SDB、牙咬合和颅面形态学的文献进行综述。该综述重点关注临床实例和图形说明，以确定牙颌面特征与 SDB 之间的关联。仅纳入涉及无任何躯体或心理诊断的健康非综合征儿童的出版物。
牙颌面特征，如前牙开颌、大覆盖、交叉咬合以及由于下颌后缩和倾斜导致的凸面型、狭窄和高拱形腭，可能使非综合征儿童易患 SDB。此外，头部姿势延长、口呼吸和一般腺样体面容可能是非综合征儿童 SDB 的症状或易患因素。
非综合征儿童中，前牙开颌、由于下颌后缩导致的大覆盖、交叉咬合以及狭窄和高拱形腭等牙颌面特征可能使 SDB 易患。易患 SDB 的面型特征可能是凸面型、头部姿势延长、口呼吸和一般腺样体面容。医生和牙医之间的跨学科合作对于非综合征儿童 SDB 的诊断、预防和治疗可能具有重要价值。
