Ferati Kenan, Bexheti-Ferati Arberesha, Palermo Andrea, Pezzolla Carmen, Trilli Irma, Sardano Roberta, Latini Giulia, Inchingolo Alessio Danilo, Inchingolo Angelo Michele, Malcangi Giuseppina, Inchingolo Francesco, Dipalma Gianna, Mancini Antonio
Faculty of Medicine, University of Tetovo, 1220 Tetovo, North Macedonia.
College of Medicine and Dentistry, Birmingham B4 6BN, UK.
Diagnostics (Basel). 2024 Jan 29;14(3):289. doi: 10.3390/diagnostics14030289.
Obstructive sleep apnea syndrome (OSAS) is a respiratory illness that is associated with recurrent episodes of either partial or full obstruction of the upper airways, or apnea, among other sleep disorders. This study aims to analyze, through a literature review, whether orthodontic treatment can be a good treatment strategy for this type of disorder. We performed a database search on Scopus, Web of Science, and Pubmed with the keywords OSA(S) and orthodontics to select the papers under evaluation. The criteria for inclusion were articles related to OSA(S) children undergoing an orthodontic treatment and clinical studies or case series, excluding systematic reviews, narrative reviews, meta-analyses, adult studies, animal models, and in vitro studies. The screening phase ended with the selection of 16 publications for this work. RME, or rapid maxillary expansion, turned out to be the preferred orthodontic treatment in cases of pediatric OSAS. The goal of this orthodontic procedure is to increase the hard palate's transverse diameter by reopening the mid-palatal suture. Children with maxillary contraction and dental malocclusion typically undergo such a procedure and have excellent results. However, OSAS is a multifactorial disorder; it does not seem related to the morphology of the oral cavity, and therefore, it is not always possible to cope with this problem exclusively through orthodontic treatment.
阻塞性睡眠呼吸暂停综合征（OSAS）是一种呼吸系统疾病，与上呼吸道部分或完全阻塞的反复发作或呼吸暂停以及其他睡眠障碍有关。本研究旨在通过文献综述分析正畸治疗是否可以成为治疗这类疾病的良好策略。我们在Scopus、科学网和PubMed上进行数据库检索，使用关键词“OSA(S)”和“正畸学”来筛选待评估的论文。纳入标准是与接受正畸治疗的OSA(S)儿童相关的文章以及临床研究或病例系列，排除系统评价、叙述性综述、荟萃分析、成人研究、动物模型和体外研究。筛选阶段最终为这项工作选定了16篇出版物。结果发现，快速上颌扩弓（RME）是小儿OSAS病例中首选的正畸治疗方法。这种正畸治疗的目的是通过重新打开腭中缝来增加硬腭的横向直径。上颌收缩和牙列不齐的儿童通常会接受这样的治疗，并且效果良好。然而，OSAS是一种多因素疾病；它似乎与口腔形态无关，因此，并非总是能够仅通过正畸治疗来解决这个问题。
