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Craniofacial changes and symptoms of sleep-disordered breathing in healthy children

INTRODUCTION: The main cause of mouth breathing and sleep-disordered breathing (SDB) in childhood is associated with upper airway narrowing to varying degrees. OBJECTIVE: The aim of this study was to assess the prevalence of morphological and functional craniofacial changes and the main clinical sym...

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Autores principales: Pacheco, Maria Christina Thomé, Fiorott, Bruna Santos, Finck, Nathalia Silveira, de Araújo, Maria Teresa Martins
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dental Press International 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520142/
https://www.ncbi.nlm.nih.gov/pubmed/26154460
http://dx.doi.org/10.1590/2176-9451.20.3.080-087.oar
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author Pacheco, Maria Christina Thomé
Fiorott, Bruna Santos
Finck, Nathalia Silveira
de Araújo, Maria Teresa Martins
author_facet Pacheco, Maria Christina Thomé
Fiorott, Bruna Santos
Finck, Nathalia Silveira
de Araújo, Maria Teresa Martins
author_sort Pacheco, Maria Christina Thomé
collection PubMed
description INTRODUCTION: The main cause of mouth breathing and sleep-disordered breathing (SDB) in childhood is associated with upper airway narrowing to varying degrees. OBJECTIVE: The aim of this study was to assess the prevalence of morphological and functional craniofacial changes and the main clinical symptoms of SDB in healthy children. METHODS: A cross-sectional observational study was conducted. A sample comprising 687 healthy schoolchildren, aged 7-12 years old and attending public schools, was assessed by medical history, clinical medical and dental examination, and respiratory tests. The self-perceived quality of life of mouth breathing children was obtained by a validated questionnaire. RESULTS: Out of the total sample, 520 children were nose breathers (NB) while 167 (24.3%) were mouth breathers (MB); 32.5% had severe hypertrophy of the palatine tonsils, 18% had a Mallampati score of III or IV, 26.1% had excessive overjet and 17.7% had anterior open bite malocclusion. Among the MB, 53.9% had atresic palate, 35.9% had lip incompetence, 33.5% reported sleepiness during the day, 32.2% often sneezed, 32.2% had a stuffy nose, 19.6% snored, and 9.4% reported having the feeling to stop breathing while asleep. However, the self-perception of their quality of life was considered good. CONCLUSION: High prevalence of facial changes as well as signs and symptoms of mouth breathing were found among health children, requiring early diagnosis and treatment to reduce the risk of SDB.
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spelling pubmed-45201422015-08-03 Craniofacial changes and symptoms of sleep-disordered breathing in healthy children Pacheco, Maria Christina Thomé Fiorott, Bruna Santos Finck, Nathalia Silveira de Araújo, Maria Teresa Martins Dental Press J Orthod Articles INTRODUCTION: The main cause of mouth breathing and sleep-disordered breathing (SDB) in childhood is associated with upper airway narrowing to varying degrees. OBJECTIVE: The aim of this study was to assess the prevalence of morphological and functional craniofacial changes and the main clinical symptoms of SDB in healthy children. METHODS: A cross-sectional observational study was conducted. A sample comprising 687 healthy schoolchildren, aged 7-12 years old and attending public schools, was assessed by medical history, clinical medical and dental examination, and respiratory tests. The self-perceived quality of life of mouth breathing children was obtained by a validated questionnaire. RESULTS: Out of the total sample, 520 children were nose breathers (NB) while 167 (24.3%) were mouth breathers (MB); 32.5% had severe hypertrophy of the palatine tonsils, 18% had a Mallampati score of III or IV, 26.1% had excessive overjet and 17.7% had anterior open bite malocclusion. Among the MB, 53.9% had atresic palate, 35.9% had lip incompetence, 33.5% reported sleepiness during the day, 32.2% often sneezed, 32.2% had a stuffy nose, 19.6% snored, and 9.4% reported having the feeling to stop breathing while asleep. However, the self-perception of their quality of life was considered good. CONCLUSION: High prevalence of facial changes as well as signs and symptoms of mouth breathing were found among health children, requiring early diagnosis and treatment to reduce the risk of SDB. Dental Press International 2015 /pmc/articles/PMC4520142/ /pubmed/26154460 http://dx.doi.org/10.1590/2176-9451.20.3.080-087.oar Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Articles
Pacheco, Maria Christina Thomé
Fiorott, Bruna Santos
Finck, Nathalia Silveira
de Araújo, Maria Teresa Martins
Craniofacial changes and symptoms of sleep-disordered breathing in healthy children
title Craniofacial changes and symptoms of sleep-disordered breathing in healthy children
title_full Craniofacial changes and symptoms of sleep-disordered breathing in healthy children
title_fullStr Craniofacial changes and symptoms of sleep-disordered breathing in healthy children
title_full_unstemmed Craniofacial changes and symptoms of sleep-disordered breathing in healthy children
title_short Craniofacial changes and symptoms of sleep-disordered breathing in healthy children
title_sort craniofacial changes and symptoms of sleep-disordered breathing in healthy children
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520142/
https://www.ncbi.nlm.nih.gov/pubmed/26154460
http://dx.doi.org/10.1590/2176-9451.20.3.080-087.oar
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