Effects of rapid maxillary expansion and functional orthodontic treatment in children with sleep disordered breathing: a systematic review
Abstract
Sleep disordered breathing (SDB) in children, characterized by sleep apnea episodes or other episodic or persistent breathing disorders, can be associated with the occurrence of some malocclusions. However, there are few clinical studies on the correlation of the occurrence of malocclusions and the effects of their treatment with reduction of SDB symptoms. Therefore, we conducted a systematic review of this topic, focusing on the population of children during the age of tooth replacement demanding orthopedic treatment for maxillary transverse growth deficiency and anterior mandibular growth modification. This systematic review seeks to assess effect on quality of sleep resulting from Rapid Maxillary Expansion and functional orthodontic treatment in patients with SDB and morphological changes occurring in the oral cavity and upper respiratory tract contributing to the reduction of SDB symptoms. The review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 (PRISMA 2020). The study design was defined in the PICO format—Population (P): non-syndromic prepubertal and adolescent patients requiring orthodontic treatment, who additionally have coexisting sleep disorders; Intervention (I): Orthodontic treatment of malocclusion with differentiated appliances; Comparison (C): evaluation of Apnea Hypopnea Index (AHI) and sleep questionnaires pre and post treatment; Outcome (O): effect of orthodontic treatment on sleep quality.…
How strong is the evidence?
Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 248 participants or records.
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