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International journal of interdisciplinary dentistry

versión impresa ISSN 2452-5596versión On-line ISSN 2452-5588

Resumen

DROPPELMANN-MUNOZ, Trinidad et al. Therapeutic alternatives for obstructive sleep apnea syndrome in children with sagittal and transverse intermaxillary anomalies: Narrative review. Int. j interdiscip. dent. [online]. 2021, vol.14, n.2, pp.165-172. ISSN 2452-5596.  http://dx.doi.org/10.4067/S2452-55882021000200165.

Introduction:

Obstructive sleep apnea and hypoapnea syndrome refers to a respiratory sleep disorder with an increased prevalence among children. There are many therapeutic alternatives, focused on controlling trigger factors and the signs and symptoms progression. The objective of this review is to describe the effects of the available treatments for sleep apnea and hypoapnea syndrome in children with sagittal and transverse intermaxillary anomalies.

Materials and Method:

An electronic search was performed in PubMed database, Epistemonikos, EBSCO, Tripdatabase, and The Cochrane Library, using the keywords “Obstructive sleep apnea”, “Obstructive sleep apnoea”, “Sleep apnea syndrome”, “Sleep apnoea syndrome”, “Sleep apnea”, “Sleep apnoea”, “hypoapnea”, “OSA”, “Treatment”, “Therapy”, “Children”, “Pediatric”, “Craniofacial abnormalities”, “Craniofacial anomalies”, “Craniofacial abnormality” and “Orthodontic”. Also, a retrieval search in the selected articles references was performed.

Results:

23 articles were included; 12 clinical trials, 6 systematic reviews, 1 observational study and 4 narrative reviews.

Conclusion:

There are two types of orthopedic treatment for sleep apnea and hypoapnea syndrome in children with sagittal and transverse intermaxillary anomalies: rapid maxillary expansion and mandibular advancement devices. There was not enough evidence to determine that these devices achieve the syndrome’s complete resolution. An important decrease in the apnea and hypoapnea index and signs and symptoms were observed.

Palabras clave : Obstructive sleep apnea; Therapy; Child; Dentofacial deformity; Pediatric; Treatment.

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