PURPOSE: To systematically evaluate the available evidence regarding craniofacial morphology and dental characteristics in children and adolescents with sleep disorders.
METHODS: A systematic electronic literature search was conducted on May 3, 2022. The Cochrane Library, MEDLINE (PubMed), Embase, CINAHL, Web of Science and Dentistry and Oral Sciences Source were accessed. Hand searching of reference lists and study inclusions were established. Data extraction and quality assessment were carried out for each included study. Significant findings of each study were reported.
RESULTS: A total of 18,615 papers were identified, and 4 additional studies with manual searching. Fifty-two papers were included. Obstructive sleep apnea (OSA) was found to be associated with increased lower anterior facial height in 18/47 studies, mandibular retrusion in 16/47 studies, narrow maxilla in 9/47 studies, steep mandibular plane angle in 8/47 studies, cross bite in 8/47 studies, deep palatal height in 6/47 studies, inferior hyoid bone position in 5/47 studies, overjet in 4/47 studies, and longer or larger soft palate in 6/47 studies. Sleep bruxism (SB) was found to be associated with increased incisal overjet in 3/5 studies.
CONCLUSION: Within the limitations of the studies included, the most common craniofacial morphologies found in association with OSA children were increased lower anterior facial height, mandibular retrusion, narrow maxilla and steep mandibular plane angle, while the most common dental characteristics found in association with OSA children were cross bite, deep palatal height, overjet and longer or larger soft palate.
| Identifer | oai:union.ndltd.org:bu.edu/oai:open.bu.edu:2144/45382 |
| Date | 09 December 2022 |
| Creators | Wan, Yuquan |
| Contributors | Shanmugham, Jayapriyaa |
| Source Sets | Boston University |
| Language | en_US |
| Detected Language | English |
| Type | Thesis/Dissertation |
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