Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment Approach

OSA pediatric subjects suffer from episodes of upper airway obstruction that can be partial or complete, with atypical sleep patterns and blood-gas level alteration. If poor treated and/or diagnosed, it can cause cardiovascular disease, learning difficulties, behavioural issues, and retardation of g...

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Main Authors: Maria Rita Giuca, Elisabetta Carli, Lisa Lardani, Marco Pasini, Marco Miceli, Eleonora Fambrini
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2021/5591251
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author Maria Rita Giuca
Elisabetta Carli
Lisa Lardani
Marco Pasini
Marco Miceli
Eleonora Fambrini
author_facet Maria Rita Giuca
Elisabetta Carli
Lisa Lardani
Marco Pasini
Marco Miceli
Eleonora Fambrini
author_sort Maria Rita Giuca
collection DOAJ
description OSA pediatric subjects suffer from episodes of upper airway obstruction that can be partial or complete, with atypical sleep patterns and blood-gas level alteration. If poor treated and/or diagnosed, it can cause cardiovascular disease, learning difficulties, behavioural issues, and retardation of growth. In the literature, there are conflicting evidence about OSA assessment and treatment in pediatric age, so the aim of this paper is to highlight the multidisciplinary approach in the management of sleep disorders, stressing the role of the pediatric dentist in both diagnosing and treating the OSAS in children, according to the current evidence of the treatment options effectiveness of the syndrome itself. Conclusions. Scientific evidence shows that OSAS management requires a multidisciplinary approach in order to make an early diagnosis and a correct treatment plan. The orthodontic treatment approach includes orthopedic maxillary expansion and mandibular advancement using intraoral appliances. Hence, the orthodontist and the pediatric dentist play an important role not only in early diagnosis but also in the treatment of pediatric OSAS.
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spelling doaj-art-cf00054f949f442db3f8f79efb1c7e622025-02-03T05:57:35ZengWileyThe Scientific World Journal2356-61401537-744X2021-01-01202110.1155/2021/55912515591251Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment ApproachMaria Rita Giuca0Elisabetta Carli1Lisa Lardani2Marco Pasini3Marco Miceli4Eleonora Fambrini5Department of Surgical, Medical and Molecular Pathology and Critical Area, Dental Clinic, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology and Critical Area, Dental Clinic, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology and Critical Area, Dental Clinic, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology and Critical Area, Dental Clinic, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology and Critical Area, Dental Clinic, University of Pisa, Pisa, ItalyDepartment of Surgical, Medical and Molecular Pathology and Critical Area, Dental Clinic, University of Pisa, Pisa, ItalyOSA pediatric subjects suffer from episodes of upper airway obstruction that can be partial or complete, with atypical sleep patterns and blood-gas level alteration. If poor treated and/or diagnosed, it can cause cardiovascular disease, learning difficulties, behavioural issues, and retardation of growth. In the literature, there are conflicting evidence about OSA assessment and treatment in pediatric age, so the aim of this paper is to highlight the multidisciplinary approach in the management of sleep disorders, stressing the role of the pediatric dentist in both diagnosing and treating the OSAS in children, according to the current evidence of the treatment options effectiveness of the syndrome itself. Conclusions. Scientific evidence shows that OSAS management requires a multidisciplinary approach in order to make an early diagnosis and a correct treatment plan. The orthodontic treatment approach includes orthopedic maxillary expansion and mandibular advancement using intraoral appliances. Hence, the orthodontist and the pediatric dentist play an important role not only in early diagnosis but also in the treatment of pediatric OSAS.http://dx.doi.org/10.1155/2021/5591251
spellingShingle Maria Rita Giuca
Elisabetta Carli
Lisa Lardani
Marco Pasini
Marco Miceli
Eleonora Fambrini
Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment Approach
The Scientific World Journal
title Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment Approach
title_full Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment Approach
title_fullStr Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment Approach
title_full_unstemmed Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment Approach
title_short Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment Approach
title_sort pediatric obstructive sleep apnea syndrome emerging evidence and treatment approach
url http://dx.doi.org/10.1155/2021/5591251
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