TY - JOUR
T1 - Dentocraniofacial Cephalometric and Clinical Parameter Comparison of Obstructive Sleep Apnea (OSA) and Control Group Patient Age 9–12 Years before Orthodontic Treatment
AU - Wulandari, Ignatia
AU - Purwanegara, Miesje Karmiati
AU - Fardizza, Fauziah
AU - Tarman, Krisnawati
N1 - Funding Information:
The study received financial support from Universitas Indonesia.
Publisher Copyright:
© 2022. Journal of International Dental and Medical Research. All Rights Reserved.
PY - 2022
Y1 - 2022
N2 - Obstructive Sleep Apnea (OSA) in children might cause changes in breathing patterns which could affect the growth and development of dentocraniofacial of the patient that forms the adenoid face and possibly disrupt soft tissue equilibrium, occlusion, and facial esthetics. Therefore, OSA in adults needs to be traced back since childhood. The objective of this study was to compare various lateral cephalometric measurement of children with OSA and control. Subjects who meet the inclusion and exclusion criteria were grouped based on the results of Pediatric Sleep Questionnaire (PSQ), Polysomnography test (PSG), and risk factor analysis. Dentocraniofacial cephalometric measurements were compared between 17 OSA subjects (14 boys, 3 girls, median 11,92 years) and 17 control subjects (8 boys, 9 girls, median 10,42 years). Subjects has no significant differences in age and sex, meanwhile there was significant difference on PSQ results, PSG results, and several risk factors analysis (Friedman Tongue Position (FTP), tonsil size by Brodsky, hyoid position, upper pharyngeal width, lower pharyngeal width, and adenoid ratio by Fujioka). Cephalometric analysis results showed significant differences between the OSA group and the control group on horizontal parameters (NAPg, SNB, ANB, and UIMxP). There were no significant differences between head posture, and cephalometric vertical parameter between OSA group and control. However, head posture angle and all cephalometric vertical parameters in OSA group ware higher clinically than control. The horizontal skeletal and dental parameter on cephalometric that were significantly different between the OSA and control groups in this study indicated that the effect of OSA on dentocraniofacial growth and development at the age of 9–12 years was more likely to be dominant in the horizontal direction and not yet in the vertical direction.
AB - Obstructive Sleep Apnea (OSA) in children might cause changes in breathing patterns which could affect the growth and development of dentocraniofacial of the patient that forms the adenoid face and possibly disrupt soft tissue equilibrium, occlusion, and facial esthetics. Therefore, OSA in adults needs to be traced back since childhood. The objective of this study was to compare various lateral cephalometric measurement of children with OSA and control. Subjects who meet the inclusion and exclusion criteria were grouped based on the results of Pediatric Sleep Questionnaire (PSQ), Polysomnography test (PSG), and risk factor analysis. Dentocraniofacial cephalometric measurements were compared between 17 OSA subjects (14 boys, 3 girls, median 11,92 years) and 17 control subjects (8 boys, 9 girls, median 10,42 years). Subjects has no significant differences in age and sex, meanwhile there was significant difference on PSQ results, PSG results, and several risk factors analysis (Friedman Tongue Position (FTP), tonsil size by Brodsky, hyoid position, upper pharyngeal width, lower pharyngeal width, and adenoid ratio by Fujioka). Cephalometric analysis results showed significant differences between the OSA group and the control group on horizontal parameters (NAPg, SNB, ANB, and UIMxP). There were no significant differences between head posture, and cephalometric vertical parameter between OSA group and control. However, head posture angle and all cephalometric vertical parameters in OSA group ware higher clinically than control. The horizontal skeletal and dental parameter on cephalometric that were significantly different between the OSA and control groups in this study indicated that the effect of OSA on dentocraniofacial growth and development at the age of 9–12 years was more likely to be dominant in the horizontal direction and not yet in the vertical direction.
KW - Breathing pattern
KW - Brodsky grading of tonsils.
KW - Cephalometry
KW - Dentocraniofacial
KW - Friedman tongue position
KW - Osa
KW - Polysomnography
UR - http://www.scopus.com/inward/record.url?scp=85133739035&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:85133739035
SN - 1309-100X
VL - 15
SP - 794
EP - 801
JO - Journal of International Dental and Medical Research
JF - Journal of International Dental and Medical Research
IS - 2
ER -