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Home Rapid maxillary expansion in children with Obstructive Sleep Apnoea Syndrome (OSAS)

Rapid maxillary expansion in children with Obstructive Sleep Apnoea Syndrome (OSAS)

Authors:

  • A. Marino
    Dentistry and Orthodontics Unit, NESMOS Department, Sapienza University of Rome, School of Medicine and Psicology, Italy
  • R. Ranieri
    Private Practice of Orthodontics, Rome, Italy
  • F. Chiarotti
    Cell Biology and Neuroscience Department , ISS Rome, Italy
  • M. P. Villa
    Paediatric Unit, NESMOS Department, Sapienza University of Rome, School of Medicine and Psicology, Italy
  • C. Malagola
    Dentistry and Orthodontics Unit, NESMOS Department, Sapienza University of Rome, School of Medicine and Psicology, Italy

ABSTRACT


Aim

to evaluate the effects of rapid maxillary expansion (RME) in a group of OSAS preschool children.

Methods

Lateral cephalograms of 15 OSAS children (8 boys and 7 girls, age meanSD:
5.941.64 years) were analysed at the start of treatment with RME (T0). All subjects were revaluated after a mean
period of 1.570.58 years (T1). At this time the sample was divided into 2 groups according to the change in the
respiratory disturbance index (RDI): an improved group (I: 8 subjects) and a stationary/worsened group (SW: 7 subjects).
Differences between I and SW children with respect to values of cephalometric variables at T0 and to variations between T0
and T1 were evaluated using Mann-Whitney U test. Differences between T0 and T1 values in the overall group of children
and separately in I and SW groups were assessed using Wilcoxon test.

Results

At the start of treatment, the I group was
characterised by more retrognathic jaws with lower values of SNA (p0.055) and SNB (p0.020) and higher age
values (p0.093) when compared to SW group. After treatment, the I group showed an increase in SNA and SNB angle
significantly higher than SW group (p0.004 and p0.003, respectively). On the contrary, I and SW groups did
not differ as for variation in the skeletal divergency and in the total facial height.

Conclusion

OSAS preschool children
with retrognathic jaws could benefit from RME treatment.

PLUMX METRICS

Publication date:

Mar /2012

Keywords:

osas, preschool children, rapid maxillary expansion

Issue:

Vol.13 – n.1/2012

Page:

57 – 63

Publisher:

Ariesdue

Cite:


Harvard: A. Marino, R. Ranieri, F. Chiarotti, M. P. Villa, C. Malagola (2012) "Rapid maxillary expansion in children with Obstructive Sleep Apnoea Syndrome (OSAS)", European Journal of Paediatric Dentistry, 13(1), pp57-63. doi:
Vancouver: A. Marino, R. Ranieri, F. Chiarotti, M. P. Villa, C. Malagola. Rapid maxillary expansion in children with Obstructive Sleep Apnoea Syndrome (OSAS). European Journal of Paediatric Dentistry [Internet]. 2012Mar.1 [cited 2022Aug.07];13(1):57-63. Available from: https://www.ejpd.eu/abstract-pubmed/rapid-maxillary-expansion-in-children-with-obstructive-sleep-apnoea-syndrome-osas/
MLA: A. Marino, R. Ranieri, F. Chiarotti, M. P. Villa, C. Malagola Rapid maxillary expansion in children with Obstructive Sleep Apnoea Syndrome (OSAS). European Journal of Paediatric Dentistry. 2012;13(1):57-63

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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