Evaluation of Orthodontic Treatment Modalities for Obstructive Sleep Apnoea: A Systematic Review.

Autor:	Gorikapudi PK; Orthodontics and Dentofacial Orthopaedics, Consultant Orthodontist, Hyderabad, IND., Chhabria V; Orthodontics and Dentofacial Orthopaedics, Practicing Orthodontist, Chhabria Dental Clinic, Thane, IND., Kaur K; Orthodontics and Dentofacial Orthopaedics, Gian Sagar Dental College and Hospital, Jansla, IND., Ramasamy P; Orthodontics and Dentofacial Orthopaedics, Specialist Orthodontist, Smile Dental Center, Kuwait, KWT., Jeeboy S; Orthodontics and Dentofacial Orthopaedics, R. R. Dental College and Hospital, Udaipur, IND., Venkatesh R; Orthodontics, The Oxford Dental College, Bangalore, IND., P A; Orthodontics, Sri Ramakrishna Dental College, Jaunpur, IND.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jul 22; Vol. 16 (7), pp. e65161. Date of Electronic Publication: 2024 Jul 22 (Print Publication: 2024).
DOI:	10.7759/cureus.65161
Abstrakt:	Obstructive sleep apnoea (OSA) poses a significant health burden globally, necessitating effective intervention strategies to mitigate its adverse consequences. Orthodontic treatment modalities offer promising avenues for addressing OSA by targeting the underlying anatomical abnormalities and restoring unobstructed airflow during sleep. This systematic search was conducted across multiple electronic databases using predefined search terms and inclusion criteria. Studies eligible for inclusion encompassed a range of study designs, including randomized controlled trials, prospective and retrospective studies, clinical trials, and observational studies. Outcome measures included changes in apnoea-hypopnoea index (AHI), oxygen saturation levels, polysomnographic variables, skeletal/cephalometric changes, nasal parameters, upper airway morphology, and clinical symptoms. Initially, 756 records were identified through database searches, with 21 studies meeting the inclusion criteria after meticulous screening and selection. Orthodontic interventions, including rapid maxillary expansion (RME), personalized oral appliances, mandibular positioning devices, and comprehensive orthodontic protocols, demonstrated significant promise in ameliorating OSA symptoms among paediatric populations. Improvements in AHI, nasal resistance, sleep parameters, and upper airway dimensions were consistently observed across various studies, highlighting the potential of orthodontic treatments in mitigating OSA severity. This systematic review underscores the efficacy of orthodontic treatment modalities in addressing OSA among paediatric populations. Despite certain limitations in study design and outcome measures, the review emphasizes the need for further well-designed randomized controlled trials to validate and optimize these interventions for paediatric patients with OSA. Enhanced understanding and implementation of orthodontic treatments hold promise for alleviating the burden of OSA on global health and well-being. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Gorikapudi et al.)
Databáze:	MEDLINE
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