Practices and Perception of Paediatric Obstructive Sleep Apnea Among Orthodontists and Paediatric Dentists in Brazil: A Mixed-Methods Study.

Autor: Fagundes NCF; Department of Orthodontics, Post-Graduation Program in Dentistry, Federal University of Pará, Belém, Brazil., da Rosa Moreira Bastos RT; Department of Orthodontics, Post-Graduation Program in Dentistry, Federal University of Pará, Belém, Brazil., Perez A; Faculty of Medicine and Dentistry, School of Dentistry, College of Health Sciences, University of Alberta, Edmonton, Canada., Flores-Mir C; Faculty of Medicine and Dentistry, School of Dentistry, College of Health Sciences, University of Alberta, Edmonton, Canada., Normando D; Department of Orthodontics, Post-Graduation Program in Dentistry, Federal University of Pará, Belém, Brazil.
Jazyk: angličtina
Zdroj: Orthodontics & craniofacial research [Orthod Craniofac Res] 2024 Oct 10. Date of Electronic Publication: 2024 Oct 10.
DOI: 10.1111/ocr.12866
Abstrakt: Objectives: To explore orthodontists' (OTs) and paediatric dentists' (PDs) practices and perceptions regarding the screening and management of paediatric obstructive sleep apnea (OSA).
Methods: This explanatory sequential mixed methods design included OTs and PDs with active clinical practice in Brazil and encompassed a quantitative phase followed by a qualitative phase. In the quantitative phase, a survey assessing OSA screening and management practices was administered to OTs and PDs practicing in Brazil. Information-rich OTs and PDs were interviewed in the qualitative phase. Descriptive statistics and the chi-square test were used to analyse the survey data, while inductive content analysis was applied to the interview data. The results from both phases were integrated and reported narratively.
Results: Three hundred eighty-one OTs and PDs completed the survey, and ten of them were interviewed. Nearly half of OTs and PDs administered sleep questionnaires and demonstrated some knowledge about paediatric OSA signs and symptoms. PDs and OTs primarily offered rapid maxillary expansion and functional mandibular advancement for managing selected children with OSA, with OTs being more frequently involved in this task than PDs. OTs and PDs identified several barriers and expressed the need for support regarding access to reliable screening tools and interprofessional care.
Conclusion: Brazilian OTs and PDs were aware of the main signs and symptoms of paediatric OSA and were somewhat involved in offering oral appliance management options. To further define the role of these professionals, increasing support for dental professionals in OSA management and updating existing clinical guidelines is warranted.
(© 2024 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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