| Autor: |
de Oliveira Chami, Vitória, da Rocha, Jéssica Gabriele, Knorst, Jessica Klockner, Fensterseifer, Caroline Kolling, Ferrazzo, Vilmar Antônio, Serra‐Negra, Junia Maria Cheib, Marquezan, Mariana |
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| Zdroj: |
Orthodontics & Craniofacial Research; Feb2024, Vol. 27 Issue 1, p27-32, 6p |
| Abstrakt: |
Objective: To evaluate the effects of rapid maxillary expansion (RME) on Sleep Disturbance Scale for Children (SDSC) with maxillary atresia. Materials and Methods: The sample consisted of 27 paediatric patients evaluated through a Brazilian version of the SDSC, answered by their guardians at the following experimental time points: T0 (before installing the Hyrax expander), T1 (on the day of expander stabilization), T2 (3 months after expander stabilization), T3 (immediately after expander removal, following 6 months of retention), and T4 (3 months post‐retention). Multilevel Poisson analysis adjusted for repeated measures was performed to compare outcomes across the assessment time points. Results: The mean age of patients was 9.1 years (SD = 1.46). The total SDSC scores decreased and were statistically significant from T2 onwards (P <.01), with a decrease of 24% at T4 compared with T1 (IRR 0.76; 95% CI 0.69–0.84). The mean scores at T4 were already lower than the cutoff point for risk of sleep disorders. Regarding the specific domains, there was a significant reduction in sleep breathing disorders, sleep–wake transition disorders, and disorders of excessive somnolence as of T2 (P <.01), T3 (P <.05) and T4 (P <.05), respectively. Conclusion: RME in children with maxillary atresia had a positive effect on the reduction of total SDSC scores after 3 months of expander stabilization, sustained over 6 and 9 months and significant reduction in sleep breathing disorders domain, sleep–wake transition disorders domain, and disorders of excessive somnolence domain over time points. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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