Download or read book Dentofacial Morphology in Obese and Non obese Children with and Without Obstructive Sleep Apnea written by David Simone and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Several craniofacial abnormalities have been suggested to contribute to obstructive sleep apnea. These characteristics vary significantly among the literature and are limited by the infrequent use of polysomnogprahy, the gold standard for diagnosing and quantifying obstructive sleep apnea. Objective: To compare the prevalence of facial and/or dental imbalances in children with and without obstructive sleep apnea in cohorts of obese and non-obese children. Methods: A prospective, cross-sectional study of children (ages 4-16) who were referred for a polysomnogram at The Hospital for SickKids. Facial features and malocclusion was assessed clinically by one dentist, blinded to the PSG results. Results/Conclusions: Horizontal excess (overjet) was the only dentofacial finding which was significantly more common in children with obstructive sleep apnea as compared to those without obstructive sleep apnea (p=0.04). Dentofacial characteristics were also not different between children using positive airway pressure therapy and children not on positive airway pressure therapy.
Download or read book Craniofacial Morphology in Children With Obesity Or Down Syndrome With and Without Obstructive Sleep Apnea written by Corey Ng and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Obstructive Sleep Apnea (OSA) is common in children. Risk factors include adenotonsillar hypertrophy, obesity, and craniofacial abnormalities (e.g. Down Syndrome, DS). The aim was to describe the craniofacial morphology in children with suspected OSA referred for polysomnography (PSG) in 2 cohorts: DS and obesity. Methods: Cross-sectional study of children with DS or obesity referred for PSG at SickKids, Toronto. Orthodontic examinations, PSG, lateral cephalograms, and sleep questionnaires were completed. Results: 42 children (20 DS, 22 obese) aged 5-18 (11.9 +3.6) were included. DS with OSA (Obstructive-Apnea-Hypopnea-Index (OAHI) >1) had increased palatal depth (p=0.04); OAHI was correlated with intercanine distance (r=0.48, p=0.03). ANB angle was increased in Obesity with OSA (p=0.03); OAHI was correlated with ANB (r=0.58, p.
Download or read book Dentofacial Morphology in Children with Obstructive Sleep Apnea written by Kevin Chien-Hsun Lee and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Pneumopedics And Craniofacial Epigenetics Biomimetic Oral Appliance Therapy For Pediatric And Adult Sleep Disordered Breathing written by G Dave Singh and published by World Scientific. This book was released on 2021-03-05 with total page 474 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides a comprehensive introduction to the novel concepts of pneumopedics and craniofacial epigenetics. Clinically, these mechanisms are delivered through biomimetic oral appliance therapy. The text, therefore, covers both genetics and epigenetics of craniofacial development, as well as growth and development of the craniofacial architecture. Despite being complex subjects, the style of writing allows the general reader to assimilate this information and sets the scene for how these principles might best be utilized. For example, the clinical application of biomimetic tooth movement achieved through epigenetic orthodontics is presented. Prior to pneumopedic treatment, the significance of craniofacial diagnostics and treatment planning is discussed, before detailing the principles of designing a biomimetic oral appliance. Next, the book goes over the practicalities of clinical adjustments of oral biomimetic devices. Moving onto patient selection and management, the book also provides an overview and introduction to pediatric craniofacial epigenetics, which touches upon the preventive aspects of healthcare, including nutrition. This section is followed by an introduction to sleep and sleep disordered breathing in both children and adults, which includes a comprehensive approach to the potential elimination of obstructive sleep apnea. Finally, clinical biomimetic correction is illustrated with examples of non-surgical upper airway remodeling using various cases. The book also contains a Glossary containing definitions of common terms as well as an Appendix of documents that might be useful for both implementation and further study.
Download or read book Malocclusion in Pediatric Obstructive Sleep Apnea Refractory to Adenotonsillectomy Referred for Sleep Study written by Kazuma Kitagaito and published by . This book was released on 2020 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: The sequelae of untreated pediatric Obstructive Sleep Apnea (OSA) are serious, however, its treatment is not always evident. The first line treatment of pediatric OSA is adenotonsillectomy, but this is not successful in all. It is plausible that underlying dentofacial characteristics are associated with those who have refractory OSA despite adenotonsillectomy. Should certain dentofacial findings be prevalent in those with refractory OSA, this may represent a point of early identification and intervention for OSA. Objective: The aims of this study were to describe dentofacial characteristics (overjet, overbite, posterior crossbite, facial convexity) in children referred to a tertiary pediatric sleep center for OSA. Amongst those subjects, comparisons were made between groups based on surgical status (naïve vs adenotonsillectomy), severity of OSA (none, mild, moderate, severe), and with general population control data available from the third National Health and Nutrition Examination Survey (NHANES III). Methods: Subjects were recruited from Seattle Children's Hospital Sleep Center at Overlake. Subject profile photo, intraoral examination, and dental history questionnaire were recorded. Intraoral examination consisted of Angle classification, overjet, overbite, and posterior crossbite presence. The obstructive Apnea-Hypopnea Index (oAHI) was obtained from the sleep study results. Univariate analysis was used to evaluate how oAHI severity varies with overjet, overbite, posterior crossbite, and facial convexity based on exposure to prior adenotonsillectomy. Results: 95 subjects were enrolled in this study. 26 subjects had prior adenotosillectomy surgery and 69 subjects were surgically naïve. 21 subjects were diagnosed with no OSA, 54 subjects diagnosed with mild OSA, and 20 subjects were diagnosed with moderate to severe OSA. No statistically significant differences in dentofacial characteristics were found between the subjects who had prior adenotonsillectomy compared to the surgically naïve group. Facial convexity of the Moderate to Severe OSA group showed a statistically significant difference (P=0.02) when compared to the No OSA group however this may be caused by the confounding variable of obesity. All other dentofacial characteristics exhibited no statistically significant difference between the OSA severity groups. Comparison with the NHANES III population data showed a significant increase in posterior crossbite in 8-11 years old patients with Mild and Moderate to Severe OSA. Conclusion: There were no significant differences in the dentofacial characteristics between the children who had prior adonetosillectomy and those who were surgically naïve. There were some dentofacial differences between the children in different OSA severity groups (facial convexity and posterior crossbite), however due to the small sample size and confounding variables these findings may be spurious.
Download or read book A Longitudinal Study of Dentofacial Morphology in Young Children Treated for the Obstructive Sleep Apnoea Syndrome written by Lena Zettergren Wijk and published by . This book was released on 2008 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Sleep Disordered Breathing in Children written by Leila Kheirandish-Gozal and published by Springer Science & Business Media. This book was released on 2012-07-17 with total page 582 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep Disordered Breathing in Children: A Comprehensive Clinical Guide to Evaluation and Treatment is a comprehensive, timely and up-to-date review of pediatric sleep disordered breathing (SDB) and offers a thorough focus on several key areas: namely, the normal development and maturation of the airway and breathing during sleep, the techniques that are in place for assessment of SDB in children, the clinical manifestations and characteristics of several pediatric populations at risk for SDB, the implications of SDB in various end-organ systems, and, finally, a critical review of the evidence on current therapeutic approaches. This unique and complete text is of welcome interest to all practicing physicians and healthcare professionals who evaluate children with sleep problems -- namely pulmonologists, pediatricians, sleep physicians, pediatric neurologists, pediatric otolaryngologists, and family practitioners, as well as clinical researchers, pediatric nurse practitioners and respiratory therapists. Written by a distinguished and international panel of authors who are renowned experts in their field and who offer an expanded view of the problems associated with SDB, Sleep Disordered Breathing in Children: A Comprehensive Clinical Guide to Evaluation and Treatment is an indispensible resource for all physicians who evaluate children for sleep-disordered breathing.
Download or read book Kryger s Principles and Practice of Sleep Medicine E Book written by Meir H. Kryger and published by Elsevier Health Sciences. This book was released on 2021-12-16 with total page 3188 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering today's most authoritative, comprehensive coverage of sleep disorders, Kryger's Principles and Practice of Sleep Medicine, 7th Edition, is a must-have resource for sleep medicine specialists, fellows, trainees, and technicians, as well as pulmonologists, neurologists, and other clinicians who see patients with sleep-related issues. It provides a solid understanding of underlying basic science as well as complete coverage of emerging advances in management and treatment for a widely diverse patient population. Evidence-based content, hundreds of full-color illustrations, and a wealth of additional resources online help you make well-informed clinical decisions and offer your patients the best possible care. - Contains new chapters on sleep in intersex and transgender individuals; sleep telemedicine and remote PAP adherence monitoring; and sleep and the menstrual cycle, as well as increased coverage of treatment and management of pediatric patients. - Includes expanded sections on pharmacology, sleep in individuals with other medical disorders, and methodology. - Discusses updated treatments for sleep apnea and advancements in CPAP therapy. - Offers access to 95 video clips online, including expert interviews and sleep study footage of various sleep disorders. - Meets the needs of practicing clinicians as well as those preparing for the sleep medicine fellowship examination or recertification exams, with more than 950 self-assessment questions, answers, and rationales online. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Download or read book A Controlled Study of Obstructive Sleep Apnea Syndrome in Obese Children in Hong Kong written by S. Hui and published by . This book was released on 2000 with total page 4 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Management of Obstructive Sleep Apnea written by Ki Beom Kim and published by Springer Nature. This book was released on 2021-01-04 with total page 646 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides comprehensive information on the etiology, pathophysiology, medical implications, diagnosis, and surgical and nonsurgical treatment of obstructive sleep apnea (OSA). Divided into five parts, the book begins with principles and fundamentals of OSA and its diagnostic considerations. Subsequent parts then address non-surgical management, surgical management, and maxillomandibular advancements for OSA. Chapters seek to approach this common disorder from the viewpoint of multiple specialties, thereby promoting the development of a broad strategy for the evaluation and management of OSA patients that draws on each of them. An invaluable reference, Management of Obstructive Sleep Apnea: An Evidence-Based, Multidisciplinary Textbook meets the needs of advanced dental and medical students, orthodontic, maxillofacial, ENT, neurology, and plastic surgery residents, and sleep medicine and pulmonary physicians.
Download or read book Association Between Obstructive Sleep Apnea and Obesity in a Pediatric Population written by Ge (Lily) Wang and published by . This book was released on 2014 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt: In adult populations, the pathology of obstructive sleep apnea syndrome (OSAS) is mainly related to obesity. In contrast, early studies in pediatric populations suggested adenoid and tonsillar hypertrophy (ATH) to be the main causes of OSAS in children, making adenotonsillectomy the first line of treatment. Early consensus was that, in contrast to adults, pediatric OSAS patients often present with inadequate weight gain and even failure to thrive. In fact, the past three decades have witnessed a 2-3-fold increase in the prevalence of childhood obesity. This fact sparked a shift in the pediatric OSAS paradigm towards combing obesity and ATH as the main causes of the disease. This represents a major change from the traditional view that ATH alone was the primary cause. Thus, further research on the pathology and outcomes of pediatric OSAS is needed. Especially given the increased prevalence of childhood obesity. Correlations between patients' sleep apnea severity, indicated by apnea hypopnea index (AHI) score, and patients' body weight, indicated by the body mass index Z-score (BMI Z-score) were studied in a pediatric population from Seattle Children's Hospital Sleep Center (n=500). Analysis was carried out in the overall group and then stratified by body weight. Nearly half of the study subjects were overweight or obese. There was a significant association between AHI scores and the BMI Z-scores in the non-underweight group (n=480). This association remained significant after adjusting for sociodemographic and comorbidity factors. No significant association was found between AHI scores and the BMI Z-scores in the all-subject group (n=500) or in the underweight group (n=20). Obesity has become another major risk factor and potential cause for OSAS in the pediatric population. Weight management should become an important first line of treatments for OSAS patients in addition to the traditional surgical approach.
Download or read book Prediction Models for Obstructive Sleep Apnea in Obese Children and Adolescents written by Mikaela Holly and published by . This book was released on 2009 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Sleep Apnea An Issue of Otolaryngologic Clinics of North America written by Maria Suurna and published by Elsevier Health Sciences. This book was released on 2020-06-04 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Otolaryngologic Clinics of North America, Guest Edited by Drs. Ofer Jacobowitz and Maria V. Suurna, is devoted to Sleep Apnea. This issue is one of six selected each year by our series Consulting Editor, Sujana S. Chandrasekhar. Articles in this important issue include: The Goals of Sleep Apnea Treatment, Phenotypes of Obstructive Sleep Apnea, Sleep Apnea in Women, Living (or not) with Snoring, Drug-Induced Sleep Endoscopy, Sleep Studies Interpretation and Application, First in Line: The Nose, Oral Appliances, Positional Therapy for Sleep Apnea, Weight Loss - Surgical and Non-Surgical , Palatopharyngoplasty and Multilevel Surgery in the 21st Century, Getting to the Bottom of the Tongue, Implantable Neurostimulation, and Skeletal Surgery for Obstructive Sleep Apnea.
Download or read book Principles and Practice of Pediatric Sleep Medicine written by Stephen H. Sheldon and published by Elsevier Health Sciences. This book was released on 2014-03-24 with total page 446 pages. Available in PDF, EPUB and Kindle. Book excerpt: Principles and Practice of Pediatric Sleep Medicine, 2nd Edition, written by preeminent sleep medicine experts Drs. Sheldon, Kryger, Ferber, and Gozal, is the most comprehensive source for diagnosing and managing sleep disorders in children. Newly updated and now in full color throughout, this medical reference book is internationally recognized as the definitive resource for any health practitioner who treats children, providing absolute guidance on virtually all of the sleep-associated problems encountered in pediatric patients. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Organized format separates coverage into Normal and Abnormal sleep for quick access to the key information you need. Abundantly referenced chapters help you to investigate topics further. Equips you with a complete understanding of both medical and psychiatric sleep disorders. New and expanded chapters regarding sleep related breathing disorders; parasomnias; differential diagnosis of pediatric sleep disorders; hypersomnia; school start times and implications; and the evaluation and management of circadian rhythm disturbances. Extensive coverage on obstructive sleep apnea, diagnosis and treatment; evaluation and management of sleepy children; evaluation and management of circadian rhythm abnormalities; and pharmacology. Online access via Expert Consult for seamlessly searchable contents.
Download or read book Cleft and Craniofacial Orthodontics written by Pradip R. Shetye and published by John Wiley & Sons. This book was released on 2023-03-28 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive reference work for managing patients with orofacial clefts and complex craniofacial conditions from birth to skeletal maturity Cleft and Craniofacial Orthodontics is a comprehensive and detailed reference work on the management of patients with orofacial clefts and complex craniofacial conditions. Covering patients ranging from birth to skeletal maturity, the book provides orthodontists, plastic and oral and maxillofacial surgeons, speech and language therapist, pediatric dentists, and prosthodontists with the information they need to evaluate and treat these conditions. Highlighting the multidisciplinary team approach, the book aids clinicians in developing a complete plan for their patients. Each chapter is organized to reflect clinical practice, making it easy to apply the information to the treatment setting. Additionally, a companion website offers video clips of surgical and orthodontic procedures to further aid in reader comprehension and application. Sample topics covered within the work include: Introduction to orofacial clefting: cleft lip and palate anatomy, cleft types and classification, epidemiology, and genetics of cleft lip and palate Early management of orofacial clefting: prenatal diagnosis and counselling, feeding infants with clefts, and development of nasoalveolar molding therapy Orthodontic treatment: interceptive orthodontics, management of anteroposterior and transverse discrepancies, preparation for alveolar bone grafting, and combined orthodontic-orthognathic management. Orthodontic and multidisciplinary management of twenty complex craniofacial conditions including craniofacial microsomia, Treacher-Collins syndrome, and syndromic craniosynostosis Orthodontists, plastic surgeons, craniofacial surgeons, oral and maxillofacial surgeons, speech and language therapist, pediatric dentists, prosthodontists, and otolaryngologists can use this book to attain essential knowledge on managing patients with orofacial clefts and complex craniofacial conditions and understand how to apply that knowledge to practical patient settings.
Download or read book Sleep Disorders in Pediatric Dentistry written by Edmund Liem and published by Springer. This book was released on 2019-05-11 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to enable (pediatric) dentists to recognize the signs and symptoms of sleep disorders in their pediatric patients, it will help to understand the potential negative impact of a sleep disorder on the metabolic and cognitive neurodevelopment of a child and how to collaborate with others to implement appropriate management, including early (dentofacial) orthopedic intervention when necessary. A detailed examination of craniofacial signs and behavioral symptoms should alert the dentist to the potential presence of (a) sleep disorder(s) in children. The various treatment options other than positive airway pressure (PAP) therapy or adeno-tonsillectomy, which should be considered as potential life-saving short-term solutions, are discussed and shown. Treatment options that are discussed are dentofacial orthopedics (including orthotropics), orthodontics and orofacial myology; sample case outcomes are shown to demonstrate achievable results. Sleep Disorders in Pediatric Dentistry will serve as an excellent clinical guide that takes full account of recent developments in the field and explains the enormous potential that dentist can attribute to the patient’s overall (future) health. This book is also an excellent introduction for the general dentist to the medical world of (pediatric) sleep disorders. In this book a team of co-authors (2 medical doctors; 3 dental specialists; 3 general dentists and 3 dental hygienists) shared their knowledge that will educate the (pediatric) dentists about Sleep Disorders in Pediatric Dentistry.
Download or read book Principles and Practice of Sleep Medicine E Book written by Meir H. Kryger and published by Elsevier Health Sciences. This book was released on 2015-12-29 with total page 2542 pages. Available in PDF, EPUB and Kindle. Book excerpt: For nearly 30 years, Dr. Meir Kryger’s must-have guide to sleep medicine has been the gold standard in this fast-changing field. This essential, full-color reference includes more than 20 unique sections and over 170 chapters covering every aspect of sleep disorders, giving you the authoritative guidance you need to offer your patients the best possible care. Evidence-based content helps you make the most well-informed clinical decisions. An ideal resource for preparing for the sleep medicine fellowship examination. New content on sleep apnea, neurological disorders, legal aspects of sleep medicine, dental sleep medicine genetics, circadian disorders, geriatrics, women’s health, cardiovascular diseases, and occupational sleep medicine, keeps you fully up to date. Updates to scientific discoveries and clinical approaches ensure that you remain current with new knowledge that is advancing the diagnosis and management of sleep disorders. Online access to additional resources, including 95 video clips and over 950 self-assessment questions.
