Zeitschrift für Schlafstörungen und Therapie
Offener Zugang

Abstrakt

Effectiveness of Early Intervention with a Monobloc Oral Appliance in Reducing Symptoms of Breathing Disorders at Sleep in Children with Dentofacial Anomalies Ages 5-12: A Retrospective, Multicenter Analysis

Karen Parker Davidson*, Corby Dixon, Zach Wilde, Toshi Hart

Objective and background: We aim to determine how early intervention of an MOA for dentofacial anomalies improves qualitative scores of Sleep Disordered Breathing (SDB) in school-aged children ages 5-12.

Methods: A review of historical secondary data was conducted from 1001 Sleep, Breathing and Habit Questionnaire of children ages 5-12 diagnosed with SDB in treatment with an MOA. A total of 44 sets of questionnaire scores met the inclusion criteria for the retrospective review. Eleven SDB symptom scores were reviewed at three endpoints: Initial, 2-6 months (SG1), and 7+ months (SG2).

Results: A total of 44 patient-directed sleep and breathing questionnaires from children ages 5 to 12 (female 55% (n=24), male 45% (n=20), mean age 7.54 years, ± 1.89) in treatment with an MOA for dentofacial anomalies reporting symptoms of SDB were included. Among the cohort, 90% (27 of 30) showed a statistically significant reduction of overall symptoms scored as resolved or improved from the initial visit to the 7+ months endpoint (M=15.29 months, SD ± 4.18); 71.4% (25 of 35) of the cohort showed a statistically significant reduction of overall symptoms within 2-6 months (M=4.22 months, SD ± 1.64).

Conclusion: The improvement in 4.22 months shows MOA as an effective treatment for early intervention in treating the dual pathologies of dentofacial anomalies and SDB in school-aged children ages 5-12.