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치과에서의 소아 수면호흡장애 조기 선별법과 치료법

Early screening and treatment methods of pediatric sleep-disordered breathing(SDB) in dental office

김영재|옹승환
대한치과의사협회 (korea dental association)|2023.04|대한치과의사협회지 (Journal of Korean Dental Association)|제61권 제5호|pp. 328-342|DOI 10.22974/jkda.2023.61.5.001

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참고문헌

키워드

Mouth breathingSleep-disordered breathingCraniofacial growthObstructive sleep apneaSleep disorder
주제분류치의학

초록

Pediatric sleep-disordered breathing(SDB) is a common sleep disorder in children caused by obstruction of upper airway during sleep. It is often unrecognized early in life and causes various complications, including abnormal craniofacial growth and oral muscle dysfunctions. Dentist can play a significant role in managing SDB by early screening SDB risk factors and timely referring for diagnosis. SDB risk factors can be easily screened in dental office through medical history, sleep history, physical factors, sleep questionnaire, and cephalometric x-ray. In case of abnormal craniofacial development, rapid maxillary expansion, oral appliances, and myofunctional therapy can be used to reduce SDB symptoms and restore normal craniofacial development and muscular tones. Understanding continuous interaction between oral-facial muscle tone, maxillary-mandibular growth and development of SDB is important in managing pediatric SDB. The ultimate goal of pediatric SDB treatment is to change mouth breathing to nasal breathing, and a multidisciplinary approach in medicine and dentistry is necessary

Abstract

Pediatric sleep-disordered breathing(SDB) is a common sleep disorder in children caused by obstruction of upper airway during sleep. It is often unrecognized early in life and causes various complications, including abnormal craniofacial growth and oral muscle dysfunctions. Dentist can play a significant role in managing SDB by early screening SDB risk factors and timely referring for diagnosis. SDB risk factors can be easily screened in dental office through medical history, sleep history, physical factors, sleep questionnaire, and cephalometric x-ray. In case of abnormal craniofacial development, rapid maxillary expansion, oral appliances, and myofunctional therapy can be used to reduce SDB symptoms and restore normal craniofacial development and muscular tones. Understanding continuous interaction between oral-facial muscle tone, maxillary-mandibular growth and development of SDB is important in managing pediatric SDB. The ultimate goal of pediatric SDB treatment is to change mouth breathing to nasal breathing, and a multidisciplinary approach in medicine and dentistry is necessary

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