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Mandibular advancement devices are an alternative and valid treatment for pediatric obstructive sleep apnea syndrome

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Abstract

Background

Orthodontic and craniofacial abnormalities have often been reported in pediatric sleep-disordered breathing (SDB). While the reversibility of these craniofacial abnormalities by means of adenotonsillectomy has yet to be established, orthodontic treatment based on oral appliances is considered to be a potential additional treatment for pediatric SDB.

Discussion

Oral appliances may help improve upper airway patency during sleep by enlarging the upper airway and/or by decreasing upper airway collapsibility, thereby enhancing upper airway muscle tone. Orthodontic therapy should be encouraged in pediatric OSAS, and an early approach may permanently modify nasal breathing and respiration, thereby preventing obstruction of the upper airway.

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Conflicts of interest

All authors are disclosing any conflict of interests, any affiliation, financial agreement, or other involvement of any author with any company whose product figures prominently in the submitted manuscript, and any off-label or investigational use.

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Authors and Affiliations

  1. Department of Pediatrics, Sleep Disease Centre, University of Rome La Sapienza-Sant’Andrea Hospital, Via Grottarossa 1035/1039, Rome, 00189, Italy

    Maria Pia Villa, Silvia Miano & Alessandra Rizzoli

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  1. Maria Pia Villa
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  2. Silvia Miano
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  3. Alessandra Rizzoli
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Correspondence to Maria Pia Villa.

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Villa, M.P., Miano, S. & Rizzoli, A. Mandibular advancement devices are an alternative and valid treatment for pediatric obstructive sleep apnea syndrome. Sleep Breath 16, 971–976 (2012). https://doi.org/10.1007/s11325-011-0595-9

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  • DOI: https://doi.org/10.1007/s11325-011-0595-9

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