Since, OSA is considered highly important topic/issue for Pediatric or General Dental Practitioners particularly in context of its early diagnosis and timely management/referral to medical professionals. So, we should discuss here regarding the recent novel scientific evidence-based modalities/ways for the effective dental management along with inter-disciplinary approach and other aspects of such respiratory disorder.
The scientific discussion here from medical and dental professional globally in this regard would be utmost significant for increasing awareness in different health professionals and, furthermore to keep them updated.
I had noticed a recent publication focusing on an easy and feasible management for OSA. Check as below:
Article The Impact of Mouth-Taping in Mouth-Breathers with Mild Obst...
Thanks Doctor Yi-Lun Wang
I really appreciate your reply to this important discussion related to OSA.
»Obstructive breathing disorders in sleep are a common problem in children that can have serious cardiovascular, neurocognitive, and metabolic consequences. The most common disorder is obstructive sleep apnoea, which is characterised by partial or complete obstruction of the upper airway, with resultant hypoxia, hypercarbia, increased respiratory effort, pronounced intrathoracic pressure changes and sleep fragmentation. The pathogenesis is not yet clearly understood. The diagnostic method of choice is polysomnography. Mild forms of obstructive sleep apnoea can be treated medically (leukotriene receptor antagonists and nasal glucocorticoids). Adenotonsillectomy is a very efficacious surgical treatment method in children with obstructive sleep apnoea and adenotonsillar hypertrophy. Children with a high body mass index, high-grade obstruction or other associated conditions are more likely to have postoperative residual obstruction. These children are treated by the application of continuous positive airway pressure through a mask«.
Source: Božanić Urbančič N. Obstructive sleep apnoea in children. Slov Pediatr 2020; 27(3): 124−126. https://doi.org/10.38031/ slovpediatr-2020-3-03
Slovenian and European expert in sleep medicine, Leja Dolenc Grošelj also agrees that a child's snoring is not a normal condition. She points out that as many as a fifth of children who snore experience interruptions in breathing. Removal of the enlarged pharynx and tonsils, which is determined and carried out by an otolaryngologist, often prevents snoring and breathing interruptions.
Thank Dr. Zlata Felc for replying to the obstructive sleep apnoea (OSA)-related discussion.
OSA is important to diagnosed as it can lead to breathing problems along with apnea during sleep.Almost 5 to 6 percent children suffer from this disorder.
Firstly we should look for history from parents, examine airways and do the sleep study also called polysomnography.
Other appraoches may include check for muscle activity during sleep oxygen content in blood while sleeping and weight of child. Different neurological conditions like cerebral. Palsy also cause sleep apnea or snoring during sleep due to weak pharngeal muscles.
Treatment is also depend on the cause
If enlarged adenoids are the cause,go for adenoidectomy
If child is obese, special care is focus on weight reduction management.
It can cause persistant irreversible PH with cardiac hemodynamic change
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