Children are severely diagnosed for infarcted breathing (SDB), which includes obstructive sleep apnea (OSA), and symptoms can be wrongly attributed to behavioral problems, according to a study Journal of the American Osteopathic Association,
Sleep apnea and related conditions can cause lasting damage to brain development over critical years. As a result, it is reported that children with undiagnosed CDS use health care with 226% more than the general population.
Up to 15% of children have some form of sleep disturbance. However, 90% are not diagnosed, often because the symptoms are incorrectly related to psychological or emotional problems.
"Children who have behavioral problems or are suspected of having ADHD may actually suffer from a chronic lack of restorative sleep," said John White, a DDS co-author of this study.
Researchers explain that neurocognitive development, cell regeneration, and tissue and bone growth occur during deep sleep. However, when breathing is blocked in the upper respiratory tract, the brain returns from deep to light sleep to resume normal breathing – by preventing the mind and body from critical recovery processes.
Symptoms of SDB and OSA in children include snoring, restless sleep, excessive sleepiness, teeth grinding and jaw clamping, migraine, bed wetting, and irritability. If there is any doubt about the SDB, White says the referral to a multidisciplinary team is perfect. This usually includes pediatric ENT, sleep specialist, dental practitioner trained for craniofacial development, and myofunctional therapist.
White says dentists are often able to look at the problem as it is rooted in the dysfunctional development of the cranium-facial body, which begins at the beginning. He explains that babies with a tongue or tie that have breastfeeding problems during breastfeeding may be at risk for developing SDB or OSA as well as children who have speech retardation.
"Many breathing problems come from a bad jaw structure," White said. – And the tongue is crucial for shaping the mouth, jaw and nasal cavity.
For children diagnosed with SDB or OSA, the first treatment line usually removes the child's tonsils and adenoids, according to White. If the SDB continues after surgery, dentists may use an orthodontic maximal expander.
The device sticks to the palate and the upper molars, with an adjustable band that crosses the roof of the mouth. Parents turn a screw that extends the bridge one step each week for six to seven weeks. At that time, the roof of the mouth expands, increases the volume of the nasal cavity and significantly improves the airways.
"When we identify sleep apnea, treatment is usually very effective, the challenge is to catch it early enough," White said. "Early years are crucial to brain development, so it is important that this state is on our radar."
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Nathan Alexander et al., Rapid Maximal Expansion and Adenonezilectomy in 9-Year-Olds with Childhood Obstructive Sleep Apnea Syndrome: Interdisciplinary Experience, Journal of the American Osteopathic Association (2019). DOI: 10.7556 / jaoa.2019.019
American Osteopathic Association
Up to 15% of children have sleep apnea but 90% are not diagnosed (2019, February 12)
withdrawn on February 12, 2019
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