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Article

Effects of Rapid Maxillary Expander and Delaire Mask Treatment on Airway Sagittal Dimensions in Pediatric Patients Affected by Class III Malocclusion and Obstructive Sleep Apnea Syndrome

1
Department MeSVA, University of L’Aquila, 67100 L’Aquila, Italy
2
Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center Sant’Andrea Hospital, Sapienza University of Rome, 00185 Roma, Italy
3
Independent Researchers, 50134 Firenze, Italy
*
Author to whom correspondence should be addressed.
Life 2023, 13(3), 673; https://doi.org/10.3390/life13030673
Submission received: 29 November 2022 / Revised: 10 February 2023 / Accepted: 21 February 2023 / Published: 1 March 2023
(This article belongs to the Special Issue Obstructive Sleep Apnea (OSA))

Abstract

Obstructive sleep apnea syndrome (OSAS) is a sleep-related breathing disorder that is very common in pediatric patients. In the literature, there are very few studies concerning the association between OSAS and class III malocclusion in children. The use of a rapid maxillary expander (RME) in association with the Delaire mask is a common treatment protocol for class III malocclusion. The aim of this work was to evaluate the cephalometric variations of upper airway dimensions and OSA-related clinical conditions after orthodontic treatment with an RME and the Delaire mask, as recorded in pediatric patients with a class III malocclusion who were affected by OSAS. In this preliminary study, 14 pediatric patients with mixed dentition, aged between 6 and 10 years, were selected. All patients were treated with an RME and the Delaire mask. Pre- and post-treatment cephalometric radiographs were traced, analyzed, and compared. The results demonstrated a significant increase in the upper airway linear measurements and the nasopharyngeal and oropharyngeal dimensions (p ≤ 0.05). This increase creates an improvement in airway patency and in OSAS-related clinical conditions. The use of the RME in association with the Delaire mask can be effective in the treatment of pediatric patients with a class III malocclusion who are affected by OSAS.
Keywords: obstructive sleep apnea syndrome; class III malocclusion; Delaire mask; rapid maxillary expansion obstructive sleep apnea syndrome; class III malocclusion; Delaire mask; rapid maxillary expansion

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MDPI and ACS Style

Caruso, S.; Lisciotto, E.; Caruso, S.; Marino, A.; Fiasca, F.; Buttarazzi, M.; Sarzi Amadè, D.; Evangelisti, M.; Mattei, A.; Gatto, R. Effects of Rapid Maxillary Expander and Delaire Mask Treatment on Airway Sagittal Dimensions in Pediatric Patients Affected by Class III Malocclusion and Obstructive Sleep Apnea Syndrome. Life 2023, 13, 673. https://doi.org/10.3390/life13030673

AMA Style

Caruso S, Lisciotto E, Caruso S, Marino A, Fiasca F, Buttarazzi M, Sarzi Amadè D, Evangelisti M, Mattei A, Gatto R. Effects of Rapid Maxillary Expander and Delaire Mask Treatment on Airway Sagittal Dimensions in Pediatric Patients Affected by Class III Malocclusion and Obstructive Sleep Apnea Syndrome. Life. 2023; 13(3):673. https://doi.org/10.3390/life13030673

Chicago/Turabian Style

Caruso, Sara, Emanuela Lisciotto, Silvia Caruso, Alessandra Marino, Fabiana Fiasca, Marco Buttarazzi, David Sarzi Amadè, Melania Evangelisti, Antonella Mattei, and Roberto Gatto. 2023. "Effects of Rapid Maxillary Expander and Delaire Mask Treatment on Airway Sagittal Dimensions in Pediatric Patients Affected by Class III Malocclusion and Obstructive Sleep Apnea Syndrome" Life 13, no. 3: 673. https://doi.org/10.3390/life13030673

APA Style

Caruso, S., Lisciotto, E., Caruso, S., Marino, A., Fiasca, F., Buttarazzi, M., Sarzi Amadè, D., Evangelisti, M., Mattei, A., & Gatto, R. (2023). Effects of Rapid Maxillary Expander and Delaire Mask Treatment on Airway Sagittal Dimensions in Pediatric Patients Affected by Class III Malocclusion and Obstructive Sleep Apnea Syndrome. Life, 13(3), 673. https://doi.org/10.3390/life13030673

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