Enquête épidémiologique des signes des troubles ventilatoires et du sommeil dans une population orthodontique (enfants et adolescents) du CHU de Bordeaux

Abstract : Respiratory and sleeping troubles’ frequencies in adults and children are increasing with 1 to 4% of school-aged kids affected. The most serious sleeping trouble affection is the sleep obstructive apnoea syndrome and is a public health priority. This disease is highly underdiagnosed but its correlation with malocclusions and dysmorphosis also. Knowing the prevalence in an orthodontic population of some clinical and functional signs associated to OSAHS will help diagnose this disease early and establish a prevention. To do so, a questionnaire was built in which general information, daytime and nocturnal signs as well were gathered; the paediatric daytime sleepiness scale was also distributed to parents for them to fill. A clinical examination was also conducted. According to the frequencies we gathered, the most observed nocturnal signs were: agitated sleep, night arousals and snoring. The daytime sign that was the most observed was hyperactivity and its educational difficulties associated. An oropharyngeal content excess must also be searched as it is the first known factor of OSAHS in young children. Regarding the morphological aspect, those in consequence of mouth breathing were the most seen. A questionnaire allowing to count the evocative signs of breathing and sleeping trouble in children was elaborate from this study, it will allow dentists to detect these trouble early and address the young patients in whom OSAHS is considered to specialists. Respiratory and sleeping troubles’ frequencies in adults and children are increasing with 1 to 4% of school-aged kids affected. The most serious sleeping trouble affection is the sleep obstructive apnoea syndrome and is a public health priority. This disease is highly underdiagnosed but its correlation with malocclusions and dysmorphosis also. Knowing the prevalence in an orthodontic population of some clinical and functional signs associated to OSAHS will help diagnose this disease early and establish a prevention. To do so, a questionnaire was built in which general information, daytime and nocturnal signs as well were gathered; the paediatric daytime sleepiness scale was also distributed to parents for them to fill. A clinical examination was also conducted. According to the frequencies we gathered, the most observed nocturnal signs were: agitated sleep, night arousals and snoring. The daytime sign that was the most observed was hyperactivity and its educational difficulties associated. An oropharyngeal content excess must also be searched as it is the first known factor of OSAHS in young children. Regarding the morphological aspect, those in consequence of mouth breathing were the most seen. A questionnaire allowing to count the evocative signs of breathing and sleeping trouble in children was elaborate from this study, it will allow dentists to detect these trouble early and address the young patients in whom OSAHS is considered to specialists.
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Alexa Serra. Enquête épidémiologique des signes des troubles ventilatoires et du sommeil dans une population orthodontique (enfants et adolescents) du CHU de Bordeaux. Sciences du Vivant [q-bio]. 2018. ⟨dumas-01973565⟩

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