Dentaltown February 2018 - 86
Fig. 1
A correlation has been shown between
SRBD and the school performance of primary students who are habitual snorers.3
Additional research shows that snoring
is associated with behavioral issues, and
is statistically significant for hyperactive
behavior, concentration deficits, daytime
tiredness, and falling asleep in school or
while watching television.4 Tooth grinding
also shows a significant and independent
association with poor school performance.3
Other evaluation tools available include
a cephalometric radiograph or a CBCT
scan with records that provide additional
information about airway size and volume.
However, these scans view the airway only
in the upright position and cannot scan
the airway when the patient is in a reclined
position while sleeping. If a scan does not
show a compromised airway, it doesn't
necessarily mean the patient is not experiencing breathing and airway issues while
sleeping, because the compromised airway
can be a result of a habitual issue such as
mouth breathing. Also, one must consider
if radiation is necessary.
Sleep testing is available for patients
through clinical lab sleep tests (PSG),
home sleep tests and CPC monitoring. It's
important to understand the benefits and
drawbacks of each of these tests and who
will prescribe, read and determine treatment
options. This is an area where a collaborative
effort should occur between a sleep physician
and the dentist. Sleep physicians usually
prefer a PSG to accurately diagnose the
pediatric patient.
Additional collaboration can occur
between a medical professional, a sleep physician, an ENT, a pediatrician, a neurologist,
an allergist, a nutritionist, a psychiatrist
and the dentist when evaluating the child.
Each of these medical professionals can
address and evaluate various factors that
contribute to sleep and breathing issues.
A severe breathing issue in a patient with
tonsils almost touching or touching each
other should be referred to an ENT. If a
parent indicates on the sleep questionnaire
that a stoppage of breathing occurs during
sleep or interrupted snoring, this should
indicate that a referral to a sleep physician
is necessary. Keeping a patient's pediatrician
involved in the treatment is important (and
builds a referral base).
Fig. 2
Class III
86
FEBRUARY 2018 // dentaltown.com
Habit corrector
Occlus-O-guide
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown February 2018
Dentaltown February 2018 - Intro
Dentaltown February 2018 - Cover1
Dentaltown February 2018 - Cover2
Dentaltown February 2018 - 1
Dentaltown February 2018 - 2
Dentaltown February 2018 - 3
Dentaltown February 2018 - 4
Dentaltown February 2018 - 5
Dentaltown February 2018 - 6
Dentaltown February 2018 - 7
Dentaltown February 2018 - 8
Dentaltown February 2018 - 9
Dentaltown February 2018 - 10
Dentaltown February 2018 - 11
Dentaltown February 2018 - 12
Dentaltown February 2018 - 13
Dentaltown February 2018 - 14
Dentaltown February 2018 - 15
Dentaltown February 2018 - 16
Dentaltown February 2018 - 17
Dentaltown February 2018 - 18
Dentaltown February 2018 - 19
Dentaltown February 2018 - 20
Dentaltown February 2018 - 21
Dentaltown February 2018 - 22
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Dentaltown February 2018 - 29
Dentaltown February 2018 - 30
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Dentaltown February 2018 - 38
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Dentaltown February 2018 - 40
Dentaltown February 2018 - 41
Dentaltown February 2018 - 42
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Dentaltown February 2018 - 104
Dentaltown February 2018 - Cover3
Dentaltown February 2018 - Cover4
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