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At-Home Orthodontic Treatment for Severe Teeth Arch Malalignment and Severe Obstructive Sleep Apnea Syndrome in a Child with Cerebral Palsy

Author

Listed:
  • Atsuko Tamura

    (Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan)

  • Kohei Yamaguchi

    (Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan)

  • Ryosuke Yanagida

    (Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan)

  • Rie Miyata

    (Department of Pediatrics, Tokyo Kita-Medical Center, Tokyo 115-0053, Japan)

  • Haruka Tohara

    (Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan)

Abstract

Children with cerebral palsy typically have severe teeth arch malalignment, causing swallowing and respiration dysfunction. Malalignment in cerebral palsy, especially in children, worsens dysphagia and respiratory disorders; sometimes, it is also noted with obstructive sleep apnea. However, no study has reported on the improvement in obstructive sleep apnea after at-home orthodontic treatment in children with cerebral palsy. We herein present a pediatric case of cerebral palsy wherein obstructive sleep apnea improved with at-home orthodontic treatment for malalignment. We administered at-home orthodontic treatment to a 15-year-old boy with quadriplegia, due to spastic-type cerebral palsy, having no oral intake, obstructive sleep apnea, and teeth arch malalignment. After treatment, a decline in the severity of sleep apnea was observed. Perioral muscle hypertension and oral intake difficulties cause maxillary protrusion, narrowed teeth arch, and tilting of teeth in children with cerebral palsy. We expanded the oral cavity volume by orthodontic treatment to relieve muscle hypertension and correct the tongue position, thereby remarkably improving obstructive sleep apnea. Our findings suggest that at-home orthodontic treatment for malalignment effectively improves perioral muscle hypertension, glossoptosis, and obstructive sleep apnea.

Suggested Citation

  • Atsuko Tamura & Kohei Yamaguchi & Ryosuke Yanagida & Rie Miyata & Haruka Tohara, 2022. "At-Home Orthodontic Treatment for Severe Teeth Arch Malalignment and Severe Obstructive Sleep Apnea Syndrome in a Child with Cerebral Palsy," IJERPH, MDPI, vol. 19(9), pages 1-9, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5333-:d:803795
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    References listed on IDEAS

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    1. Manlio Santilli & Eugenio Manciocchi & Gianmaria D’Addazio & Erica Di Maria & Michele D’Attilio & Beatrice Femminella & Bruna Sinjari, 2021. "Prevalence of Obstructive Sleep Apnea Syndrome: A Single-Center Retrospective Study," IJERPH, MDPI, vol. 18(19), pages 1-10, September.
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