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J Clin Sleep Med. 2015 Jan 15;11(1):75-6. doi: 10.5664/jcsm.4372.

Obstructive sleep apnea syndrome in a pubescent boy of short stature was improved with an orthodontic mandibular advancement oral appliance: a case report.

Author information

1
Fujigaoka Orthodontic Clinic.
2
Department of Otorhinolaryngology Nagoya University Graduate School of Medicine.
3
Japan Somnology Center, Neuropsychiatric Research Institute.
4
Ars Orthodontic Clinic.
5
College of Life and Health Sciences, Chubu University.

Abstract

We report a 16-year-old pubescent pediatric patient with obstructive sleep apnea syndrome (OSAS) and short stature whose apnea hypopnea index (AHI) was significantly reduced following the use of an orthodontic oral appliance that advances the mandible ventrally. The mandible was advanced 64% of the maximal mandibular protrusive position with use of the appliance over a 3-year period. The patient's AHI without the appliance in place decreased from 101.6/h at baseline to 11/h after treatment. Moreover, the patient's height increased 14 cm during treatment, resulting in height close to the average height for his age. Cephalometric analysis revealed an improvement in his retrognathic mandible and proclination of the upper front teeth. In conclusion, an orthodontic mandibular advancement oral appliance played an important role not only in improving the patient's OSAS but also in normalizing his physical growth during puberty.

KEYWORDS:

catch up growth; mandibular advancement; sleep disordered breathing

PMID:
25348240
PMCID:
PMC4265664
DOI:
10.5664/jcsm.4372
[Indexed for MEDLINE]
Free PMC Article

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