International journal of paediatric dentistry · 2025
FAIREST-6 as a Screening Tool for Sleep-Disordered Breathing, Orthodontic Needs, and BMI in Children During the Mixed Dentition Period.
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Torun Çağla Kondoz, Durmuş Başak
Аннотация
BACKGROUND: Sleep-disordered breathing (SDB) in children is a growing health concern, with dentists playing a key role in early detection.
AIM: This cross-sectional study evaluates the FAIREST-6 screening tool for identifying SDB and associated orofacial dysfunctions during mixed dentition and examines its relationship with orthodontic parameters and body mass index (BMI).
DESIGN: The study included 100 children from Marmara University. SDB was assessed using the Sleep Disturbance Scale for Children (SDSC), while FAIREST-6, the Index of Orthodontic Treatment Need (IOTN), and Angle's classification were used for clinical evaluations. BMI was calculated, and statistical analyses were performed with SPSS.
RESULTS: FAIREST-6 scores were significantly associated with SDB (p < 0.001) but not with IOTN (p = 0.053). However, IOTN scores correlated with SDSC (p = 0.033), suggesting a link between malocclusion severity and sleep disturbances. BMI varied significantly across FAIREST-6 scores (p = 0.002), indicating a relationship between obesity and airway issues. No significant differences were found based on gender or age (p > 0.050).
CONCLUSION: FAIREST-6 shows potential as a screening tool for SDB and related orofacial dysfunctions in children. Further research is needed to validate its clinical use and explore its role in assessing SDB, malocclusion, and BMI.
AIM: This cross-sectional study evaluates the FAIREST-6 screening tool for identifying SDB and associated orofacial dysfunctions during mixed dentition and examines its relationship with orthodontic parameters and body mass index (BMI).
DESIGN: The study included 100 children from Marmara University. SDB was assessed using the Sleep Disturbance Scale for Children (SDSC), while FAIREST-6, the Index of Orthodontic Treatment Need (IOTN), and Angle's classification were used for clinical evaluations. BMI was calculated, and statistical analyses were performed with SPSS.
RESULTS: FAIREST-6 scores were significantly associated with SDB (p < 0.001) but not with IOTN (p = 0.053). However, IOTN scores correlated with SDSC (p = 0.033), suggesting a link between malocclusion severity and sleep disturbances. BMI varied significantly across FAIREST-6 scores (p = 0.002), indicating a relationship between obesity and airway issues. No significant differences were found based on gender or age (p > 0.050).
CONCLUSION: FAIREST-6 shows potential as a screening tool for SDB and related orofacial dysfunctions in children. Further research is needed to validate its clinical use and explore its role in assessing SDB, malocclusion, and BMI.