International journal of pediatric otorhinolaryngology · 2004
Improvement of bruxism after T & A surgery.
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DiFrancesco Renata C, Junqueira Paula Andreya S, Trezza Priscilla Maria, de Faria Maria Estela J, Frizzarini Ronaldo, Zerati Fabio Elias
Аннотация
UNLABELLED: Bruxism or tooth grinding is an oral habit that frequently occurs during sleep. Some authors suggest it is associated to sleep apnea.
OBJECTIVES: The main goal of this study is compare the incidence of bruxism before and after adenotonsillectomy (T & A surgery) in children with sleep-disordered breathing.
METHODS: This is a prospective study in which we evaluated 69 consecutive children from the Otolaryngology Department of the University of São Paulo Medical School in pre- and post-surgical periods of adenotonsillectomy. Before and after surgery parents answered a questionnaire about sleep-disturbed breathing and bruxism. Children were submitted to E.N.T. examination and speech pathologist evaluation. The orthodontist inspected malocclusion. Before surgery all the 69 children presented sleep apnea and 45.6% presented bruxism. Malocclusion could be found in 60.71%. Three months after surgery none of the children presented breathing problems and only 11.8% presented bruxism. There was no difference in malocclusion.
CONCLUSIONS: This study suggests that there is a positive correlation between sleep-disordered breathing and bruxism. There was an important improvement of bruxism after T & A surgery. Otolaryngologists must be aware that this pernicious sleep disorder is associated to airway obstruction and so, it must be considered when evaluating T & A hyperplasia.
OBJECTIVES: The main goal of this study is compare the incidence of bruxism before and after adenotonsillectomy (T & A surgery) in children with sleep-disordered breathing.
METHODS: This is a prospective study in which we evaluated 69 consecutive children from the Otolaryngology Department of the University of São Paulo Medical School in pre- and post-surgical periods of adenotonsillectomy. Before and after surgery parents answered a questionnaire about sleep-disturbed breathing and bruxism. Children were submitted to E.N.T. examination and speech pathologist evaluation. The orthodontist inspected malocclusion. Before surgery all the 69 children presented sleep apnea and 45.6% presented bruxism. Malocclusion could be found in 60.71%. Three months after surgery none of the children presented breathing problems and only 11.8% presented bruxism. There was no difference in malocclusion.
CONCLUSIONS: This study suggests that there is a positive correlation between sleep-disordered breathing and bruxism. There was an important improvement of bruxism after T & A surgery. Otolaryngologists must be aware that this pernicious sleep disorder is associated to airway obstruction and so, it must be considered when evaluating T & A hyperplasia.