Children and Sleep Disordered Breathing

Only in the last 20 years has research established the connection between certain common childhood health issues and a single likely root. – Sleep Disorderd Breathing (SDB)

 

The symptoms associated with SDB can vary from one child to the next, but even mild SDB (mouth breathing, crowded teeth, snoring) can point to serious underlying health issues and the need for treatment.

  • Pediatric sleep disorders impact a child’s behavioral, cognitive, and physical development, with long-term consequences (Bonuck, Parikh, & Bassila, 2006; Montgomery & Dunne, 2007).
  • Children with SDB are 40 to 100 percent more likely to exhibit behavioral and emotional problems, including hyperactivity, anxiety, depression, social issues with peers, and conduct problems, including aggressiveness (Bonuck, 2012).
  • Children with cross bites (misaligned upper and lower teeth) are 3.3 times more likely to suffer from SDB, while children with convex facial profiles (i.e. receding chins) are 2.6 times more likely (Finland Study 2013, published in European Journal of Pediatrics).

The research is clear – SDB is the underlying condition that often gives rise to many childhood health issues.
Children with wide, forward dental arches who breathe through their nose sleep better, and children who sleep better perform better in school, behave better, and experience fewer health issues.
Unfortunately, childhood sleep disorders are becoming far more prevalent among our youth, and far too many parents and healthcare providers are unaware of the dire consequences.

Bedwetting and your Child’s Dental Development. How are they connected?

Bedwetting can be caused by a compromised airway which can lead to Sleep Disordered Breathing (SDB). Over just the past 20 years, compelling research from around the world has forged important links between SDB and certain childhood health issues that plague as many as 9 out of 10 children.

 

 

The Importance of Your Child’s Airway. What are the side effects of a compromised airway?

airway xrayThe central issue for many children suffering from the effects of SDB is a compromised airway. When a child’s airway is narrow, underdeveloped, or constricted in any way, the child will struggle to get enough oxygen at night and may resort to mouth breathing. Bringing the upper and lower jaws forward while making them wider can help open up the airway of a growing child.

 

Dangers of Mouth Breathing, Why is it a problem?

mouth breathingMouth breathing is different from nasal breathing and often leads to further compromises in the airway. Mouth breathing is often cited as a contributing factor in a compromised airway, and in patients who require orthodontic treatment. It can also prevent the proper function of the tongue and other orofacial muscles children need to speak, swallow, chew, and function. Mouth breathing can also cause the delicate tissues of the tonsils and adenoids to swell and become enlarged, which can further restrict the airway and thus perpetuate the cycle of needing to mouth breathe.

“We believe elimination of oral breathing, i.e., restoration of nasal breathing during wake and sleep, may be the only valid “finish line” in pediatric sleep disordered breathing.” C. Guilleminault, S. Sullivan, 2014 – Stanford University

The Dental Connection

Many young children with SDB have dental arches that are underdeveloped, narrow, and positioned too far back. A normal human profile should have the lips and chin positioned well in front of the eyes with a strong jawline. Unfortunately, in most cases, such growth and development doesn’t happen on its own.

In our modern world of limited breastfeeding and soft, processed foods, far too many of our children are simply not developing fully in their lower facial areas. If allowed to persist during their formative early years, this condition prevents proper growth and development of a child’s airway.

Early Treatment is Critical

airway non xrayIf these abnormal conditions are left untreated in children, by the time they are fully grown, there is little that can be done to correct them.

All too often, teeth become overly crowded and extractions are prescribed, followed by years of braces. Eventually, many of these children will grow into adults with SDB, who may eventually require CPAP machines to obtain the oxygen they need at night – all because their airways were never allowed to fully develop.

By expanding the entire anatomy of the upper and lower jaws, the airway can expand and develop to its full potential. If treatment intervention occurs during a child’s critical growing years, many of the symptoms associated with SDB greatly diminish or simply disappear.

“Our 11-year-old son wet the bed 3-4 nights a week. We started treatment in Healthy Start mainly to avoid braces. After just one week, the bedwetting stopped completely. After 8 or 9 months, his teeth were perfectly straight. Amazing!” – Karen H.

Does your child exhibit any of the symptoms linked to Sleep Disordered Breathing?
Symptoms of Sleep Disordered Breathing include:

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