Evidence map›Paper›PMID 40868518›Full record

ReviewChildren (Basel, Switzerland)2025

Orthodontic Perspectives in the Interdisciplinary Management of Pediatric Obstructive Sleep Apnea.

Silvia Müller-Hagedorn, Véronique Abadie, Theodosia Bartzela

Abstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Silvia Müller-HagedornDepartment of Orthodontics, Freiburg Interdisciplinary Center for Craniofacial Anomalies, Medical Center-University of Freiburg, Hugstetter Straße 55, D-79106 Freiburg, Germany.
Véronique AbadieGeneral Pediatrics Unit, Referral Center for Rare Diseases "Syndrome de Pierre Robin et Troubles de Succion-Déglutition Congénitaux", Necker University Hospital, APHP, Paris Cité University, 149, rue de Sèvres, F-75015 Paris, France.
Theodosia BartzelaDepartment of Orthodontics, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Fetscherstrasse 74, D-01307 Dresden, Germany.ORCID 0000-0001-8478-2078

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric obstructive sleep apnea (OSA) is a highly prevalent, multifactorial, and often underdiagnosed condition with significant consequences for cognitive and behavioral development. Early detection and timely multidisciplinary interventions are essential, particularly in children with craniofacial anomalies or syndromes associated with increased OSA risks, to prevent long-term complications. This narrative review explores the orthodontists' role in the interdisciplinary management of pediatric OSA, focusing on early screening for craniofacial risk factors and implementing interceptive orthodontic interventions that support favorable airway development and growth modulation. Through early and frequent interaction with pediatric patients, orthodontists are well-positioned to identify clinical signs of airway-related abnormalities and craniofacial risk factors such as mandibular and maxillary retrognathism, maxillary constriction, and high-arched palatal vaults. Orthodontic interventions such as rapid maxillary expansion (RME), mandibular advancement, and myofunctional therapy may improve airway patency in selected cases. These approaches should be coordinated and integrated within the multidisciplinary team, including orthodontists, pediatricians, sleep specialists, ENT specialists, and speech-language pathologists. Furthermore, caregivers' involvement and patients' compliance are keys to success. Despite encouraging clinical observations, current evidence is limited by heterogeneity and a lack of long-term outcome data. Future research should prioritize well-designed prospective trials, explore the effectiveness of combined therapeutic strategies, and support the development of standard diagnostic protocols. Equally important is a stronger focus on early diagnosis and preventive measures to enhance patient outcomes and long-term treatment strategies. Integrating orthodontists into early OSA care is essential for optimizing outcomes and reducing long-term morbidity.

Indexed as

airway obstructioncraniofacial growthfunctional orthodontic treatmentmandibular advancementobstructive sleep apneaorthodontic appliancesorthodonticspalatal expansion

Identifiers

PMID40868518
PMCPMC12385011

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.