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de Araújo Lopes LL, Costa FWG, Cevidanes LHS, de Barros Silva PG, Gurgel ML, Carvalho FSR, Júnior CMC, Ribeiro TR. Anthropometric measures and obstructive sleep apnea in children and adolescents: a systematic review of the literature and meta-analysis. Sleep Breath 2024; 28:11-28. [PMID: 37421521 PMCID: PMC10772209 DOI: 10.1007/s11325-023-02861-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Revised: 03/19/2023] [Accepted: 05/23/2023] [Indexed: 07/10/2023]
Abstract
BACKGROUND Anthropometric measurements can be used to identify children at risk of developing obstructive sleep apnea (OSA). The study aimed to assess which anthropometric measurements (AMs) are most associated with an increased predisposition to develop OSA in healthy children and adolescents. METHODS We performed a systematic review (PROSPERO #CRD42022310572) that searched eight databases and gray literature. RESULTS In eight studies with low-to-high risk of bias, investigators reported the following AMs: body mass index (BMI), neck circumference, hip circumference, waist-to-hip ratio, neck-to-waist ratio, waist circumference, waist-to-height ratio, and facial AMs. The meta-analysis showed that the OSA group had an average of 1.00 cm greater for the neck circumference (p < 0.001; Cohen's d = 2.26 [0.72, 5.23]), 3.07 cm greater for the waist circumference (p = 0.030; Cohen's d = 0.28 [0.02, 0.53]), 3.96 cm greater for the hip circumference (p = 0.040; Cohen's d = 0.28 [0.02, 0.55]), 5.21° greater for the cervicomental angle (p = 0.020; Cohen's d = 0.31 [0.03, 0.59]), and 1.23° greater for maxillary-mandibular relationship angle (p < 0.001; Cohen's d = 0.47 [0.22, 0.72]) than the control group. The mandibular depth angle had a reduction of 1.86° (p = 0.001; Cohen's d = -0.36° [-0.65, -0.08]) in control than in patients with OSA. The BMI (p = 0.180), waist-to-hip ratio (p = 0.280), neck-to-waist ratio (p = 0.070), maxillary depth angle (p = 0.250), and upper/lower face height ratio (p = 0.070) showed no significant differences between groups. CONCLUSIONS Compared to the control group, the OSA group exhibited a greater mean difference in neck circumference, the only anthropometric measurement with high certainty of evidence.
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Affiliation(s)
- Luiza Lassi de Araújo Lopes
- Department of Dental Clinic, School of Dentistry, Federal University of Ceara, Rua Monsenhor Furtado, 1273, Rodolfo Teófilo, Fortaleza, CE, Brazil
| | - Fábio Wildson Gurgel Costa
- Department of Dental Clinic, School of Dentistry, Federal University of Ceara, Rua Monsenhor Furtado, 1273, Rodolfo Teófilo, Fortaleza, CE, Brazil.
| | | | - Paulo Goberlânio de Barros Silva
- Department of Dental Clinic, School of Dentistry, Federal University of Ceara, Rua Monsenhor Furtado, 1273, Rodolfo Teófilo, Fortaleza, CE, Brazil
| | - Marcela Lima Gurgel
- Department of Dental Clinic, School of Dentistry, Federal University of Ceara, Rua Monsenhor Furtado, 1273, Rodolfo Teófilo, Fortaleza, CE, Brazil
| | | | - Cauby Maia Chaves Júnior
- Department of Dental Clinic, School of Dentistry, Federal University of Ceara, Rua Monsenhor Furtado, 1273, Rodolfo Teófilo, Fortaleza, CE, Brazil
| | - Thyciana Rodrigues Ribeiro
- Department of Dental Clinic, School of Dentistry, Federal University of Ceara, Rua Monsenhor Furtado, 1273, Rodolfo Teófilo, Fortaleza, CE, Brazil
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Alencar PNB, Lima MCDF, Carvalho IF, Araújo LS, Silva PGDB, Lopes LLDA, Lemos JVM, Sousa FB. Radiographic evaluation of dental anomalies in patients with congenital Zika virus syndrome. Braz Oral Res 2021; 35:e043. [PMID: 33909865 DOI: 10.1590/1807-3107bor-2021.vol35.0043] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 12/10/2020] [Indexed: 01/01/2023] Open
Abstract
Numerous studies have reported abnormalities in the development of oral structures in congenital infections that also involve microcephaly. In this context, it is necessary to identify possible dental anomalies of shape and/or number in patients with Zika virus syndrome using radiography. The study population consisted of 35 children born with congenital ZIKV who underwent intraoral radiographic examinations for 24 consecutive months. A modified periapical technique was performed in an occlusal position for the maxilla and mandible. Categorical data were expressed as absolute and percentage frequencies and compared using Pearson's Chi-square test, with a 95% confidence interval. Of the entire sample, eight children (22.8%) had dental anomalies of shape and/or number, and four children (11.4%) presented with both anomalies, with agenesis of the upper and lower deciduous/permanent incisors and dental form modifications, such as microdontia and anomalous cusps. When we considered age and sex, there was no statistically significant difference between patients who presented with agenesis and those who presented with modifications. Children with congenital Zika virus syndrome were more likely to have dental modifications in the number and shape of their teeth, and it is essential to implement medium- to long-term monitoring to diagnose other possible alterations throughout the development of the mixed and permanent dentition, favoring their treatment.
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Affiliation(s)
- Phillipe Nogueira Barbosa Alencar
- Centro Universitário Christus - Unichristus, Postgraduate Program in Dental Sciences, Christus University Center, Fortaleza, CE, Brazil
| | - Maria Cláudia de Freitas Lima
- Centro Universitário Christus - Unichristus, Postgraduate Program in Dental Sciences, Christus University Center, Fortaleza, CE, Brazil
| | - Isabella Fernandes Carvalho
- Centro Universitário Christus - Unichristus, Postgraduate Program in Dental Sciences, Christus University Center, Fortaleza, CE, Brazil
| | - Lavina Sousa Araújo
- Centro Universitário Christus - Unichristus, Postgraduate Program in Dental Sciences, Christus University Center, Fortaleza, CE, Brazil
| | - Paulo Goberlânio de Barros Silva
- Centro Universitário Christus - Unichristus, Postgraduate Program in Dental Sciences, Christus University Center, Fortaleza, CE, Brazil
| | - Luiza Lassi de Araújo Lopes
- Centro Universitário Christus - Unichristus, Postgraduate Program in Dental Sciences, Christus University Center, Fortaleza, CE, Brazil
| | - José Vitor Mota Lemos
- Centro Universitário Christus - Unichristus, Postgraduate Program in Dental Sciences, Christus University Center, Fortaleza, CE, Brazil
| | - Fabrício Bitú Sousa
- Centro Universitário Christus - Unichristus, Postgraduate Program in Dental Sciences, Christus University Center, Fortaleza, CE, Brazil
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Marçal FF, Costa ACDF, Magalhães IA, Guerra LMDC, Lopes LLDA, Alves e Silva FCF, Vieira‐Meyer APGF. Orthodontic treatment and aesthetic rehabilitation in a patient with Turner syndrome: A case report. Spec Care Dentist 2020; 40:498-505. [DOI: 10.1111/scd.12495] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Revised: 05/25/2020] [Accepted: 06/19/2020] [Indexed: 11/27/2022]
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Lopes LLDA, de Barros Silva PG, Damasceno JX, Martins JODL, da Silva KR, de Sousa FB, Dantas HV, Ribeiro TR, Alencar PNB. Microtomographic analysis of the effect of sodium alendronate on orthodontic movement in rats. Orthod Craniofac Res 2020; 24:96-101. [PMID: 32639673 DOI: 10.1111/ocr.12410] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 06/22/2020] [Accepted: 06/30/2020] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To evaluate the effect of sodium alendronate on orthodontic tooth movement in rats using microtomographic analysis. SETTINGS AND SAMPLE POPULATION Thirty male Wistar rats (Rattus norvegicus) were divided into three groups of 10 rats and administered saline (control), 1 mg/kg sodium alendronate or 6 mg/kg sodium alendronate, respectively. MATERIALS AND METHODS The drug was administered once per week for 5 weeks by gavage. Orthodontic movement was induced during the last 2 weeks of medication administration by inserting a closed nickel-titanium spring between the left upper first molar and central incisors. The opposite side served as the control. Tooth movement and bone trabeculation in the furcation region were evaluated by microtomographic analysis in the first (moved) and third (static) molars. The data were subjected to one-way or two-way ANOVA and Bonferroni test (P < .05). RESULTS The microtomographic images of the group that received 6 mg/kg sodium alendronate demonstrated significantly less tooth movement (P = .048), less space between the trabeculae (P = .031) and greater number of bone trabeculae (P = .033) compared to the other groups. There were no statistically significant differences in bone volume and mean trabecular thickness between the three groups. The static teeth did not show the same alterations (P > .05). CONCLUSION Sodium alendronate treatment reduced tooth movement in rats.
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Affiliation(s)
| | | | | | | | - Karla Rovaris da Silva
- Postgraduate Program in Dentistry, Health Sciences Center, Federal University of Paraíba, João Pessoa, Brazil
| | - Frederico Barbosa de Sousa
- Postgraduate Program in Dentistry, Health Sciences Center, Federal University of Paraíba, João Pessoa, Brazil
| | - Hugo Victor Dantas
- Postgraduate Program in Dentistry, Health Sciences Center, Federal University of Paraíba, João Pessoa, Brazil
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