PT - JOURNAL ARTICLE AU - Eser Capan AU - Eser Kiyan AU - Refika Ersu AU - Hulya Kilicoglu TI - Monoblock appliance in children with obstructive sleep apnea is an effective treatment modality DP - 2014 Sep 01 TA - European Respiratory Journal PG - P2246 VI - 44 IP - Suppl 58 4099 - http://erj.ersjournals.com/content/44/Suppl_58/P2246.short 4100 - http://erj.ersjournals.com/content/44/Suppl_58/P2246.full SO - Eur Respir J2014 Sep 01; 44 AB - INTRODUCTION: Obstructive sleep apnea syndrome (OSAS) is a disorder of breathing during sleep characterized by prolonged partial upper airway resistance and/or complete obstruction that disrupts normal ventilation. OSA in pediatric population is estimated to be 2-3 %. Habitual snoring in a prevelance of 6-12 % is the primary symptom in pediatric population however apnea can be determined by only 10-30 % of these children. Mandibular retrognathia increases the risk of OSAS. It has been reported that anterior positioning mandibular appliances facilitates the treatment of disorder of breathing during sleep. The aim of this study was to evaluate the efficiency of anterior positioning monoblock appliance in the the treatment of OSA in children with retrognathic mandible.MATERIAL and METHOD: Children who presented with retrognathic mandible were screened for snoring and children with habitual snoring underwent polysomnography. Monoblock appliances were applied to children who were diagnosed with OSAS. After the treatment (when mandibule could not be pushed back, in the dental class 1 relationship) second polysomnography was performed.RESULT:There were 30 patients with retrognathic mandible and habitual snoring. 16 children (9 girls, 7 boys; age 9-14 years) were diagnosed with OSAS with polysomnography. Fifteen children had mild and one child had severe OSAS. After the monoblock treatment apnea-hipopnea index (AHI) decreased in all children (p<0.005). AHI was below 1 in 13 children.CONCLUSION: Reduction in AHI in all children with OSAS shows that the monoblock appliance can be an effective treatment option in the treatment of children with OSAS and retrognathic mandible.