"Impact of adenotonsillectomy or adenoidectomy on dentofacial development of children with obstructed sleep disordered breathing - Systematic review".
Anshul Singla, Kriti Gangwal, Amrita Puri et al.
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In 30 seconds
This systematic review evaluated the impact of adenotonsillectomy and adenoidectomy on dentofacial development in children with obstructed sleep-disordered breathing. The review included ten studies and found that adenotonsillectomy was associated with improved mandibular growth direction, incisor inclination, and dental arch dimensions, particularly when performed before age six. However, complete craniofacial normalization was unpredictable.
Key findings
- Adenotonsillectomy improved mandibular growth direction and dental arch dimensions.
- Skeletal effects were more pronounced when surgery was performed before six years of age.
- Complete craniofacial normalization was unpredictable based on timing and individual factors.
Why it matters
Understanding the effects of adenotonsillectomy on dentofacial development is crucial for clinicians managing children with obstructed sleep-disordered breathing, as it informs treatment planning and potential need for adjunctive orthodontic care.