The Role of Orthodontics in the Management of Obstructive Sleep Apnea OSA in Children: Systematic Review

Abstract Objective review the effectiveness of the use of different orthodontic oral appliance as a primary or adjective treatment of OSAS in children. methods: systemic search of online databases (PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), international Registry Platform for ongoing trials and clinical trails.gov, Embase Ovid, Medline complete) for randomized control trail and non-randomized prospective or retrospective clinical studies published in 2000-2019 that uses oral appliances for the treatment of OSA in children. Study selection was done by 2 reviews. Results 9 studies were included in the review. Based on the limited evidence oral appliances improve OSA in children measured by the reduction of AHI. Due to heterogeneity of included study designs and reported data meta-analysis was not possible. Limitation limited number of studies and study populations. High risk of bias. Conclusion oral appliances show a promising improvement in AHI and should be considered as a treatment option for OSA in children