Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome

Management of the Pediatric Patient with Suspected Diagnosis of Obstructive Sleep Apnea Syndrome

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Aim: The aim of this paper is to describe the multidisciplinary management pathway for pediatric patients with suspected obstructive sleep apnea 15-eg1053cl syndrome (OSAS) conducted by the Pediatric and Orthodontic Department of the Dental Clinic of Padua.Materials and methods: All pediatric subjects undergo a comprehensive medical history, including the completion of the Pediatric Sleep Questionnaire (PSQ), and a physical examination.Patients with suspected OSAS are placed on a waiting list for home respiratory polygraphy testing.

The respiratory polygraphy examination is conducted over two consecutive nights and interpreted by a neurologist.Additionally, patients diagnosed with OSAS undergo a case study involving intraoral and extraoral photography, as well as radiographic evaluation.Results: Between September 2021 and May 2023, a total of grandpas best 134 subjects (including 76 males), with an average age of 9.

2 years, were identified as diagnostic suspects.Among these, 38 patients (28.3%) tested positive based on respiratory polygraphic results.

Depending on the severity and etiopathogenetic characteristics of the disease, the positive cases were referred to various specialists.Conclusion: In the daily clinical practice of dentistry, particularly in orthodontics and pedodontics, the establishment of a defined management pathway for pediatric patients with OSAS is crucial.The collaboration of a multidisciplinary team with a shared objective of achieving accurate diagnosis and implementing targeted treatment in a timely manner is essential.

Regular re-evaluation of patients through clinical and instrumental examinations is recommended.