ArticleBMC oral health2023
Pediatric sleep-disordered breathing in Shanghai: characteristics, independent risk factors and its association with malocclusion.
Article in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Effects of rapid maxillary expansion and functional orthodontic treatment in children with sleep disordered breathing: a systematic review.BMC oral health · 2025Pooled it
- Craniofacial and occlusal phenotypes associated with questionnaire-defined risk of sleep-disordered breathing in children: a cross-sectional study.BMC oral health · 2026Article
- Screening for paediatric sleep disordered breathing in the dental setting: a scoping review.Sleep & breathing = Schlaf & Atmung · 2026Article
- A longitudinal cohort study of sleep-disordered breathing in children: interrelationships with craniofacial morphology, malocclusion, and intervention outcomes.BMC oral health · 2026Article
- Comparison between traditional and digital anterior repositioning splints on the upper airway in skeletal class II malocclusion with TMJ degenerative disease.Scientific reports · 2026Observational
- Integrative Assessment of Cephalometric and Polysomnographic Features in Paediatric Obstructive Sleep Apnea: A Cross-Sectional Study.Nature and science of sleep · 2026Article
- Malocclusion in 12-13-years old Polish adolescents - an analysis across a spectrum of parental, birth, and developmental factors.BMC oral health · 2025Article
- Sleep disorders, behavioral aspects, general and oral health in children aged 6 to 10 years: structural equation modeling.Clinical oral investigations · 2025Article
- Beyond virality: evaluating evidence-based content delivery in social media-based pediatric orthodontic education.BMC oral health · 2025Article
- Knowledge, attitudes, and practices of family members of children aged 2-6 years with snoring regarding pediatric snoring and its management.BMC public health · 2025Article
- Dentofacial deformities as independent predictors of sleep disorders: a cross-sectional study of young adults.BMC oral health · 2025Article
- Sleep-Disordered Breathing as a Mediator Between Premature Birth and Behavior Problems in School-Aged Children: A Cross-Sectional Study of 6-10 Year Olds in Shanghai, China.Nature and science of sleep · 2025Article
- Mutual Influence Between Allergic Rhinitis and Sleep: Factors, Mechanisms, and interventions-A Narrative Review.Nature and science of sleep · 2024Review
- Article
- Does three-dimensional facial morphology relate to risk of sleep-disordered breathing in children? A cross-sectional study.Science progressArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThis study aimed to determine the prevalence and independent risk factors of SDB, and explore its association with malocclusion among 6-11-year-old children in Shanghai, China.
methodsA cluster sampling procedure was adopted in this cross-sectional study. Pediatric Sleep Questionnaire (PSQ) was applied to evaluate the presence of SDB. Questionnaires including PSQ, medical history, family history, and daily habits/environment were completed by parents under instruction, and oral examinations were implemented by well-trained orthodontists. Multivariable logistic regression was applied to identify independent risk factors for SDB. Chi-square tests and Spearman's Rank Correlation were used to estimate the relationship between SDB and malocclusion.
resultsA total of 3433 subjects (1788 males and 1645 females) were included in the study. The SDB prevalence was about 17.7%. Allergic rhinitis (OR 1.39, 95% CI 1.09-1.79), adenotonsillar hypertrophy (OR 2.39, 95% CI 1.82-3.19), paternal snoring (OR 1.97, 95% CI 1.53-2.53), and maternal snoring (OR 1.35, 95% CI 1.05-1.73) were independent risk factors for SDB. The SDB prevalence was higher in children with retrusive mandibles than in proper or excessive ones. No significant difference was observed in the correlation between SDB and lateral facial profile, mandible plane angle, constricted dental arch form, the severity of anterior overjet and overbite, degree of crowding and spacing, and the presence of crossbite and open bite.
conclusionsThe prevalence of SDB in primary students in the Chinese urban population was high and highly associated with mandible retrusion. The independent risk factors included Allergic rhinitis, adenotonsillar hypertrophy, paternal snoring, and maternal snoring. More efforts should be made to enhance public education about SDB and related dental-maxillofacial abnormalities.
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