Evidence map›Paper›PMID 39557815›Full record

ReviewJournal of prosthodontics : official journal of the American College of Prosthodontists2025

Craniofacial anatomical determinants of pediatric sleep-disordered breathing: A comprehensive review.

Kyung-A Kim, Su-Jung Kim, Audrey Yoon

Abstract readReview
In one paragraph

Review in Journal of prosthodontics : official journal of the American College of Prosthodontists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. [Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Early-life NOThe Lancet regional health. Western Pacific · 2025
    Article
  18. Open Mouth Posture Syndrome (OMPS): Classification.Journal of clinical medicine · 2025
    Article
  19. Craniofacial anatomical determinants of pediatric sleep-disordered breathing: A comprehensive review.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2025
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kyung-A KimDepartment of Orthodontics, Kyung Hee University School of Dentistry, Seoul, South Korea.ORCID https://orcid.org/0000-0002-0597-5347
Su-Jung KimDepartment of Orthodontics, Kyung Hee University School of Dentistry, Seoul, South Korea.ORCID https://orcid.org/0000-0001-8500-5246
Audrey YoonSleep Medicine Division, Department of Psychiatry and Behavioral Sciences, Stanford University, School of Medicine, Redwood City, California, USA.ORCID https://orcid.org/0000-0001-6807-7686

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis narrative review aims to elucidate the anatomical features of sleep-disordered breathing (SDB) in children. By identifying key structures and intervening proactively, we seek to alter craniofacial growth patterns and improve functional outcomes for SDB children.

methodsThe literature on pediatric sleep-disordered breathing (PSDB), pediatric obstructive sleep apnea (OSA), anatomical predispositions, and the relationship between skeletal deformity and PSDB was examined using PubMed and Google Scholar databases, covering studies from 2006 to 2024.

resultsForty relevant articles were reviewed, focusing on craniofacial characteristics associated with PSDB. The etiology of PSDB is multifactorial, with adenoid and palatal tonsil enlargement being the most common cause. While adenotonsillectomy is recommended as the primary treatment, residual SDB may result in craniofacial skeletal deformities contributing to upper airway constriction. Typical craniofacial phenotypes of SDB include excessive vertical growth and constriction of the maxilla, a retruded mandible, and posterior rotation, known as a Class II hyperdivergent pattern. Conversely, Class III with an underdeveloped maxilla shows a relatively lower risk for SDB due to reduced nasal cavity and nasopharyngeal airway volumes. Transverse maxillary constriction with a high, deep palatal vault is a significant risk factor. Additionally, nasal obstruction and low tongue posture, with or without a short lingual frenulum, are identified as craniofacial risk factors for SDB development in children.

conclusionEarly diagnosis and intervention are critical in managing PSDB. Dentists, through screening and early treatment, can significantly influence craniofacial growth and health outcomes. A multidisciplinary approach is essential for effective management, improving the quality of life and long-term health of affected children.

Indexed as

Craniofacial AbnormalitiesSleep Apnea SyndromesChildHumansRisk FactorsSleep Apnea, Obstructivecraniofacial traitsgrowth modificationmouth breathingpediatric obstructive sleep apneapediatric sleep disordered breathing

Identifiers

PMID39557815
PMCPMC12000634

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.