Oral Appliance Therapy May Benefit Craniofacial Growth

Dentistry Today


Children with enlarged tonsils and adenoids who wore an oral appliance for six months show significant craniofacial growth, enlargement of pharyngeal dimensions, and better breathing and snoring while sleeping, according to new research.

When the tonsils are enlarged and dental malocclusion occurs, the result is poor sleep. Some of the results include abnormal craniofacial growth and facial morphology.

To determine ways to combat these issues, the ENT Department of the University of Sao Paulo Medical School conducted a study of 40 children on the waiting list for adenotonsillectomy. The children, who ranged from age 6 to 9, showed some signs of snoring or tonsil and adenoid enlargement grades III and IV, which is constricted maxilla and/or jaw deficiency.

The 40 children were divided into two groups: 24 children received treatment with the Bioajusta X and the other 16 were the control group for the study. The prevalence of snoring was then compared to before the treatment for the children who received the Bioajusta X.

One of the results of this research is the possible prevention of obstructive sleep apnea at some point in the future.

Cephalometric analysis was utilized when looking at the jaw.

Parents of the children filled out questionnaires to help compile the data.

This information received the Graduate Student Research Award at the American Academy of Dental Sleep Medicine meeting in Minneapolis.