The Open Dentistry Journal




ISSN: 1874-2106 ― Volume 13, 2019
RESEARCH ARTICLE

Sleep Apnea throughout the First Two Years of Life: Assessment of the Effect of Pacifiers in Patients with ALTE



Luca Levrini*, Luana Nosetti, Riggi Letizia, Montericcio Laura, Massimo Agosti
Departemet of Surgery and Medicine, University of Insubria, Varese, Italy

Abstract

Background:

Apparent Life-Threatening Event (ALTE), Obstructive Sleep Apnea syndrome (OSAs) and Sudden Infant Death Syndrome (SIDS) are strongly correlated and few studies analyze the role that pacifiers play in such conditions.

Objective:

The aim of the study is to evaluate how pacifiers affect sleep apnea among children with a history of ALTE.

Methods:

10 subjects between 1 month and 2 years of age with a history of idiopathic ALTE were non-selectively recruited. Patients were subjected to cardio-respiratory monitoring at home for two consecutive nights; during the first night, the pacifier was not used, whereas the second night, the pacifier was used by the child for at least four hours sleep. Parents were given an assessment questionnaire to evaluate and report any irritation due to the pacifier use. All obtained traces were blindly analyzed by a pediatric specialist in sleep disorders, more specifically: Peripheral oxygen saturation (SpO2), heart rate (FC), Electrocardiogram (ECG) and the presence of apneas and/or hypopneas were assessed. In order to evaluate the differences between the average values collected from the two groups, a t-test was performed.

Results:

The use of the pacifier resulted in a statistically significant reduction in the number of pathological apneas/night (-1.7%; p = 0,0024), an improvement in the average SpO2 (+ 0.8%; p = 0.3328) and an increase in the value of the minimum SpO2 detected (+ 2%; p = 0.2571).

Conclusion:

The results show that the use of pacifiers improves the respiratory capacity of children that suffer from nocturnal apneas at night.

Keywords : Pacifiers, Polysomnography, Sudden infant death, Infant sleep, Interceptive orthodontics, Obstructive sleep apnea.


Article Information


Identifiers and Pagination:

Year: 2019
Volume: 13
First Page: 48
Last Page: 52
Publisher Id: TODENTJ-13-48
DOI: 10.2174/1874210601913010048

Article History:

Received Date: 04/10/2018
Revision Received Date: 13/12/2018
Acceptance Date: 11/01/2019
Electronic publication date: 31/01/2019
Collection year: 2019

Article Metrics:

CrossRef Citations:
0

Total Statistics:

Full-Text HTML Views: 116
Abstract HTML Views: 92
PDF Downloads: 56
ePub Downloads: 45
Total Views/Downloads: 309

Unique Statistics:

Full-Text HTML Views: 80
Abstract HTML Views: 59
PDF Downloads: 40
ePub Downloads: 32
Total Views/Downloads: 211
Geographical View

© 2019 Levrini et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at Department of Surgery and Medicine, University of Insubria, Varese, Italy; Tel: +39 0332/393606 & 278928; Fax; +39 0332/393280; E-mail: michele.laurenziello@unifg.it


Endorsements



"Thank you for your magnificent and marvelous support throughout the publication stages. I would like to endorse my experience with you as a Junior Researcher and a recent graduate of the Dental school. Once again Thank you for your Great Help and Guidance throughout the stages of Publication. You guys are a great team and I am proud to be a Young Bentham author."


Asra Sabir Hussain
The University of Edinburgh Business School, UK

"My experience with Bentham Open was a valuable one because the quality of the services and analysis of my paper contributed in improving what we intended to convey to the readers."


José Ricardo Kina
Department of Surgery and Integrated Clinic,
Araçatuba School of Dentistry, São Paulo State University
Brazil

"The Publication Manager was very cooperative and replied my mails and guided me without any delays; however the reviewing process was too long."


Mahtab Memarpour
Prevention of Oral and Dental Disease Research Center,
Department of Pediatric Dentistry, School of Dentistry,
Shiraz University of Medical Sciences, Shiraz,
Iran


Browse Contents



Webmaster Contact: info@benthamopen.net
Copyright © 2019 Bentham Open