The effects of Obstructive Sleep Apnea on children and how Dr. Greenberg can help

Sleep-disordered breathing (SDB) is a general term for breathing difficulties during sleep ranging from frequent loud breathing or snoring to Obstructive Sleep Apnea (OSA). Obstructive Sleep Apnea is a disorder involving repeated episodes of partial to complete blockage of the upper airway during sleep. Every time breathing stops the child’s body perceives a choking phenomenon. Blood oxygen levels fall, the heart rate and blood pressure rise and hormones are released to partially awaken the brain from sleep to signal the body it needs to breathe. Silence from not breathing is often followed by loud gasping, choking or snorting sounds as the child takes a deep enough breath to fight past the obstruction. Once a breath is taken the brain returns to sleep and the process begins once again. Apnea events can occur from a few times to hundreds of times a night depending upon the severity of the condition. Individuals are rarely aware of difficult breathing even after waking. Children suffering from OSA do not know what it is like to experience deep sleep and will not be able to tell you they didn’t sleep well.

Approximately 30% of Children with SDB have Obstructive Sleep Apnea

RxSmile 3D Orthodontic Imaging Scan for Obstructive Sleep Apnea evaluationDoes your child breathe loudly or snore during sleep and exhibit some of the other symptoms listed below? They may be one of the millions of children with Sleep Disordered Breathing. Approximately 10% of all children suffer from SDB and about 2-4% of the pediatric population has OSA. While not all people with SDB have OSA, almost everyone with OSA suffers from SDB.

Other symptoms linked to children suffering with OSA.

Bedroom Observations (nighttime):

  • Frequent Bed wetting- even at 9 years and older
  • Habitual mouth breathing
  • Long pauses in breathing
  • Nightmares
  • Agitated sleep or unusual sleeping patterns
  • Difficulty to wake in the morning

Behavioral Problems (daytime):

  • Decreased performance / learning problems in school
  • Attention and concentration problems
  • Hyperactivity- sometimes incorrectly diagnosed as ADD/ADHD
  • Irritability and/or aggressiveness
  • Shyness and social withdrawal
  • Daytime sleepiness

Long-Term Consequences of OSA

If left untreated, both the fragmented sleep and periods of inadequate oxygen supply that characterize OSA can result in severe long-term complications including:

  • Stunted Growth. A child’s growth hormones are primarily released during deep sleep.
  • Impaired Intelligence / Memory Loss
  • Failure to Thrive
  • Quality of Life / Depression
  • Increased risk for Alzheimer’s disease
  • Heart arrhythmias, high blood pressure, heart failure or stroke

Children will not outgrow OSA and are predisposed to be apneic as an adult.

The Good News

In many cases pediatric obstructive sleep apnea can be helped. Studies show that effective treatment of OSA in children can partially to completely reverse the symptoms and long-term consequences, and eliminate adult sleep apnea, provided treatment is administered in a timely fashion.

How can Dr. Greenberg help?

If your child exhibits symptoms of OSA it is critical they be screened for Sleep Disordered Breathing. Dr. Greg Greenberg DDS, a premier Orthodontist for over 35 years, is acutely attuned with the growth and development of a child’s face and head. He also has airway-specific training and knowledge making him uniquely qualified to screen your child, recognize SDB symptoms, and assist in diagnosis.

SDB screening includes:

  • 3-D airway scan
  • Clinical examination
  • Pediatric Sleep Questionnaire
  • Recommend what to do “next”

COMPLIMENTARY SCREENING
Dr. Greenberg believes OSA is so detrimental to the development and long-term health of your child that he offers COMPLIMENTARY OSA SCREENING. He also works in conjunction with other SDB Physicians to formulate and conduct OSA treatment options. Call 972-335-1300 or make an online Appointment Request to schedule a Complimentary OSA Screening for your child today.

Treatment Options
If OSA is confirmed via a sleep study (polysomnogram) from a certified sleep physician, Dr. Greenberg can work with that SDB Physician to formulate and coordinate a treatment plan, which may include oral sleep devices, orthodonture or surgery through other physicians (as required). Treatment options vary and are unique to each patient. However, since children are still growing with malleable airways and cranial-facial structures, positive remediation of Pediatric OSA is very high.