Causes of Sleep-Disordered Breathing in Children

Enlarged tonsils and adenoids are a common cause of sleep-disordered breathing (SDB), including obstructive sleep apnea (OSA). They can block the airway during sleep and disrupt normal sleep patterns.

Other factors may include:

  • Obesity: Extra tissue may place pressure on the airway.
  • Facial or jaw development: Structural differences may limit airway space.
  • Muscle or nerve conditions: These conditions may weaken muscle control around the airway.

Identifying the possible cause can help guide diagnosis and treatment.

Symptoms to Watch For

Children with sleep-disordered breathing (SDB) or obstructive sleep apnea (OSA) may show symptoms during the night and throughout the day.

Possible nighttime signs include:

  • Snoring
  • Teeth grinding
  • Frequent waking
  • Restless sleep
  • Bedwetting

Daytime signs may include:

  • Sleepiness or low energy
  • Trouble focusing
  • Hyperactivity
  • Anxiety or changes in behavior

A dental examination may also reveal enlarged tonsils, which can be a physical sign of SDB in children.

Treatment Options

Treatment for sleep-disordered breathing (SDB) or obstructive sleep apnea (OSA) depends on each child’s needs. Options may include surgical or non-surgical care. A careful evaluation helps determine which treatment may be safe, comfortable, and effective.

Surgical Treatment

An adenotonsillectomy removes enlarged tonsils and adenoids that may block the airway. This procedure is not performed in our office. When needed, we can work with the appropriate medical provider as part of your child’s care.

Non-Surgical Treatments

  • Myofunctional therapy: Exercises help strengthen the mouth and throat muscles. They can also improve tongue position, swallowing, and nasal breathing.
  • Oral appliances: A custom appliance moves the lower jaw or tongue forward to help keep the airway open during sleep. It may be considered for some children with mild to moderate OSA.
  • Continuous positive airway pressure (CPAP): CPAP uses steady airflow to keep the airway open. Some children may have difficulty adjusting to the mask, but CPAP can be effective when prescribed and monitored by a medical provider.
  • Lifestyle and weight support: When weight contributes to an airway problem, nutrition guidance and medically supervised weight management may help reduce symptoms.

Our team takes a complete and caring approach to children’s sleep and breathing concerns. We can help families understand the available options and coordinate care with other healthcare providers when needed.

The Dentist’s Role in Managing SDB

Dentists, particularly those with pediatric and orthodontic expertise, are pivotal in identifying children at risk for sleep-disordered breathing (SDB), including obstructive sleep apnea (OSA). During routine exams, they can spot signs of adenotonsillar hypertrophy and identify craniofacial anomalies that may contribute to SDB. Dentists can provide or recommend oral appliances for mild to moderate cases and refer patients to specialists for further evaluation. Educating parents on the signs and consequences of SDB is also a key part of their role.

Children’s Sleep Breathing Treatment FAQs

Below are the questions we hear most often from parents in Urbandale and the Des Moines area about children’s sleep-disordered breathing.

Dentists look for signs like large tonsils, teeth grinding, and other craniofacial indicators during routine dental exams.

Options include oral appliances, CPAP therapy (in some cases), myofunctional therapy, and lifestyle changes such as weight management.

Early evaluations can be beneficial. Consult a dentist for symptoms like snoring, daytime sleepiness, or behavioral changes.

Yes, SDB can lead to behavioral issues such as ADHD, anxiety, and daytime sleepiness due to disrupted sleep.

Schedule Your Child’s Sleep Breathing Evaluation

Is your child showing signs of sleep-disordered breathing? Don’t wait to seek help. Lawson Dentistry in Urbandale, IA, is committed to providing comprehensive care for children experiencing SDB, including obstructive sleep apnea. Our experienced team is ready to support your child’s health and development with tailored treatment options. Contact us today by calling (515) 278-4366 to schedule an evaluation and take the first step towards restful, healthy sleep for your child. Let us be part of your journey to wellness.