Reviewing the Evidence: Do Orthodontic Premolar Extractions Directly Cause Obstructive Sleep Apnea?
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چکیده
Obstructive sleep apnea (OSA) can be a serious and potentially fatal breathing disorder if left untreated leading to heart arrhythmias, heart failure, high blood pressure, stroke and diabetes [1-5]. This disorder causes a person to experience pauses in breathing due to collapse or blockage of the upper airway during sleep [3,5]. The true cause of OSA can be one or a multiple of the following: the size and position of soft and hard tissue structures of the oro-facial complex, tongue size, soft palate thickness and length, adenotonsillar size, hyoid bone position, short mandibular length, high mandibular plane angle (dolichofacial growth pattern), Class II skeletal and dental malocclusions, and a narrow maxillary arch width, among others [5].
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