PURPOSE To evaluate the improvement of ADHD related symptoms in school-aged children ages 5 to 12 in treatment with a monobloc appliance (MOA) for Sleep Disordered Breathing (SDB). METHODS A retrospective review of questionnaire scores of ADHD symptoms from school-aged children being treated with a MOA for SDB. Data was obtained from parent survey questionnaires of 40 school-aged children in three dental offices in treatment with an MOA for SDB showing symptoms of ADHD yet to be confirmed with a formal diagnosis between 2019 and 2021. ADHD symptom scores were ascertained by a parent survey questionnaire completed at the initial visit before MOA treatment, and 2 to 6 months, and 7+ months during MOA treatment. RESULTS At the 7+ month endpoint, 17 of the 28 (61%) children ages 5 to 12 saw at least a 1-point drop in the sum of their questionnaire scores indicating an improvement in ADHD symptoms after initiating treatment with an MOA. Although there was a reduction of the overall average symptom score from the initial visit to 2 to 6 months (M = 4.06, SD ± 1.55), a statistically significant improvement in ADHD symptoms occurred at the 7+ month endpoint (M = 15.29, SD ± 4.50) during MOA treatment. CONCLUSIONS Treatment with an MOA may be highly effective in addressing the dual pathologies of SDB and ADHD in school-age children ages 5 to 12.

中文翻译：

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一种新颖的干预措施，可同时解决 5-12 岁学龄儿童睡眠期间呼吸障碍和未确诊的注意力缺陷多动障碍的双重病理。

目的 评估使用整体矫治器 (MOA) 治疗睡眠呼吸障碍 (SDB) 的 5 至 12 岁学龄儿童 ADHD 相关症状的改善情况。方法 对接受 MOA for SDB 治疗的学龄儿童的 ADHD 症状问卷评分进行回顾性审查。数据取自 2019 年至 2021 年间，对三个牙科诊所接受 MOA for SDB 治疗的 40 名学龄儿童进行的家长调查问卷，这些儿童显示出 ADHD 症状，但尚未得到正式诊断的确认。ADHD 症状评分是通过家长调查确定的问卷在 MOA 治疗前的初次访视、MOA 治疗期间 2 至 6 个月和 7 个月以上完成。结果 在 7 个多月的终点，28 名 5 至 12 岁儿童中有 17 名 (61%) 的问卷总分至少下降了 1 分，表明开始使用 MOA 治疗后 ADHD 症状有所改善。尽管总体平均症状评分从初次就诊到 2 至 6 个月有所下降（M = 4.06，SD ± 1.55），但在 7 个月以上终点时 ADHD 症状出现了统计学上显着的改善（M = 15.29，SD ± 4.50) MOA 治疗期间。结论 MOA 治疗对于解决 5 至 12 岁学龄儿童 SDB 和 ADHD 的双重病症可能非常有效。