Reviewing the Evidence: Do Orthodontic Premolar Extractions Directly Cause Obstructive Sleep Apnea?

Abstract

Objectives: The aim of this paper is to review recent literature on the effects of orthodontic premolar extractions contributing to obstructive sleep apnea. The paper also reviews the literature regarding effects of extractions on dental arch length, total tongue space changes, and upper airway changes. Methods: The PubMed database was systematically searched to obtain all the current eligible papers, covering the period from 2008-2017. Exclusion criteria included papers not published in the English language. Searches included reference key words including: obstructive sleep apnea, orthodontic treatment, premolar extraction, and airway space. Results: After assessing the available articles, a total of 15 articles were chosen in the correct time frame to be considered a current analysis of the data. Conclusion: To date there is no evidence that orthodontic premolar extractions directly cause obstructive sleep apnea. Keywords: