International Journal of Paediatric Dentistry, cilt.35, sa.6, ss.1153-1161, 2025 (SCI-Expanded, Scopus)
Background: Sleep-disordered breathing (SDB) in children is a growing health concern, with dentists playing a key role in early detection. Aim: This cross-sectional study evaluates the FAIREST-6 screening tool for identifying SDB and associated orofacial dysfunctions during mixed dentition and examines its relationship with orthodontic parameters and body mass index (BMI). Design: The study included 100 children from Marmara University. SDB was assessed using the Sleep Disturbance Scale for Children (SDSC), while FAIREST-6, the Index of Orthodontic Treatment Need (IOTN), and Angle's classification were used for clinical evaluations. BMI was calculated, and statistical analyses were performed with SPSS. Results: FAIREST-6 scores were significantly associated with SDB (p < 0.001) but not with IOTN (p = 0.053). However, IOTN scores correlated with SDSC (p = 0.033), suggesting a link between malocclusion severity and sleep disturbances. BMI varied significantly across FAIREST-6 scores (p = 0.002), indicating a relationship between obesity and airway issues. No significant differences were found based on gender or age (p > 0.050). Conclusion: FAIREST-6 shows potential as a screening tool for SDB and related orofacial dysfunctions in children. Further research is needed to validate its clinical use and explore its role in assessing SDB, malocclusion, and BMI.