FAIREST-6 as a Screening Tool for Sleep-Disordered Breathing, Orthodontic Needs, and BMI in Children During the Mixed Dentition Period


Torun Ç. K., DURMUŞ B.

International Journal of Paediatric Dentistry, vol.35, no.6, pp.1153-1161, 2025 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 35 Issue: 6
  • Publication Date: 2025
  • Doi Number: 10.1111/ipd.70017
  • Journal Name: International Journal of Paediatric Dentistry
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.1153-1161
  • Keywords: body mass index, malocclusion, orofacial dysfunction, sleep, sleep apnea syndromes
  • Marmara University Affiliated: Yes

Abstract

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.