Prevalence of Nasal Airway Obstruction in an Orthodontic Population Using the NOSE Scale

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Main Authors: Rebecca Petts, Diana Ponsky, Luciane Macedo de Menezes, Tarek ElShebiny, Kristina Wolf, Juan Martin Palomo
Format: Artículo Open Access
Published: Wiley 2025
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author Rebecca Petts
Diana Ponsky
Luciane Macedo de Menezes
Tarek ElShebiny
Kristina Wolf
Juan Martin Palomo
author_facet Rebecca Petts
Diana Ponsky
Luciane Macedo de Menezes
Tarek ElShebiny
Kristina Wolf
Juan Martin Palomo
Rebecca Petts
Diana Ponsky
Luciane Macedo de Menezes
Tarek ElShebiny
Kristina Wolf
Juan Martin Palomo
collection Wiley Open Access
contents Prevalence of Nasal Airway Obstruction in an Orthodontic Population Using the NOSE Scale Rebecca Petts Diana Ponsky Luciane Macedo de Menezes Tarek ElShebiny Kristina Wolf Juan Martin Palomo Orthodontics & Craniofacial Research ABSTRACT Introduction Nasal Airway Obstruction is a common problem affecting 30% of the general population and significantly impacts the quality of life. The objective of this research was to determine nasal airway obstruction prevalence in a population seeking orthodontic treatment using the Nasal Obstruction Symptom Evaluation ( NOSE) scale and to determine if practice modalities play a role. Methods The sample consisted of 431 patients seeking orthodontic care who completed the NOSE survey at an orthodontic residency program, a corporate practice, and a private practice. Results Obstruction was not correlated with age, gender, or trauma ( p  < 0.05). The mean of all scores was 8.4 ± 14.7 (95% confidence interval [ CI] : 7.0–9.8), ranging from 0 to 80 on a scale of 100. The prevalence of nasal airway obstruction in the orthodontic population was: mild or above—43.9% (95% CI : 39.1%–48.7%); moderate or above—11.4% (95% CI : 8.6%–14.9%); severe—2.6% (95% CI : 1.3%–4.5%); and extreme—0.2% (95% CI : 0.0%–1.3%). The Kruskal–Wallis test showed no significant difference among patients at the three locations. Conclusions The Prevalence of Nasal Airway Obstruction (Mild to Extreme) in orthodontic populations was 43.9% (95% CI : 39.1%–48.7%), representing or slightly exceeding that of the general population. There was no significant difference between an orthodontic residency program, a corporate practice, and a private practice, indicating that the results are widely applicable. Orthodontists are encouraged to use the NOSE scale as a risk assessment tool, providing additional healthcare services to patients and potentially improving their quality of life. 10.1111/ocr.70004 http://onlinelibrary.wiley.com/termsAndConditions#vor
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spellingShingle Prevalence of Nasal Airway Obstruction in an Orthodontic Population Using the NOSE Scale
Rebecca Petts
Diana Ponsky
Luciane Macedo de Menezes
Tarek ElShebiny
Kristina Wolf
Juan Martin Palomo
Orthodontics & Craniofacial Research
Prevalence of Nasal Airway Obstruction in an Orthodontic Population Using the NOSE Scale Rebecca Petts Diana Ponsky Luciane Macedo de Menezes Tarek ElShebiny Kristina Wolf Juan Martin Palomo Orthodontics & Craniofacial Research ABSTRACT Introduction Nasal Airway Obstruction is a common problem affecting 30% of the general population and significantly impacts the quality of life. The objective of this research was to determine nasal airway obstruction prevalence in a population seeking orthodontic treatment using the Nasal Obstruction Symptom Evaluation ( NOSE) scale and to determine if practice modalities play a role. Methods The sample consisted of 431 patients seeking orthodontic care who completed the NOSE survey at an orthodontic residency program, a corporate practice, and a private practice. Results Obstruction was not correlated with age, gender, or trauma ( p  < 0.05). The mean of all scores was 8.4 ± 14.7 (95% confidence interval [ CI] : 7.0–9.8), ranging from 0 to 80 on a scale of 100. The prevalence of nasal airway obstruction in the orthodontic population was: mild or above—43.9% (95% CI : 39.1%–48.7%); moderate or above—11.4% (95% CI : 8.6%–14.9%); severe—2.6% (95% CI : 1.3%–4.5%); and extreme—0.2% (95% CI : 0.0%–1.3%). The Kruskal–Wallis test showed no significant difference among patients at the three locations. Conclusions The Prevalence of Nasal Airway Obstruction (Mild to Extreme) in orthodontic populations was 43.9% (95% CI : 39.1%–48.7%), representing or slightly exceeding that of the general population. There was no significant difference between an orthodontic residency program, a corporate practice, and a private practice, indicating that the results are widely applicable. Orthodontists are encouraged to use the NOSE scale as a risk assessment tool, providing additional healthcare services to patients and potentially improving their quality of life. 10.1111/ocr.70004 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Prevalence of Nasal Airway Obstruction in an Orthodontic Population Using the NOSE Scale
topic Orthodontics & Craniofacial Research
url https://onlinelibrary.wiley.com/doi/10.1111/ocr.70004