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. 2020 Oct 15;10(4):807–813. doi: 10.1016/j.jobcr.2020.10.006

Table 1.

Clinical performa.

Part A: Modified STOP Bang questionnaire, the score of 0-2 is Non OSA risk and ≥3 (3-8) is OSA risk.

Part B: Depicts craniofacial, extra-oral and intra-oral parameters studied in OSA-risk and non-OSA-risk patients.

Reference ID: Age/Sex: Date:
Part A: Questionnaire
Q1. Do you/your ward snore?
Q2. Are you/your ward tired during day?
A. Don't know C. Rarely E. Frequently
B. Never D. Occasionally F. Almost always
Q3. Do you/your ward wake up or stop breathing during sleep?
A. Don't know C. Rarely E. Frequently
B. Never D. Occasionally F. Almost always
Q4. Is your/your ward BP ≥ 95th percentile for age and height?
A. Yes B. No
Q5. Is your/your ward BMI ≥95th percentile for age?
A. Yes B. No
Q6. Are you/your ward having learning problems?
A. Don't know C. Rarely E. Frequently
B. Never D. Occasionally F. Almost always
Q7. Is your/your ward neck circumference ≥95th percentile for age?
A. Yes B. No
Q8. Are you/your ward male?
A. Yes B. No
Total score: …. /8
Group 1: Non OSA risk (Score≤2) Group 2: OSA risk (Score 3–8)
Part B: Clinical Parameters
Group: A/B Reference ID:
Extra-oral Examination
1. Profile
A. Convex B. Straight C. Concave
2. Frontal examination:Lower face
A. Short B. Normal C. Long
3. Mandibular plane angle
A. Flat B. Normal C. Steep
Intra-oral Examination
4.Examination of faucial pillars and soft palate: Mallampati classification
A. Type I B. Type II C. Type III D. Type IV
5. Shape of upper arch
A. Tapered B. Ovoid C. Square
6. Shape of lower arch (Tapered/ovoid/square)
A. Tapered B. Ovoid C. Square
7. Molar relation: Angle's Classification
A. Class I B. Class II Div 1 C. Class II Div 2 D. Class III
Cephalometric parameters
8. SNA (maxilla in relation to Cranial Base): … … … …degrees
A. High B. Average C. Low
9. SNB (Mandible in relation to Cranial Base)): … … … …degrees
A. High B. Average C. Low
10. ANB (Maxilla in relation to Mandible)): … … … …degrees
A. High B. Average C. Low
11. SN-MP(Mandibular plane angle)- Cranium in relation to mandible): … … … …degrees
A. High B. Average C. Low
12. PP-MP (Palatal plane in relation to Mandibular plane)): … … … …degrees
A. High B. Average C. Low
13. IMPA (Lower incisor inclination to Mandibular plane): … … … …degrees
A. High B. Average C. Low
14. BaSN (Basion in relation to Cranial Base)): … … … …degrees
A. High B. Average C. Low
Upper airway morphology
15. PNS-AD1: … …mm
A. High B. Average C. Low
16. PNS-AD2 (mm):: … …mm
A. High B. Average C. Low
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