Long-term sequellae of oral appliance therapy in obstructive sleep apnea patients: Part 2. Study-model analysis

Almeida, Fernanda R.; Lowe, Alan A.; Otsuka, Ryo; Fastlicht, Sandra; Farbood, Maryam; Tsuiki, Satoru

doi:10.1016/j.ajodo.2005.04.034

Cited by 142 publications

(143 citation statements)

References 22 publications

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“…Almeida et al 6 observed favorable dental changes in almost half of the patients who had been using IODs for an average of 7.4 years. According to the results of Almeida et al 30 , IODs induced teeth movement but no craniofacial skeletal changes.…”

Section: Discussionmentioning

confidence: 99%

“…Almeida et al 6 concluded that because the use of IODs for OSAS is a long-term treatment and because the changes appear to continue over time, archiving cephalometric radiographs, study models, and preand post-treatment intraoral photographs should be encouraged in all clinical protocols for the use of IODs.…”

Section: Discussionmentioning

confidence: 99%

“…It has also been associated with a worsening in the quality of life and in relationships with spouses and partners, decreased alertness, and an increased risk of traffic accidents. In addition, there are indications of an increase in cardiovascular diseases among untreated OSAS patients, and it is a potentially life-threatening condition 1,3,[6][7] that requires an early diagnosis and effective treatment. …”

mentioning

confidence: 99%

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Obstructive sleep apnea syndrome: how should the dental surgeon proceed?

Ronsani

Meira

Godolfim³

et al. 2014

RGO, Rev. Gaúch. Odontol.

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RESUMOO presente trabalho tem por objetivo relatar um caso clínico diagnosticado como Síndrome da apnéia obstrutiva do sono, e expor uma sequência lógica para o tratamento de pacientes que sofrem desta doença. Através da interpretação do exame de polissonografia, da anamnese, exame clínico e, ainda, por meio da realização do traçado e análise cefalométrica para apnéia do sono, indicou-se de forma segura e efetiva a terapia com aparelho intra-oral. Desta maneira, foi confeccionado um aparelho de avanço mandibular, o PLG. Após quatro semanas de uso do aparelho, o paciente foi encaminhado à realização de uma nova polissonografia, a qual revelou ausência de apnéias obstrutivas durante o sono. As etapas seguidas no tratamento deste estudo de caso destacaram a importância e a necessidade de uma abordagem correta e criteriosa dos casos de pacientes com apnéia do sono encaminhados ao consultório odontológico. A abordagem e sequência apresentadas garantiram o sucesso no tratamento deste estudo de caso. Obstructive episodes are usually accompanied by loud snoring and a drop in blood oxygen saturation (hypoxemia), ending in short micro-awakenings, which result in sleep fragmentation 4 . Sleep basically consists of two moments that alternate between waking states: non-rapid eye movement (NREM) and rapid eye movement (REM). Sleep apnea events last longer and have higher hypoxemia during REM sleep than during NREM sleep in patients with OSAS 5 . Termos de indexação:According to Jauhar et al. 2 , the deterioration of sleep quality caused by OSAS significantly contributes to excessive daytime sleepiness, loss of cognitive capacity, and mood swings and personality changes. It has also been associated with a worsening in the quality of life and in relationships with spouses and partners, decreased alertness, and an increased risk of traffic accidents. In addition, there are indications of an increase in cardiovascular diseases among untreated OSAS patients, and it is a potentially life-threatening condition 1,3,[6][7] that requires an early diagnosis and effective treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Obstructive sleep apnea syndrome: how should the dental surgeon proceed?

Ronsani

Meira

Godolfim³

et al. 2014

RGO, Rev. Gaúch. Odontol.

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“…Some authors [25][26][27] correlate the observed occlusal changes with the type of initial occlusion in patients using mandibular protruding devices for OSAH treatment. Almeida et al (2006) 25 and Almeida et al (2006) 26 carried out some long term assessment works, 4.7 years average.…”

Section: Discussionmentioning

confidence: 99%

Tratamento da síndrome da apnéia e hipopnéia obstrutiva do sono com aparelhos intrabucais

Almeida¹,

Teixeira

Vieira

et al. 2006

Rev. Bras. Otorrinolaringol.

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Obst ructive sleep apnea and hipoapnea syndrome (OSAHS) is a disorder that affects about 4% of the adult population, and besides the social problems associated to snoring and extreme day time sleepiness, it is preoccupying since it may cause pulmonary hypertension and cardiac failure. Review and discussion -Through a literature review, we discuss the use of oral appliances to treat this condition, in regards of therapy effectiveness and limitations, main clinical symptoms, major occlusal side effects, rate of improvement and patient satisfaction. Conclusions -We concluded that the use of oral appliances should be a first choice treatment for mild to moderate OSAHS, being dental, joint and muscular discomforts, hypersalivation and xerostomia, the most frequent clinical symptoms, with light occlusal side effects that normally do not bother the patients, with a good degree of improvement and high satisfaction index.

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“…[7][8][9][10][11]23,24,25 These appliances have been employed as a treatment alternative for patients with moderate to severe sleep apnea who are intolerant to the use of continuous positive airway pressure (CPAP). 1,2,[7][8][9][10][11][12][13]21,23,24,25 This study focused in short-term efficacy and acceptance of a mandibular advancement splint (intraoral appliance) as an aid in the treatment of snoring and obstructive sleep apnea-hypopnea syndrome.…”

Section: Introductionmentioning

confidence: 99%

Short-term efficacy of mandibular advancement splint in treatment of obstructive sleep apnea-hypopnea syndrome

Lima

Furquim²,

Ramos³

2013

Dental Press J. Orthod.

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Objective:The aim of the present study was to determine the short-term efficacy of treatment for snoring and obstructive sleep apnea-hypopnea syndrome (OSAHS) using a mandibular advancement splint. Methods: The sample comprised 20 patients (13 men and 7 women; mean age = 48 years; mean body mass index = 27.07) with OSAHS. Polysomnograms were performed before and 60 days after mandibular advancement splint therapy. Results: There was a significant reduction in the apnea-hypopnea index (AHI) following treatment (mean pretreatment AHI = 20.89 ± 17.9 versus mean posttreatment AHI = 4.43 ± 3.09) (p < 0.05). The snoring reduced and the sleep efficiency improved, as registered by polysomnograms (p<0.05). Conclusions: The sleep quality improved in patients using mandibular advancement splint. Further studies evaluating long-term effects are needed.Keywords: Sleep apnea syndrome. Snoring. Polysomnography. Objetivo: verificar a eficácia e aceitação do tratamento de ronco e da SAHOS por meio de aparelho intrabucal. Métodos: a amostra foi composta de 20 pacientes de ambos os sexos (13 homens e 7 mulheres) que apresentavam SAHOS, com média de idade de 48 anos, e índice de massa corporal (IMC) médio de 27,07. Foram realizadas polissonografias pré-e pós-tratamento (60 dias) em todos os pacientes, e os sinais e sintomas foram analisados por meio de exame clínico após o uso de splint. Resultados: houve uma redução significativa do índice de apneia e hipopneia (IAH = 20,89 ± 17,9/hora) registrado no pré-tratamento, em comparação ao registrado durante o uso do aparelho intrabucal (IAH = 4,43 ± 3,09/hora). A roncopatia, a eficiência do sono e o índice de saturação de oxigênio também mostraram melhoras e, consequentemente, a sonolência diurna, o cansaço e a irritabilidade diminuíram. Conclusões: apesar de algum desconforto relatado, houve boa aceitabilidade do aparelho por 60% dos pacientes, havendo melhora na qualidade do sono. Torna-se necessário um acompanhamento em médio e em longo prazo desses pacientes, com vistas ao ronco, à apneia do sono e aos efeitos colaterais decorrentes dessa modalidade de tratamento. Palavras-chave: IntroductIonSnoring and sleep apnea stand out among the 84-catalogued diseases related to sleep disorders, affecting 10% of the population worldwide. More than 15 million Brazilians snore. With regard to sex, the proportion of men to women is 10:1, as men are more prone to the buildup of fat in neck and abdominal region 16 . Sleep is essential to the homeostasis and restoration of the organism, including the central nervous system. Sleep is a dynamic physiological process involving the loss of consciousness and inactivation of the voluntary musculature, and is reversible through the effect of stimuli (tactile, auditory, somatosensory).

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Long-term sequellae of oral appliance therapy in obstructive sleep apnea patients: Part 2. Study-model analysis

Cited by 142 publications

References 22 publications

Obstructive sleep apnea syndrome: how should the dental surgeon proceed?

Obstructive sleep apnea syndrome: how should the dental surgeon proceed?

Tratamento da síndrome da apnéia e hipopnéia obstrutiva do sono com aparelhos intrabucais

Short-term efficacy of mandibular advancement splint in treatment of obstructive sleep apnea-hypopnea syndrome

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