Treatment of Obstructive Sleep Apnea and Hipoapnea Syndrome with oral appliances

Almeida, Marco Antônio de; Teixeira, Andressa Otranto de Britto; Vieira, L. S.; Quintão, Cátia Cardoso Abdo

doi:10.1016/s1808-8694(15)31028-4

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…The orthodontist is well-positioned to perform an OSA screening assessment and refer at-risk patients for diagnostic evaluation [7]. Besides the clinical examination, some important anatomic features observed radiographically in patients with OSA include, narrow mandible arch; maxillary and mandibular retrognathism; increased lower facial height; the lower and more anterior position of the hyoid bone; reduced pharyngeal area; increased cranio-cervical angle; decreased distance between the base of the tongue and the posterior pharyngeal wall; hypertrophied tonsils and adenoids; over-erupted maxillary and mandibular dentition and enlarged tongue [4].…”

Section: Discussionmentioning

confidence: 99%

“…Small but statistically significant increases in face height are accompanied by a significant downward position of the mandible secondary to dental changes [17]. Occlusal changes start happening later on, and they will be significant at the 30-month follow-ups [4]. They include a decrease in overjet, proclination of mandibular incisors, retroclination of the maxillary incisors, decreased occlusal contacts, and mesial shift of the molar and cuspid occlusion [16].…”

Section: Discussionmentioning

confidence: 99%

“…OSA is characterized by repeated episodes which lead to sleep fragmentation and oxygen desaturation. Clinically, OSA is defined by the occurrence of daytime sleepiness, loud snoring, witnessed breathing interruptions, or awakenings due to gasping or choking [3,4]. Polysomnography (PSG) is the gold standard for OSA diagnosis and it allows to assess the apnea/hypopnea index (AHI) that is the expression of OSA severity [5].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Orthodontic Management of Adult Sleep Apnea: Clinical Case Reports

Ousehal¹,

Sahim²,

Bouzid³

et al. 2022

Current Trends in Orthodontics

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Obstructive sleep apnea (OSA) is a serious public health problem that has important impacts on the quality and life expectancy of affected individuals. It is characterized by repetitive upper airway collapse during sleep. OSA requires a multidisciplinary plan of treatment. There is increasing interest in the role of the orthodontist both in screening for adult obstructive sleep apnea and its management. Dental appliances and orthognathic surgery are two strategies that are currently used in the treatment of sleep apnea. This chapter focuses on the orthodontic management of sleep apnea in adults through three clinical cases with varying degrees of severity of sleep apnea. It provides a background on OSA treatment approaches and discusses the potential risks and benefits of each.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Orthodontic Management of Adult Sleep Apnea: Clinical Case Reports

Ousehal¹,

Sahim²,

Bouzid³

et al. 2022

Current Trends in Orthodontics

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show abstract

“…3 Mandibular advancement devices (MAD) offer a noninvasive option with less discomfort for patients than CPAP 3 . Studies have revealed an effectiveness of 63% with MADs in patients with mild to severe OSAS 12 . There is no single universal MAD and its contribution to improvement of polysomnography indices in patients, according to their level of OSAS severity, depends on the manufacturing technique, its material and the design based on individual sagittal and vertical propulsion parameters 13 .…”

Section: Introductionmentioning

confidence: 99%

et al. 2018

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ObjectiveThis study uses polysomnography and the Epworth sleepiness scale to assess the efficiency of the Ocluch©MAD in patients with Obstructive sleep apnea-hypopnea syndrome (OSAS), on overall respiratory disturbance indices (RDI), supine respiratory disturbance index (SRDI), minimum oxygen saturation, microarousals, CT90 (or ID90), sleep efficacy and snoring. These data are associated with skeletal class and facial biotype in order to establish predictive parameters for its effectiveness according to craniofacial morphology.Methods22 adult patients (between 38 and 60 years of age) of both sexes (7 women, 15 men) diagnosed with OSAS in the Hospital de Carabineros de Chile (HOSCAR) Neurology Unit were recruited and given the Ocluch© MAD in the hospital’s dental clinic, for its use during a three-month period. Patients were assess at the beginning and in the end of this period.Results87.5% of patients with mild OSAS achieved the success criterion and normalization; 71.5% of patients with moderate OSAS achieved the success criterion and 33.3% achieved normalization; 85.7% of patients with severe OSAS achieved the success criterion and 57.1% achieved normalization. All class I and mesofacial patients achieved normalization, but class II patients had the greatest proportional improvement.ConclusionsThe Ocluch MAD is an efficient low-cost alternative that should be considered among the therapeutic arsenal for a multidisciplinary approach to treating this disease.

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Computational fluid dynamics analysis of H-uvulopalatopharyngoplasty in obstructive sleep apnea syndrome

Zhu

et al. 2019

American Journal of Otolaryngology

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Treatment of Obstructive Sleep Apnea and Hipoapnea Syndrome with oral appliances

Cited by 6 publications

References 22 publications

Orthodontic Management of Adult Sleep Apnea: Clinical Case Reports

Orthodontic Management of Adult Sleep Apnea: Clinical Case Reports

Efficiency of the Ocluch©MAD in the treatment of patients with OSAS and its association with craniofacial morphology

Computational fluid dynamics analysis of H-uvulopalatopharyngoplasty in obstructive sleep apnea syndrome

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