Journals / Hacettepe Dişhekimliği Fakültesi Derg.(. Clinical Dentistry and Research) / 2007 / Cilt: 31 - Sayı: 3

Obstrüktif uyku apnesi olan kısmi dişsiz bir hastanın modifiye mandibuler ilerletme apareyi ile tedavisi

The use of modified mandibular advancement appliance in the treatment of a partially edentulous patient with obstructive sleep apnea

Pages
82–87
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: This case report shows that an oral appliance fabricated like a denture may be successful in treating sleep apnea patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Obstructive sleep apnea (OSA) is a chronic disorder of sleep and breathing characterized by recurrent obstruction of the upper airway.
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Key Findings & Data:Oral appliances can be recommended to treat moderateto- severe OSA when nasal continuous positive airway pressure (nCPAP) treatment is not tolerated.
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Conclusion & Impact:Conclusion: This case report shows that an oral appliance fabricated like a denture may be successful in treating sleep apnea patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Introduction: Obstructive sleep apnea (OSA) is a chronic disorder of sleep and breathing characterized by recurrent obstruction of the upper airway. Oral appliances can be recommended to treat moderateto- severe OSA when nasal continuous positive airway pressure (nCPAP) treatment is not tolerated. Insufficient number of teeth in maxillary and mandibular arches is considered a contraindication to oral appliance therapy.Case presentation: This case report describes the treatment of a 48-year old, partially edentulous patient with moderate obstructive sleep apnea. A modified oral appliance with artificial teeth was designed. The patient reported an improvement in his daytime symptoms and he was satisfied with the esthetic look of the appliance. Polysomnographic evaluation showed that there was a significant decrease in his apnea-hypopnea index (AHI) with the appliance. Conclusion: This case report shows that an oral appliance fabricated like a denture may be successful in treating sleep apnea patients.

Özet

Giriş: Obstrüktif uyku apnesi üst havayolununtekrarlayan obstrüksiyonu ile karakterize kronik biruyku ve solunum bozukluğudur.Nazal sürekli pozitifhavayolu basınç tedavisi hasta tarafından tolereedilemiyorsa, orta veya ciddi obstrüktif uyku apnesinintedavisinde oral apareyler kullanılabilir. Maksiller veyamandibuler arklarda yeterli sayıda diş olmaması, oralaparey tedavisi için bir kontrendikasyon olarak kabuledilmektedir.Olgu bildirimi: Bu olgu bildiriminde 48yaşında orta dereceli obstrüktif uyku apnesi olankısmi dişsiz bir hastanın tedavisi sunulmaktadır.Üzerinde diş bulunan modifiye bir oral aparey dizaynedildi.Hasta gündüz semptomlarının düzeldiğini veapareyin estetik görünümünden memnun olduğunubildirdi.Polisomnografik değerlendirmede, hastanınapne-hipopne indeksinin aparey kullanımıyla belirginşekilde azaldığı gözlendi. Sonuç: Bu olgu bildirimi,protez gibi fabrike edilen bir oral apareyin uykuapnesi hastalarının tedavisinde başarılı olabileceğinigöstermektedir

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Cite This Article

AYDINATAY, B. S., TANER, T. (., TÜRKYILMAZ, İ., DEM, A. U. (2022). Obstrüktif uyku apnesi olan kısmi dişsiz bir hastanın modifiye mandibuler ilerletme apareyi ile tedavisi. Hacettepe Dişhekimliği Fakültesi Derg.(. Clinical Dentistry and Research), Cilt: 31 - Sayı: 3, 82–87. https://ajindex.com/articles/528454

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References (14)

  1. Magliocca KR, Helman JI. Obstructive sleep apnea: diagnosis, medical management and dental implications. J Am Den Assoc 2005; 136: 1121-1129
  2. Sullivan CE, Berthon-Jones M, Issa FG, Eves L. Reversal of obstructive sleep apnea by continuous positive airway pressure applied to the nares. Lancet 1981;1: 862-865
  3. Pepin JL, Leger P, Veale D, Langevin B, Robert D, Levy P. Side effects of nasal continuous positive airway pressure in sleep apnea syndrome: study of 193 patients in two French sleep centers. Chest 1995; 107: 375-381
  4. Meurice JC, Dore P, Paquereau J, Neau JP, Ingrand P, Chavagnat JJ, et al. Predictive factors of long-term nasal continuous positive airway pressure treatment in sleep apnea syndrome. Chest 1994; 105: 429-433
  5. Gale DJ, Sawyer RH, Woodcock A, Stone P, Thompson R, O’Brien K. Do oral appliances enlarge the airway in patients with obstructive sleep apnoea? A prospective computerized tomographic study. Eur J Orthod 2000; 22: 159-168
  6. Schmidt-Nowara W, Lowe A, Wiegand L, Cartwright R, Perez-Guerra F, Menn S. Oral appliances for the treatment of snoring and obstructive sleep apnea: A review. Sleep 1995; 18: 501-510
  7. Clark GT. Mandibular advancement devices and sleep disordered breathing. Sleep Med Rev 1998; 2: 163-174
  8. Meyer JB Jr, Knudson RC. Fabrication of prosthesis to prevent sleep apnea in edentulous patients. J Prosthet Dent 1990; 63: 448-451
  9. Robertson CJ. Treatment of obstructive sleep apnoea in edentulous patients-design of a combination appliance:a case study. N Z Dent J 1998; 94:123-124
  10. Nayar S, Knox J. Management of obstructive sleep apnea in an edentulous patient with a mandibular advancement splint: A clinical report. J Prosthet Dent 2005; 94: 108- 111
  11. Liu Y, Lowe AA, Fleetham JA, Park YC. Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea. Am J Orthod Dentofacial Orthop 2001; 120: 639-647
  12. Johal A, Battagel JM. Current principles in the management of obstructive sleep apnea with mandibular advancement appliances. Br Dent J 2001;190: 532-536
  13. Fransson AMC, Tegelberg A, Svenson BAH, Lennartsson B, Isacsson G. Influence of mandibular protruding device on airway passages and dentofacial characteristics in obstructive sleep apnea and snoring. Am J Orthod Dentofacial Orthop 2002; 122: 371-379
  14. American Sleep Disorders Association Standards of Practice Committee. Practice parameters for the indications for polysomno