Diagnostics and treatment of patients with II class malocclusion associated with obstructive sleep apnea syndrome

Nabiev, F Kh; Dobrodeev, A S; Peng, Li-bin; Kotov, I. I.

doi:10.17116/stomat201493674-77

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…This relationship highlights the value of a team approach to patient care that includes dentists and sleep medicine specialists. Beyond these particular cases, our analysis found a variety of oral health problems associated with OSA, such as bruxism, disorders of the temporomandibular joint, changes in the palatal and dental regions, and even taste abnormalities [7][8][9][10]18,19]. The substantial effects that any of these illnesses can have on a person's quality of life highlight the necessity of early detection and treatment.…”

Section: Resultsmentioning

confidence: 85%

“…The nasal cavity may become narrowed by a high-arched, small palate, which can increase the risk of airway resistance and collapse. The typical anatomic relationships inside the oral cavity may also be altered by malocclusion and changes in the location or tone of the soft palate, which can restrict the airway and exacerbate OSA symptoms [17,18]. Furthermore, increased airway blockage during sleep may result from changes in tongue position brought on by changes in tooth structure [19,20].…”

Section: Introductionmentioning

confidence: 99%

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Oral Health Implications of Obstructive Sleep Apnea: A Literature Review

Maniaci,

Lavalle,

Anzalone

et al. 2024

Biomedicines

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Background: Obstructive sleep apnea (OSA) is a prevalent sleep disorder characterized by repeated episodes of partial or complete obstruction of the upper airway during sleep. While the systemic implications of OSA are well documented, the dental consequences are less frequently discussed yet equally significant. This review aims to elucidate the oral health impacts of OSA, emphasizing the importance of interdisciplinary care. Methods: A comprehensive literature search was conducted across several databases to identify studies examining the relationship between OSA and various oral health parameters. The review included observational studies, clinical trials, and systematic reviews published in English up to January 2024. Results: OSA was significantly associated with heightened risks of bruxism, dry mouth, periodontal disease, temporomandibular joint disorders, palatal and dental changes, and alterations in taste sensation. Mouth breathing associated with OSA was a critical factor in exacerbating xerostomia and dental caries. Furthermore, the systemic inflammation induced by OSA appeared to correlate with the severity of periodontal disease. Patients using oral appliance therapy for OSA also showed notable changes in dental occlusion and required ongoing dental monitoring. Conclusions: The findings underscore the bidirectional relationship between OSA and oral health, highlighting the need for dental professionals to be integral participants in the management of OSA. Early dental evaluation and intervention can contribute to the overall health and quality of life of individuals with OSA. The review advocates for the development of clinical guidelines to facilitate the early identification and management of OSA-related oral health issues within dental practice and encourages a collaborative approach to patient care.

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Section: Resultsmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Oral Health Implications of Obstructive Sleep Apnea: A Literature Review

Maniaci,

Lavalle,

Anzalone

et al. 2024

Biomedicines

View full text Add to dashboard Cite

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Predicting difficult airways in the practice of an anesthesiologist and emergency physician

Дубровин

Zaytsev

Svetlov

et al. 2020

Vestn. anesteziol. reanimatol.

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Diagnosis of difficult airways: a review

Zaytsev,

Usikyan,

Dubrovin

et al. 2023

Annals of Critical Care

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INTRODUCTION: Complications arising from maintaining the patency of the upper airways in the practice of an anesthetist remain the most dangerous for the life and health of the patient. The problem of predicting difficult airways has been studied for decades and has not yet been solved. OBJECTIVE: To analyze the problem of the difficult airways diagnosis. MATERIALS AND METHODS: There was search on PubMed (MEDLINE), eLibrary, Google Scholar databases for the period 01.1985–01.2022. Keywords: Difficult airways prediction, difficult airways, difficult intubation, mask ventilation, endoscopy intubation, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), difficult airways, difficult intubation, difficult laryngoscopy, mask ventilation, ultrasound diagnostics, computed tomography (CT), magnetic resonance imaging (MRI). Inclusion criteria: original, review articles, randomized and non-randomized clinical trials, meta-analyses and systematic reviews devoted to the diagnosis of TDP. Exclusion criteria: clinical cases, comments on articles, abstracts of dissertations. RESULTS: Measurement of various distances, tests for congenital or acquired deformity of the facial skull and malocclusion, tests for the relationship between the structures of the facial skull and the cervical spine, for the most part, have limited diagnostic effectiveness. The instrumental methods allows diagnosing difficult airways with greater confidence. The thickness of the tongue, the distance from the skin to the epiglottis or vocal folds, and the long epiglottis can accurately predict difficulties at various stages of maintaining airways from face mask ventilation to laryngoscopy and tracheal intubation. Ultrasonography should be considered the most optimal method for diagnosing difficult airways. At the same time, less accurate indicators compared to magnetic resonance and x-ray studies should not stop clinicians, as they are compensated by a faster examination. CONCLUSIONS: Instrumental methods for difficult airways diagnosis are more effective than physical ones.

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Diagnostics and treatment of patients with II class malocclusion associated with obstructive sleep apnea syndrome

Cited by 4 publications

References 25 publications

Oral Health Implications of Obstructive Sleep Apnea: A Literature Review

Oral Health Implications of Obstructive Sleep Apnea: A Literature Review

Predicting difficult airways in the practice of an anesthesiologist and emergency physician

Diagnosis of difficult airways: a review

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