Le problematiche respiratorie nel sonno in età adulta: il ruolo dell’ortodontista

Ranieri, Salvatore; Laganà, Giuseppina; Lombardo, Elisabetta Cretella; Cozza, Paola

doi:10.19256/d.cadmos.06.2018.06

Cited by 2 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…-Dentists/orthodontists/prosthodontists should screen for potential patients with SDB/OSA. 4,9,[29][30][31][32][33]11,13,15,20,22,24,27,28 -Screening could include questionnaires, such as the validated tool for OSA risk assessment STOP-Bang questionnaire, the Epworth Sleepiness Scale, Friedman Tongue Classification System, Kushida Index, or Berlin Questionnaire for Sleep Apnea; evaluation of neck size and body mass index; modified Mallampati classification to describe the patency of oral airway. 33 -Refer to the sleep physician or otolaryngologist when SDB/OSA is suspected.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…33 -Refer to the sleep physician or otolaryngologist when SDB/OSA is suspected. 9,11,15,20,24,27,29,31,32,33 Studies' recommendations for OA:…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…15,21,33 -OA is indicated for patients with mild to moderate OSA who prefer OAs to CPAP therapy or who do not respond to CPAP therapy or have contraindications for the use of CPAP therapy, although the sleep physicians are responsible for prescribing the most appropriate or acceptable treatment option. 11,13,30,31,34,35,15,20,[22][23][24][25]27,29 -OA can significantly decrease the AHI, respiratory disturbance index, and respiratory event index, independently of OSA severity. 15,21 -Reduction in AHI before and after treatment with OAs versus CPAP has no statistically significant differences (P = 0.44).…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…The selected studies were published between 1999 and 2019. One was published in Italian, 20 and the others were published in English. 4,11,13,15,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Recommendations made by the studies included in this systematic review were for the dentists' clinical practice in patients with OSA, SDB or snoring.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…One was published in Italian, 20 and the others were published in English. 4,11,13,15,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Recommendations made by the studies included in this systematic review were for the dentists' clinical practice in patients with OSA, SDB or snoring. Most of the included studies were based on or were the guideline itself from an accredited dental or medical association as follows: American Association of Orthodontics (AAO) 33 ; American Academy of Dental Sleep Medicine (AADSM) 4,21 ; American Academy of Sleep Medicine (AASM) 22,23 ; AADSM + AASM 24 ; AASM + German Sleep Society 25 ; American Academy of Craniofacial Pain; 26 Canadian Sleep Society; 27 American College of Prosthodontists; 15 American Dental Association (ADA); 11 German Society of Otorhinolaryngology, Head and Neck Surgery + Association of Scientific Medical Societies in Germany.…”

Section: Study Characteristicsmentioning

confidence: 99%

See 4 more Smart Citations

Sleep-Disordered Breathing: The Dentists’ Role – A Systematic Review

Gianoni-Capenakas¹,

Gomes²,

Mayoral³

et al. 2020

J Dent Sleep Med

View full text Add to dashboard Cite

Objective: Although dentists have an important role related to sleep disorders, there is a concern about how far dentists can go when screening or treating these patients. The objective of this systematic review is to present guidelines, recommendations, and studies designed with the intention to describe and guide the role of dentists in sleep-disordered breathing (SDB)-related issues. 1 Methods: The eligibility criteria were guidelines, protocols, and recommendations focused on determining the role of dentists in the sleep disorders topic. The search was conducted through the databases Cochrane, EMBASE, Medline, LILACS, PubMed, and Web of Science. This systematic review was reported according to the preferred reporting items for systematic review and meta-analysis protocols (PRISMA). 1 Results: Overall, a total of 1,432 studies were found in the 6 databases searched. After removing duplicates, the studies were evaluated by title and abstract. In the second phase, 231 studies were evaluated by reading their full text. Twenty-two studies matched the inclusion criteria. Conclusions: Through this systematic review it is possible to conclude that the guidelines describe the role of dentists in screening patients for SDB/obstructive sleep apnea (OSA) as follows: refer the patients suspected of SDB/OSA to sleep physicians; apply, manage, and follow up the use of oral appliances. Clinical significance: All dentists should screen for SDB/OSA; however, only well-trained dentists with good knowledge of dental sleep medicine should be part of the multidisciplinary team to treat patients with SBD/OSA.

show abstract

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…33 -Refer to the sleep physician or otolaryngologist when SDB/OSA is suspected. 9,11,15,20,24,27,29,31,32,33 Studies' recommendations for OA:…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Sleep-Disordered Breathing: The Dentists’ Role – A Systematic Review

Gianoni-Capenakas¹,

Gomes²,

Mayoral³

et al. 2020

J Dent Sleep Med

View full text Add to dashboard Cite

show abstract

Clinical management of a severe case of positional obstructive sleep apnea syndrome

Venza

2023

ADS

View full text Add to dashboard Cite

Obstructive sleep apnea syndrome (OSAS) is a common disorder which involves upper airway collapse during sleep. Positional Obstructive Sleep Apnoea Syndrome is a sub-type of OSAS characterized by obstructive apneas mainly in the supine sleeping position. Mandibular advancement devices (MAD) are recommended as first-line therapy for mild to moderate OSA or as second-line treatment for severe OSA for patients who do not tolerate or respond to CPAP. A case report of severe positional OSAS (AHI/h 34.7) is presented. The clinical case was studied by CBCT head and neck scan and nocturnal polysomnography and treated with a mandibular advancement device, positional therapy, dietary adjustments and instructions for proper sleep hygiene. After the treatment the patient's AHI decreased to 5.1 and his general health improved. The MAD appliance represents a valid therapeutic alternative in subjects with severe OSAS who do not tolerate CPAP. A combined approach to the pathology can improve the patient's overall health and quality of life.

show abstract

Le problematiche respiratorie nel sonno in età adulta: il ruolo dell’ortodontista

Cited by 2 publications

References 0 publications

Sleep-Disordered Breathing: The Dentists’ Role – A Systematic Review

Sleep-Disordered Breathing: The Dentists’ Role – A Systematic Review

Clinical management of a severe case of positional obstructive sleep apnea syndrome

Contact Info

Product

Resources

About