Obstructive sleep apnea treatment with dental appliance

Reimão, Rubens; Gouveia, Marcia Maria de; Pestana, Maria da Conceição de Gouveia; Lopes, Sandra Regina; Papaiz, Elio Giacomo; Papaiz, Luiz Fernando

doi:10.1590/s0004-282x1994000400018

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…At the pathophysiological level, OSAS is based on a partial or complete obstruction of the airways during sleep, which derives from a collapse of the tissues that form the PAS (posterior airway space). This collapse can occur at different points: affecting the soft palate (the most common), from the walls of the pharynx, the base of the tongue, or the epiglottis [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…These oral appliances, to be worn during sleep, increase the upper-airway space through a mechanical action via two different strategies: to lead the tongue into a more advanced position (tongue-retaining devices) and to determine mandibular advancement (mandibular advancement device or MAD). These devices are well tolerated by patients, easy to use, noninvasive, and removable, with mild and, overall, acceptable side effects [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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The Effects of the Myobrace® System on Peripheral Blood Oxygen Saturation (SpO2) in Patients with Mixed Dentition with Oral Dysfunction

Levrini,

Persano,

Piantanida

et al. 2023

Dentistry Journal

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Introduction: Myobrace® is an orthodontic device that has the purpose of correcting oral dysfunctions, thus predisposing the physiological growth of the jaws, aligning teeth, and optimizing face development. This device is usually associated with Myobrace® Activities to reach this target. Considering the lack of studies in the literature about peripheral blood oxygen saturation (SpO2) and the use of preformed oral devices, the aim of this study is to quantify the change in blood oxygen saturation (SpO2) in patients treated with the Myobrace® System in mixed dentition. Materials and Methods: In this study, 23 children (11 females and 12 males) were involved, who were affected by different oral dysfunctions and were treated with a Myobrace®. Blood oxygen saturation measurements were taken at baseline and after every four months for a year. The SpO2 measurements were taken in the rest position and with a closed mouth for a total of 12 min—6 min with and 6 min without the Myobrace® oral device. All data points were anonymized and recorded on an Excel spreadsheet. A statistical analysis was carried out. Results: Therapy with a Myobrace® in patients with mixed dentition resulted in a statistically significant increase in oxygen saturation. In particular, in patients with a closed mouth, a statistically significant increase in oxygen saturation was observed, bringing it from 97.66% to 99.00%, while in the rest position, the increase was from 98.03% to 99.07%. Conclusions: The use of Myobrace® devices in patients with mixed dentition could lead to a significant improvement in blood oxygen saturation.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effects of the Myobrace® System on Peripheral Blood Oxygen Saturation (SpO2) in Patients with Mixed Dentition with Oral Dysfunction

Levrini,

Persano,

Piantanida

et al. 2023

Dentistry Journal

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“…OSAS disorganizes the relational life of the patient, affecting his/her ability to maintain an adequate social life and negatively influencing his/her quality of life 1 . Intraoral devices have been developed as an alternative treatment for OSAS, and some studies have shown improvement in the quality of life of patients who systematically use an intraoral device that positions the mandible anteriorly and increases the dimensions of the collapsible region of the airways [6][7][8] . In addition to the cited mandibular repositioners, other treatments available include continuous positive airway pressure (CPAP) -the standard treatment for severe apneas -and surgical procedures which, however, have not yet been evaluated in high quality clinical studies 9,10 .…”

mentioning

confidence: 99%

Quality of life of patients with obstructive sleep apnea syndrome treated with an intraoral mandibular repositioner

Machado

Prado

Carvalho

et al. 2004

Arq. Neuro-Psiquiatr.

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-Background: Obstructive sleep apnea syndrome (OSAS) is a very important and prevalent disease, which is associated with a poor quality of life in many patients. Treatments for OSAS include surgery, Continuos Positive Air way Pressure, and an intraoral mandibular repositioner (IOMR), but the tendency of sleep centers is to emphasize the apnea index, neglecting quality of life as treatment outcome. Objective: To verify to what extent treatment with an IOMR improves the OSAS patient's quality of life. Method: Eleven male patients aged 34 to 63 years (mean=49) with mild to moderate OSAS were evaluated using the Calgary SAQLI questionnaire applied before and four weeks after treatment with an IOMR. The mandibular repositioners were manufactured individually for each patient with acrylic polymer and equipped with a retentive device to maintain the mandible in a forward position during sleep. Results: Excellent improvement in the quality of life was observed in five patients (45.5%) and excellent improvement in symptoms in 10 (90.9%). Conclusion: The systematic use of the IOMR indicates a clear improvement in the global quality of life as well as in the symptoms of patients with OSAS.KEY WORDS: obstructive sleep apnea syndrome, intraoral mandibular repositioner, and quality of life.Qualidade de vida em pacientes com síndrome de apnéia obstrutiva do sono tratados com reposicionador mandibular intra-oral RESUMO -Contexto. A síndrome da apnéia obstrutiva do sono (SAOS) é importante e prevalente doença associada à má qualidade de vida em muitos pacientes. Os tratamentos disponíveis incluem cirurgias, CPAP e o aparelho reposicionador mandibular intraoral (ARMIO). Muitos centros de distúrbios de sono valorizam apenas a redução do número de apnéias no tratamento da SAOS, dando pouca atenção à qualidade de vida como desfecho do tratamento. Objetivo: Graduar melhora da qualidade de vida dos pacientes com SAOS usando ARMIO. Método: O questionário Calgary SAQLI foi aplicado, antes e após, 4 semanas de tratamento com ARMIO, a 11 pacientes masculinos, entre 34 e 63 anos de idade (média de 49 anos), com SAOS leve a moderada. ARMIOs foram manufaturados com polímero acrílico e providos com retentivos para manter a mandíbula em posição anterior durante o sono. Resultados: Observamos grande melhora na qualidade de vida em 5 pacientes (45,5%) e melhora dos sintomas em 10 (90,9%). Conclusão: O uso do ARMIO associa-se principalmente à melhora dos sintomas, como também à melhora da qualidade de vida global.PALAVRAS-CHAVE: síndrome da apnéia obstrutiva do sono, aparelho reposicionador mandibular intra-oral, qualidade de vida.The quality of life of modern humans is dependent on socioeconomic, cultural and health factors. Disease, in addition to affecting the psychological and emotional state of the individual, compromises family income, causing damage to education, housing and social interaction 1,2 . Obstructive sleep apnea syndrome (OSAS) is characterized by complete or partial obstruction of the upper airways during sleep, mainly...

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Dermatoglifia e composição corporal em apnéia obstrutiva do sono

Mercanti

Bezerra

Filho

et al. 2004

Arq. Neuro-Psiquiatr.

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A síndrome da apnéia obstrutiva do sono (SAOS) tem como principal fator de risco a obesidade e acredita-se que fatores genéticos poderiam contribuir na sua patogênese. O objetivo deste estudo foi descrever as características antropométricas e dermatoglíficas dos portadores de SAOS. Foram mensurados: indice de massa corporal (IMC); indice de conicidade, gordura corporal relativa, somatotipo e coletadas as impressões digitais. Trinta e um casos de SAOS foram comparados a número igual de controles. Pelo IMC e gordura corporal relativa os apnéicos foram classificados como obesos. O indice de conicidade revelou forte componente de obesidade central. No somatotipo, predominou a categoria endomorfo-mesomorfo, indicando alta magnitude dos componentes músculo-esquelético e adiposo com linearidade relativa de grande volume por unidade de altura. Para índices mais graves de apnéia observa-se maior predominância mesomórfica na composição corporal. Através do teste t, a dermatoglifia não mostrou diferenças estatisticamente significativas entre portadores da SAOS e os controles.

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Obstructive sleep apnea treatment with dental appliance

Cited by 3 publications

References 11 publications

The Effects of the Myobrace® System on Peripheral Blood Oxygen Saturation (SpO2) in Patients with Mixed Dentition with Oral Dysfunction

The Effects of the Myobrace® System on Peripheral Blood Oxygen Saturation (SpO2) in Patients with Mixed Dentition with Oral Dysfunction

Quality of life of patients with obstructive sleep apnea syndrome treated with an intraoral mandibular repositioner

Dermatoglifia e composição corporal em apnéia obstrutiva do sono

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