Oral appliance therapy should be prescribed as a first-line therapy for OSA during the COVID-19 pandemic

Schwartz, David L.; Addy, Nancy; Levine, Mitchell; Smith, Heather A.

doi:10.15331/jdsm.7138

Cited by 5 publications

(5 citation statements)

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“…[18,19] Obstructive sleep apnea is defined by the obstruction of the upper airways during sleep, leading to rapid respiratory arrest. In this case, for patients who require the use of CPAP therapies, the use of oral devices because they do not generate aerosols and because they are easily disinfected were considered to be the first line of therapy at this time of the COVID-19 pandemic [20,21].…”

Section: Resultsmentioning

confidence: 99%

Temporomandibular disorders: Guidelines and Self-Care for Patients During COVID-19 Pandemic

Oliveira

Gonçalvez

Weig

et al. 2020

BDS

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Background: Temporomandibular disorder (TMD) belongs to a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, musculature and adjacent components. These conditions can generate signs and symptoms and be influenced by an altered biopsychosocial condition. Objective: This study aims to seek information to assist the patient in the presence of TMD signs and symptoms and Orofacial Pain, associated with the period of social isolation during the COVID-19 pandemic. Material and methods: For the preparation of this manual, a bibliographic search was performed in the databases PubMed, Latin American and Caribbean Health Sciences Literature (LILACS), BBO (BVS), Scopus, Web of Science and The Cochrane Library, using the keywords: orofacial pain, temporomandibular disorders, bruxism, stress, anxiety, biopsychosocial, diagnosis, self-care with important information on how to reduce and control the signs and symptoms of TMD and Orofacial Pain in this moment of pandemic that we are experiencing a social detachment. Results: The results show that the pandemic of COVID-19 and the need for social isolation, generates psychological impact that raises the pattern of anxiety and can directly affect patients with bruxism and TMD. Conclusion: Psychological factors associated with the pandemic can lead to an increased risk of developing, worsening and perpetuating bruxism, especially waking bruxism and TMD, so dentists should be aware of the occurrence of signs and symptoms to manage the multifactorial aspects of this condition. At that time, individual self-management strategies are advised for the patient, which consist of self-massage techniques, body education, exercise practices, sleep hygiene, meditation and making available the use of tools and online devices that facilitate this activity.KeywordsOrofacial pain; Temporomandibular disorders; Bruxism; Stress; Anxiety; Biopsychosocial; Diagnosis; Self-care; COVID-19.

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Section: Resultsmentioning

confidence: 99%

Temporomandibular disorders: Guidelines and Self-Care for Patients During COVID-19 Pandemic

Oliveira

Gonçalvez

Weig

et al. 2020

BDS

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“…Alternative treatment for OSA should also be considered, such as oral appliances (OA). Schwartz and coworkers suggested that OA should be first-line treatment during the pandemic, because of its safety [ 35 ]. Tanaka & Almeida have developed a set of precautions, including telemedicine, to optimize dental treatment for SDB in full safety [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Sleep laboratories reopening and COVID-19: a European perspective

et al. 2020

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The clinical activities regarding sleep disordered breathing (SDB) have been sharply interrupted during the initial phase of the COVID-19 epidemic throughout Europe. In the last months, activities have gradually restarted, according to epidemiological phase of COVID-19 and National recommendations. The recent increase in cases throughout Europe obliges to reconsider management strategies of SDB accordingly. Diagnosis of SDB and initiation of treatment pose some specific problems to be addressed to preserve safety of the patients and health personnel. This perspective document by a group of European sleep experts aims at summarising some different approaches followed in Europe and United States, which reflect National recommendations according to the epidemiological phase of the COVID-19 infection. Respiratory sleep medicine will likely change in the near future, and use of telemedicine will grow to avoid unnecessary risks and continue to provide optimal care to the patients. The document also covers pediatric sleep studies and indications for titration of noninvasive ventilation, as well as precautions to be followed by patients who are already on positive airway pressure treatment. A single consensus document developed by the European Respiratory Society and National Societies would be desirable to harmonise SDB management throughout Europe.

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“…Con este articulo se pretende describir las mejores recomendaciones disponibles a la fecha, para la continuidad de apertura de los servicios de medicina del sueño, estimulando el uso de CPAP titulado en casa (Auto CPAP) (53) el uso de poligrafía ambulatoria o polisomnografia en casa y la necesidad de considerar en un futuro un «laboratorio de sueño virtual», con video asistencia, consulta en línea, estudios en casa con técnico a domicilio, entre otras opciones para resolver los problemas de sueño de niños, asegurando la mejor eficacia y adherencia (41,(53)(54)(55)(56). Lo cual se ha demostrado con el uso de teleasistencia para los pacientes con CPAP, no se debe pasar por alto el apoyo multidisciplinario para el SAHOS, y los elementos de apoyo al tratamiento como: aparatos orales o maxilares, que algunos autores plantean en esta pandemia, como primera línea de tratamiento el uso de estos elementos en apoyo con odontopediatria y cirugía maxilofacial (57,58). Nuestras direcciones estratégicas deben dirigirse a las poblaciones con mayor riesgo, niños con comorbilidades faciales, orales, obesidad, dismorfias sindromicas, y sobre todo aquellos niños en comunidades aisladas de las ciudades capitales, para tener acceso a internet, elementos de salud electrónica, amigables y fáciles de usar, costo -efectivos y accequibles por la familia o por las IPS primarias (59).…”

Section: Discussionunclassified

Recomendaciones para la realización de estudios de sueño pediátricos durante la pandemia covid-19

Bolaños-Almeida¹,

Saldaña

Mahecha³

2020

Pediatria.

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En Colombia, con la actual pandemia por COVID-19, algunas unidades de sueño suspendieron la realización de estudios de sueño en población pediátrica, debido al probable contagio y propagación. De acuerdo con las autoridades competentes, desde junio del 2020, Colombia se encuentra en la fase de mitigación del COVID-19 y las medidas obligatorias de prevención implementadas por el gobierno colombiano como el lavado de manos frecuente, el uso de tapabocas en sitios públicos, el distanciamiento físico y social y el confinamiento de la mayoría de la población en sus hogares, han ayudado a reducir la velocidad de propagación del virus. Sin embargo, debido a la grave crisis económica causada por la pandemia, las autoridades sanitarias locales han emitido varias medidas de bioseguridad para retornar poco a poco a una relativa normalidad, incluyendo la prestación de servicios de salud a pacientes no COVID-19. El objetivo de este artículo es realizar recomendaciones para que las unidades de sueño locales implementen las medidas de bioseguridad mínimas que permitan el reinicio y adecuado desarrollo de los estudios de sueño en población pediátrica. Estas recomendaciones se basan en las estrategias de mitigación establecidas por las autoridades sanitarias locales, en una revisión de la literatura relevante disponible y en las recomendaciones de algunas asociaciones de medicina del sueño.

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Oral appliance therapy should be prescribed as a first-line therapy for OSA during the COVID-19 pandemic

Cited by 5 publications

References 0 publications

Temporomandibular disorders: Guidelines and Self-Care for Patients During COVID-19 Pandemic

Temporomandibular disorders: Guidelines and Self-Care for Patients During COVID-19 Pandemic

Sleep laboratories reopening and COVID-19: a European perspective

Recomendaciones para la realización de estudios de sueño pediátricos durante la pandemia covid-19

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