The orthodontist and obstructive Sleep Apnea - an orthodontic perspective

Abstract

Obstructive sleep apnea (OSA) is a recurrent respiratory condition related to sleep, characterised by sporadic narrowing and pharyngeal airway obstruction, with adverse effects on sleep efficiency and gaseous exchange. OSA is a poorly identified medical disorder where the diagnosis of undiagnosed patients involves a thorough history and concentrated physical assessment. The combination of anatomical and neuromuscular risk factors in the pathogenesis of OSA has resulted in a varied approach to its management. Individuals with OSA often feel unrested, fatigued, and sleepy during the daytime. These declines in daytime function can translate into higher rates of job-related and motor vehicle accidents. Screening to identify unrecognized OSA followed by appropriate treatment might improve sleep quality and normalize the AHI and oxygen saturation levels to prevent adverse health outcomes. The role of orthodontist in screening and cure is treasured in the multidisciplinary administration of OSA. The aim of this assessment is to summarize the recent information’s on the unique contributors to OSA with a centre of attention on diagnostic strategies and various orthodontic appliances which may also be considered for the cure of OSA and designed to offer guidance to practising orthodontists on the suggested role of the speciality of orthodontics in the management of obstructive sleep apnea.

A comparison of the shear bond strength of metal orthodontic brackets that have been treated with various light-emitting diode intensities and curing times: In-vitro research

“…A desired result of bonding an attachment to a tooth surface is that it should withstand orthodontic and functional forces debonding without damage to the tooth surface and without risk of breaking (Hadole and Daokar 2019;Bhowmick et al, 2023). The degree of resin polymerization affects these composites' strength, which is influenced by the radiation's duration, wavelength, strength, and other factors (Mathew, 2020).…”

“…The most popular curing devices are LED-based ones, which have been shown to produce good results with noticeably shorter light-curing periods of 10s (Erion and Banu, 2011;Mathew, 2020;Pettemerides et al, 2014) and 8s (Rueggeberg, 1996). It is based on the fundamental characteristics of a basic twin-element semiconductor diode enclosed in an optically clear epoxy dome which serves as a lens (Mavropoulos, 2005;Türkkahraman and Küçükeşmen, 2005).…”