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| Artikel
nr. |
007 |
| Hoofdonderwerp |
Analyze dental and
skeletal side effects after 4 years of treating
obstructive sleep apnea (OSA) patients with a mandibular
advancement device (MAD) compared with uvulopalatopharyngoplasty
(UPPP). |
| Titel |
Dental and skeletal
changes after 4 years of obstructive sleep apnea
treatment with a mandibular advancement device:
a prospective, randomized study. |
| Ondertitel |
|
| Publicatiedatum |
juli 2003 |
| Auteurs |
Ringqvist M, Walker-Engstrom
ML, Tegelberg A, Ringqvist I |
| Tijdschrift |
Am J Orthod Dentofacial
Orthop. 2003 Jul;124(1):53-60 |
| Aantal
pagina's |
8 |
| Link |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&
cmd=Retrieve&list_uids=12867898&Dopt=Citation |
| Taal |
Engels |
| Abstract |
The aim of this prospective,
randomized study was to analyze dental and skeletal
side effects after 4 years of treating obstructive
sleep apnea (OSA) patients with a mandibular advancement
device (MAD) compared with uvulopalatopharyngoplasty
(UPPP). With the appliance in position, the mandible
was advanced 50% of maximum protrusion capacity
(ie, 4-6 mm); the vertical opening between the incisal
edges was, on average, 3 mm. Thirty patients in
the MAD group and 37 in the UPPP group completed
the 4-year follow-up. There were no differences
between the MAD and the UPPP groups in any of the
dental or skeletal variables measured after the
4-year treatment period. In the MAD group, small
but statistically significant changes were found:
there was a posterior rotation of the mandible (mandibular
line [ML]/nasion-sella line [NSL]) (mean 0.5 degrees
[95% confidence interval (CI) 0.1-0.8 degrees ]).
Correlated to the posterior rotation of the mandible,
the distances incision superius ML, incision superius-NSL,
and incision inferius-NSL increased by means (95%
CI) of 0.7 (0.5-1.2), 0.8 (0.4-1.1), and 1.3 (0.8-1.8)
mm, respectively. Overjet and overbite did not change
significantly, nor was there a significant change
in the mandibular length. The observed changes were
considered clinically insignificant because overbite
and overjet stayed within normal limits. Only the
vertical position of the maxillary incisors in relation
to ML changed to the extent that the 95% CI of the
mean for the change was outside that of the mean
of the change in the UPPP group and measurement
error. Treatment of OSA with a dental appliance
is probably a lifelong process, and long-term follow-up
studies should therefore be undertaken to control
both the treatment effect on OSA and the side effects
on the masticatory system. |
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| Artikel
nr. |
008 |
| Hoofdonderwerp |
Een onderzoek naar
een nieuw intra-orale prothese als een mogelijke
therapie bij het Obstructief Slaap Apneu Syndroom
(OSAS) |
| Titel |
Is SnorEx also ApneaEx?
A study with a new intra-oral prosthesis as a form
of therapy of obstructive sleep apnea syndrome |
| Ondertitel |
|
| Publicatiedatum |
augustus 1997 |
| Auteurs |
B. Schonhofer, H.
Rager, M. Wenzel, G. Wenzel, D. Kohler |
| Tijdschrift |
Pneumologie. 1997
Aug;51 Suppl 3:804-8 |
| Aantal
pagina's |
|
| Link |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=
PubMed&list_uids=9340647&dopt=Abstract |
| Taal |
Duits |
| Abstract |
De laatste jaren zijn
verschillende dentale hulpmiddelen aanbevolen voor
de behandeling van slaapapneu. In dit onderzoek
worden de resultaten met een bepaald type prothese,
de zogenaamde "SnorEx", beschreven. Deze
is ontworpen om de bovenste luchtwegobstructies
tijdens de slaap te verminderen door het voorwaarts
trekken van de tong door middel van een "lepel"
geplaatst op de basis van de tong. |
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| Artikel
nr. |
009 |
| Hoofdonderwerp |
Evaluatie van het
gebruik van een MRA voor de behandeling van Sleep
Disordered Breathing bij patiënten met Congestive
Heart Failure. |
| Titel |
Sleep apnoea in patients
with stable congestive heart failure an intervention
study with a mandibular advancement device. |
| Ondertitel |
|
| Publicatiedatum |
2004 |
| Auteurs |
M. Eskafi, Department
of Stomatognathic Physiology, Faculty of Odontology,
Malmo University, Sweden |
| Tijdschrift |
Swed Dent J Suppl.
2004;(168):1-56 |
| Aantal
pagina's |
|
| Link |
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dop
t=Abstract&list_uids=15638133&query_hl=3 |
| Taal |
Engels |
| Abstract |
Continuous positive
airway pressure has been the traditional method
used to treat SDB in patients with CHF, but compliance
and tolerability are poor. A mandibular advancement
device (MAD) is a dental device recommended for
the treatment of sleep apnoea, but the method has
never been evaluated in patients with CHF. The aims
of the present studies were to evaluate the practical
use of the MAD for the treatment of SDB in patients
with CHF and to test the hypothesis that this intervention
increases the dimensions of the pharyngeal airway
(PAW), reduces SDB and BNP, and improves LVEF and
the quality of life. Patients with mild to moderate
CHF and SDB were evaluated using a portable polysomnographic
device, lateral radiographs, cardiological and odontological
examinations, and quality of life measures prior
to and following intervention with an custom-made
MAD.
Conclusion: Because the treatment of SDB is important
in the management of CHF, the MAD intervention seems
to be a valuable method in the treatment arsenal
of SDB. |
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