RETROSPECTIVE LATERAL SEFALOMETRIC ANALYSIS OF PATIENTS USING MANDIBLE ADVANCEMENT DEVICES IN THE TREATMENT OF OBSTRUCTIVE SLEEP APNEA SYNDROME
Abstract
Objective: Obstructive sleep apnea syndrome (OSAS) is a sleep disorder with occurs in the upper airway during sleep and is characterized by recurrent collapses. The mandible advancement device (MAD) is a successful treatment option for patients with moderate and severe OSAS. This study examines the effectiveness of the MAD appliance in patients diagnosed with OSAS. Material and methods: The angle between A point, Nasion and Sella (ANB), angle between B point, Nasion and Sella (SNB) and lower respiratory tract changes in 20 cases diagnosed with OSAS and treated with MAD appliances were examined. The lateral cephalometric films of the patients before and after the appliance were evaluated by matching. The obtained data were statistically evaluated with the paired comparison t-test. Results: In the measurements made with lateral cephalometric imaging of patients with and without appliances, the SNB and posterior airway size (PAS) values increased while the ANB values decreased. No change was observed in the SNA values. Conclusion: According to lateral cephalometric imaging analysis, it can be said that MAD appliances are effective in the treatment of OSAS.
References
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OBSTRÜKTİF UYKU APNE TEDAVİSİNDE MANDİBULAYI ÖNDE KONUMLANDIRAN APAREY YAPILAN HASTALARDA RETROSPEKTİF LATERAL SEFALOMETRİK İNCELEME
Abstract
Amaç: Obstrüktif uyku apne sendromu (OSAS) uyku sırasında üst hava yolunda meydana gelen ve tekrarlayan kollapslarla karakterize uyku düzensizliği sendromudur. Mandibulayı önde konumlandıran (MAD) apareyler orta ve ileri derecedeki OSAS hastalarında, başarı oranı yüksek bir tedavi seçeneğidir. Bu çalışmada OSAS tanısı alan hastalarda MAD apareyin etkisi incelenmiştir. Gereç ve Yöntemler: OSAS tanısı konmuş ve MAD apareylerle tedavi edilen 20 vakanın, Nasion ve Sella arasının oluşturduğu açı (ANB), Nasion ve Sella arasının oluşturduğu açı (SNB) ve alt solunum yolu değişimleri incelenmiştir. Hastaların başlangıç ve aparey yapıldıktan sonraki lateral sefalometrik filmleri çakıştırılarak değerlendirildi. Elde edilen veriler t-testi ile istatistiksel olarak değerlendirildi. Bulgular: Apareyli ve apareysiz hastaların lateral sefalometrik görüntüleme ile yapılan ölçümlerinde SNB ve PAS değerlerinde artarken ANB değerleri azalmıştır. SNA değerlerinde ise değişiklik olmadığı görülmüştür. Sonuç: Lateral sefalometrik görüntüleme ölçümlerine göre MAD apareylerinin OSAS tedavisinde etkili olduğu söylenebilir.
References
- 1. Mubashir T, Abrahamyan L, Niazi A, Piyasena D, Arif AA, Wong J, et al. The prevalence of obstructive sleep apnea in mild cognitive impairment: a systematic review. BMC Neurol 2019;19(1):195. google scholar
- 2. Köktürk O, Tatlıcıoğlu T, Kemaloğlu Y, Fırat H, Çetin N. Habituel horlaması olan olgularda obstrüktif sleep apne sendromu prevelansı. Tüberküloz ve Toraks 1997; 45:7-11. google scholar
- 3. Lombardi C, Pengo MF, Parati G. Obstructive sleep apnea syndrome and autonomic dysfunction. Auton Neurosci 2019; 221:102563. google scholar
- 4. Donovan LM, Kapur VK. Prevalence and characteristics of central compared to obstructive sleep apnea: analyses from the sleep heart health study cohort. Sleep 2016;39(7):1353-9. google scholar
- 5. Köktürk O. Uykuda solunum bozuklukları; tarihçe, tanımlar, hastalık spektrumu ve boyutu. Tüberküloz ve Toraks 1998;46:187-92. google scholar
- 6. Köktürk O. Obstrüktif uyku apne sendromu epidemiyolojisi. Tüberküloz ve Toraks 1998;46:193-201. google scholar
- 7. Köktürk O. Obstrüktif uyku apne sendromu sonuçları. Tüberküloz ve Toraks Dergisi 2000;48(3):273-89. google scholar
- 8. García NM, Blaya F, Urquijo EL, Heras ES, D’Amato R. Oral appliance for Obstructive sleep apnea: prototyping and optimization of the mandibular protrusion device. J Med Syst 2019;43(5):107. google scholar
- 9. Mehta NR, Correa LP. Oral appliance therapy and temporomandibular disorders. Sleep Med Clin 2018;13(4):513-9. google scholar
- 10. Kurtulmuş H, Çötert S, Tuncer AV. Obstrüktif uyku apnesinin tanısında lateral sefalometrik yaklaşım ve mandibular ilerletici splint ile tedavisi. EÜ Dişhek Fak Derg 2007;28:113-22. google scholar
- 11. Cillo JE, Dattilo DJ. Maxillomandibular Advancement for obstructive sleep apnea produces long-term horizontal advancement of the maxilla and mandible. J Oral Maxillofac Surg 2019;77(12):2524-8. google scholar
- 12. Barewal RM. Obstructive Sleep apnea: the role of gender in prevalence, symptoms, and treatment success. Dent Clin North Am 2019;63(2):297-308. google scholar
- 13. Güzel KG, Meşe A, Tanrıkulu T.Obstrüktif uyku apnesi sendromunun tedavisinde protetik yaklaşım: Olgu sunumu. Atatürk Üniv Diş Hek Fak Derg 2011;4:86-91. google scholar
- 14. Marklund M, Franklin KA, Persson M. Orthodontic side-effects of mandibular advancement devices during treatment of snoring and sleep apnoea. Eur J Orthod 2001;23:135-44. google scholar
- 15. Carvalho FR, Lentini-Oliveira DA, Prado LB, Prado GF, Carvalho LB. Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children. Cochrane Database Syst Rev 2016;10(10):CD005520. doi: 10.1002/14651858. google scholar
- 16. Schell TG. Avoiding and managing oral appliance therapy side effects. Sleep Med Clin 2018;13(4):503-12. google scholar
- 17. Ng JH, Yow M. Oral appliances in the management of obstructive sleep apnea. Sleep Med Clin 2019;14(1):109-18. google scholar
- 18. Koretsi V, Eliades T, Papageorgiou SN. Oral ınterventions for obstructive sleep apnea. Dtsch Arztebl Int 2018;115(12):200-7. google scholar
- 19. Brunzini A, Gracco A, Mazzoli A, Mandolini M, Manieri S, et al. M. Preliminary simulation model toward the study of the effects caused by different mandibular advancement devices in OSAS treatment. Computer methods in biomechanics and biomedical engineering 2018;21(13):693-702. google scholar
Details
| Primary Language | English |
|---|---|
| Subjects | Dentistry |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | February 28, 2023 |
| Submission Date | November 7, 2022 |
| Published in Issue | Year 2023 Volume: 6 Issue: 1 |
