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Obstrüktif uyku apnesinde oral aparey kullanımı

Yıl 2012, Cilt: 15 Sayı: 3, 264 - 278, 30.07.2012

Bulent Piskin Hakan Akin Fatih Sentut

https://doi.org/10.7126/cdj.2012.1047
Cited By: 2

Öz

Obstructive sleep apnea is a common sleep disorder among middle-aged adults. It is characterized by repetitive collaps of upper airway obstruction during sleep. Oral appliances which used for the treatment of obstructive sleep apnea are a simple and influentual alternative for protection of upper airways from obstructions during sleep. Recently, there has been increasing interest about oral appliance usage for obstructive sleep apnea patients because of the limitations of another therapies such as positive airways pressure therapy and surgical methods. This review will be chronicled the usage of oral appliances in obstructive sleep apnea patients. Furthermore, factors which affect treatment success will be tried to discuss.

Key words: Obstructive sleep apnea, oral appliances.

 

ÖZET

Obstrüktif uyku apnesi orta yaş üstü yetişkinlerde yaygın görülen bir uyku bozukluğudur. Uyku sırasında, üst hava yollarının tekrarlayan kollapsları sonucu oluşan apnelerle karakterizedir. Obstrüktif uyku apnesinde önemli bir tedavi seçeneği olan ağıziçi apareyler, uyku boyunca, üst hava yollarında oluşabilecek tıkanmaları önlemek amacıyla kullanılan basit ama etkili gereçlerdir. Son yıllarda, pozitif hava basıncı tedavisi ve cerrahi metodlar gibi diğer tedavi yöntemlerindeki kısıtlamalardan dolayı obstrüktif uyku apnesinde oral aparey kullanımına artan bir ilgi vardır. Bu derlemede, obstrüktif uyku apnesinde kullanılan oral apareyler hakkında bilgi verilecektir. Ayrıca, tedavi başarısını etkileyen faktörler tartışılmaya çalışılacaktır.

Anahtar Kelimeler

Obstrüktif uyku apnesi; ağız içi apareyler.

Kaynakça

  • Whyte KF, Gugger M, Gould GA, Molloy J, Wraith PK, Douglas NJ. Accuracy of respiratory inductive plethysmography in measuring tidal volume during sleep. J Appl Physiol ;71(5):1866-1871.
  • Cartwright R, Knight S. Silent partners: The wives of sleep apneic patients. Sleep 1987;10(3):244-248.
  • Nieto FJ, Young T, Lind B, Shahar E, Samet J, Redline S, D'Agostino RB, Newman AB, Lebowitz MD, study. JAMA treating sleep problems in family caregivers of intensive care unit patients. Crit Care Nurse Bradley TD, Floras JS. Sleep apnea and heart failure: Part 1; Obstructive sleep ;107(12):1671-1678. Circulation
  • Dyken ME, Somers VK, Yamada T, Ren Investigating the relationship between stroke and obstructive sleep apnea. Stroke MB. ;27(3):401-407. Stradling JR, Crosby JH. Predictors and prevalence of obstructive sleep apnoea and snoring in 1001 middle aged men. Thorax 1991;46(2):85-90. CrossRef]
  • Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence breathing among middle-aged adults. N Engl J Med 1993;328(17):1230- [CrossRef] sleep-disordered
  • Stradling JR, Davies RJO. Obstructive apnea/hypopnea sleep definitions, epidemiology and natural history. Thorax 2004;59(1):73-78.
  • Ohayon MM, Guilleminault C, Priest RG, Caulet M. Snoring and breathing pauses interview survey of a United Kingdom population ;314(7084):860-863.[CrossRef]
  • Bennett S, Stradling JR, Davies JO. A behavioural test to assess daytime sleepiness in obstructive sleep apnea. J Sleep Res 1997;6(2):142-145.
  • Sauter C, Asenbaum S, Popovic R, Bauer H, Lamm C, Klösch G, Zeitlhofer J. sleepiness in patients suffering from different levels of obstructive sleep apnoea syndrome. J Sleep Res ;9(3):293-310.[CrossRef] Haynes PL. The role of behavioral sleep medicine in the assessment and treatment breathing. Review CrossRef] disordered Psychology Clinical ;25(5):673-705. Yue W, Hao W, Liu P, Liu T, Ni M, Guo Q. A case–control study on psychological symptoms in sleep apnea-hypopnea syndrome. Can J Psychiatry 2003;48(5):318-323.
  • Qureshi A, Ballard RD. Obstructive sleep apnea. J Allergy Clin Immunol ;112(4):643-651.[CrossRef] Cook DJ. Obstructive sleep apnea: anatomy, physiology and perioperative considerations. Revista Mexicana De Anestesiologia 2005;28:29-35.
  • Gottlieb DJ, Whitney CW, Bonekat WH, Iber C, James GD, Lebowitz M, Nieto FJ, Rosenberg CE. Relation of sleepiness to respiratory disturbance index: The sleep heart health study. Am J Respir Crit Care Med ;159:502-507. Friedlander AH, Walker LA, Friedlander IK, Felsenfeld AL. Diagnosis and comanaging patients with syndrome. J Am Dent Assoc ;131;1178-1184. sleep apnea
  • Johns MW. A new method for measuring daytime sleepiness. The Epworth sleepiness scale. Sleep ;14:540-545. Shellock FG, Schatz CJ, Julien P, Steinberg F, Foo TK, Hopp ML, Westbrook narrowing of the pharyngeal airway in obstructive sleep apnea: evaluation of ultrafast spoiled grass MR imaging. Am J Roentgenol 1992;158:1019- Occlusion and Julià-Serdà G. Pérez-Peñate G.
  • Santana PS. Ponce-González M. Valencia-Gallardo JM. Delgado RR. Navarro cephalometry Usefulness in sparing Breath ;10:181-187. Liu Y, Lowe AA, Fleetham JA, Park YC. Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea. Am J Orthod Dentofacial Orthop 2001;120:639- [CrossRef]
  • Ciscar MA, Juan G, Martinez V, Ramon M, Lloret T, Minguez J, Armengot M, Marín J, Basterra J. Magnetic resonance imaging of the pharynx in OSA patients and healthy subjects. Eur Respir J 2001;17:79-86.
  • Lowe AA, Ono T, Ferguson KA, Pae EK, Ryan CF, Cephalometric craniofacial structure by skeletal subtype and gender in patients with obstructive sleep apnea. Am J Orthod Dentofacial Orthop CrossRef] Fleetham JA. comparisons upper and airway ;110(6):653-664. Partinen M, Guilleminault C, Quera- Salva MA, Jamieson A. Obstructive sleep roentgenograms. The role of anatomic upper airway abnormalities in the definition of abnormal breathing during sleep. Chest 1988;93(6):1199- [CrossRef] cephalometric
  • Lyberg T, Krogstad O, Djupesland G. Cephalometric analysis in patients with syndrome. I. Skeletal morphology. J Laryngol Otol 1989;103(3):287-292.
  • Lyberg T, Krogstad O, Djupesland G. Cephalometric analysis in patients with syndrome: II. Soft tissue morphology. J Laryngol Otol 1989;103(3):293-297.
  • Terris, DJ, Goode RL. Surgical management of sleep apnea and snoring. Taylor&Francis Group, Boca Raton, 2005, FL, p45-51.
  • Cushida CA. Obstructive sleep apnea. Pathophysiology, comorbidities, and consequences. 2007 by Informa Healthcare USA, Pp:119-121.
  • Whyte K, Gould G, Airlie M, Shapiro C, Douglas N. Role of protriptyline and acetazolamide in the sleep apnea/hypopnea syndrome. ;11:463-472. Sleep Lee-Chiong T. comprehensive handbook. Wiley & Sons, Inc, 2006, Canada, pp: 238-239.
  • David W. Hudgel. Treatment of Obstructive Sleep Apnea: A Review. Chest 1996;109;1346-1358.
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  • Riley RW, Powell NB, Guilleminault C. Obstructive sleep apnea and the hyoid: a revised surgical procedure. Otolaryngol ;111:717-721.[CrossRef] Neck Surg Johnson NT, Chinn J. and Uvulopalatopharyngoplasty inferior sagittal mandibular osteotomy with genioglossus advancement for treatment of obstructive sleep apnea. Chest 1994;105:278-283.[CrossRef]
  • Chan ASL, Lee RWW, Cistulli PA. Dental obstructive ;132:693-699.[CrossRef] apnea. sleep Chest Lowe AA. The Durability of Intraoral Devices for snoring and sleep apnea: another view. J Can Dent Assoc ;66:486-487. Ng AT, Qian J, Cistulli PA. Oropharyngeal treatment response with oral appliance therapy in obstructive sleep apnea. Sleep 2006;29:666-671. predicts
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  • Ferguson KA, Cartwright R, Rogers R, appliances for snoring and obstructive sleep apnea: A review. Sleep ;29:244-262. W. Oral W, Lowe A, Wiegand L, Cartwright R, Perez- Guerra F, Menn S. Oral appliances forthe treatment of snoring and obstructive sleep apnea: A review. Sleep 1995;18:501-510.
  • Pepin JL, Leger P, Veale D, Langevin B, Robert D, Levy P. Side effectes of nasal continuous positive airway pressure in sleep apnea syndrome: Study of 193 patients in two French sleep centers. Chest 1995;107:375- [CrossRef]
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Obstrüktif uyku apnesinde oral aparey kullanımı

Yıl 2012, Cilt: 15 Sayı: 3, 264 - 278, 30.07.2012

Bulent Piskin Hakan Akin Fatih Sentut

https://doi.org/10.7126/cdj.2012.1047
Cited By: 2

Öz

Obstrüktif uyku apnesi orta yaş üstü yetişkinlerde bozukluğudur. Uyku sırasında, üst hava yollarının tekrarlayan kollapsları sonucu oluşan apnelerle karakterizedir. Obstrüktif uyku apnesinde önemli bir tedavi seçeneği olan ağıziçi apareyler, uyku boyunca, üst hava yollarında oluşabilecek tıkanmaları önlemek amacıyla kullanılan basit ama etkili gereçlerdir. Son yıllarda, pozitif hava basıncı tedavisi ve cerrahi metodlar gibi diğer tedavi yöntemlerindeki kısıtlamalardan dolayı obstrüktif uyku apnesinde oral aparey kullanımına artan bir ilgi vardır. Bu derlemede, obstrüktif uyku apnesinde kullanılan oral apareyler hakkında bilgi verilecektir. Ayrıca, tedavi başarısını etkileyen faktörler tartışılmaya çalışılacaktır

Anahtar Kelimeler

Obstrüktif uyku apnesi ağız içi apareyler

Kaynakça

  • Whyte KF, Gugger M, Gould GA, Molloy J, Wraith PK, Douglas NJ. Accuracy of respiratory inductive plethysmography in measuring tidal volume during sleep. J Appl Physiol ;71(5):1866-1871.
  • Cartwright R, Knight S. Silent partners: The wives of sleep apneic patients. Sleep 1987;10(3):244-248.
  • Nieto FJ, Young T, Lind B, Shahar E, Samet J, Redline S, D'Agostino RB, Newman AB, Lebowitz MD, study. JAMA treating sleep problems in family caregivers of intensive care unit patients. Crit Care Nurse Bradley TD, Floras JS. Sleep apnea and heart failure: Part 1; Obstructive sleep ;107(12):1671-1678. Circulation
  • Dyken ME, Somers VK, Yamada T, Ren Investigating the relationship between stroke and obstructive sleep apnea. Stroke MB. ;27(3):401-407. Stradling JR, Crosby JH. Predictors and prevalence of obstructive sleep apnoea and snoring in 1001 middle aged men. Thorax 1991;46(2):85-90. CrossRef]
  • Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence breathing among middle-aged adults. N Engl J Med 1993;328(17):1230- [CrossRef] sleep-disordered
  • Stradling JR, Davies RJO. Obstructive apnea/hypopnea sleep definitions, epidemiology and natural history. Thorax 2004;59(1):73-78.
  • Ohayon MM, Guilleminault C, Priest RG, Caulet M. Snoring and breathing pauses interview survey of a United Kingdom population ;314(7084):860-863.[CrossRef]
  • Bennett S, Stradling JR, Davies JO. A behavioural test to assess daytime sleepiness in obstructive sleep apnea. J Sleep Res 1997;6(2):142-145.
  • Sauter C, Asenbaum S, Popovic R, Bauer H, Lamm C, Klösch G, Zeitlhofer J. sleepiness in patients suffering from different levels of obstructive sleep apnoea syndrome. J Sleep Res ;9(3):293-310.[CrossRef] Haynes PL. The role of behavioral sleep medicine in the assessment and treatment breathing. Review CrossRef] disordered Psychology Clinical ;25(5):673-705. Yue W, Hao W, Liu P, Liu T, Ni M, Guo Q. A case–control study on psychological symptoms in sleep apnea-hypopnea syndrome. Can J Psychiatry 2003;48(5):318-323.
  • Qureshi A, Ballard RD. Obstructive sleep apnea. J Allergy Clin Immunol ;112(4):643-651.[CrossRef] Cook DJ. Obstructive sleep apnea: anatomy, physiology and perioperative considerations. Revista Mexicana De Anestesiologia 2005;28:29-35.
  • Gottlieb DJ, Whitney CW, Bonekat WH, Iber C, James GD, Lebowitz M, Nieto FJ, Rosenberg CE. Relation of sleepiness to respiratory disturbance index: The sleep heart health study. Am J Respir Crit Care Med ;159:502-507. Friedlander AH, Walker LA, Friedlander IK, Felsenfeld AL. Diagnosis and comanaging patients with syndrome. J Am Dent Assoc ;131;1178-1184. sleep apnea
  • Johns MW. A new method for measuring daytime sleepiness. The Epworth sleepiness scale. Sleep ;14:540-545. Shellock FG, Schatz CJ, Julien P, Steinberg F, Foo TK, Hopp ML, Westbrook narrowing of the pharyngeal airway in obstructive sleep apnea: evaluation of ultrafast spoiled grass MR imaging. Am J Roentgenol 1992;158:1019- Occlusion and Julià-Serdà G. Pérez-Peñate G.
  • Santana PS. Ponce-González M. Valencia-Gallardo JM. Delgado RR. Navarro cephalometry Usefulness in sparing Breath ;10:181-187. Liu Y, Lowe AA, Fleetham JA, Park YC. Cephalometric and physiologic predictors of the efficacy of an adjustable oral appliance for treating obstructive sleep apnea. Am J Orthod Dentofacial Orthop 2001;120:639- [CrossRef]
  • Ciscar MA, Juan G, Martinez V, Ramon M, Lloret T, Minguez J, Armengot M, Marín J, Basterra J. Magnetic resonance imaging of the pharynx in OSA patients and healthy subjects. Eur Respir J 2001;17:79-86.
  • Lowe AA, Ono T, Ferguson KA, Pae EK, Ryan CF, Cephalometric craniofacial structure by skeletal subtype and gender in patients with obstructive sleep apnea. Am J Orthod Dentofacial Orthop CrossRef] Fleetham JA. comparisons upper and airway ;110(6):653-664. Partinen M, Guilleminault C, Quera- Salva MA, Jamieson A. Obstructive sleep roentgenograms. The role of anatomic upper airway abnormalities in the definition of abnormal breathing during sleep. Chest 1988;93(6):1199- [CrossRef] cephalometric
  • Lyberg T, Krogstad O, Djupesland G. Cephalometric analysis in patients with syndrome. I. Skeletal morphology. J Laryngol Otol 1989;103(3):287-292.
  • Lyberg T, Krogstad O, Djupesland G. Cephalometric analysis in patients with syndrome: II. Soft tissue morphology. J Laryngol Otol 1989;103(3):293-297.
  • Terris, DJ, Goode RL. Surgical management of sleep apnea and snoring. Taylor&Francis Group, Boca Raton, 2005, FL, p45-51.
  • Cushida CA. Obstructive sleep apnea. Pathophysiology, comorbidities, and consequences. 2007 by Informa Healthcare USA, Pp:119-121.
  • Whyte K, Gould G, Airlie M, Shapiro C, Douglas N. Role of protriptyline and acetazolamide in the sleep apnea/hypopnea syndrome. ;11:463-472. Sleep Lee-Chiong T. comprehensive handbook. Wiley & Sons, Inc, 2006, Canada, pp: 238-239.
  • David W. Hudgel. Treatment of Obstructive Sleep Apnea: A Review. Chest 1996;109;1346-1358.
  • Abad VC, Guilleminault C. Treatment options for obstructive sleep apnea. Curr ;11:358-367.[CrossRef] Neurol Cartwright R. Obstructive sleep apnea: a sleep disorder with major effects on health. Dis Mon 2001;47(4):109-147. CrossRef]
  • Fujita S, Conway W, Zorick F, Roth T. Surgical correction of anatomic abnormalities in obstructive sleep apnea uvulopalatopharyngoplasty. Otolaryngol ;89:923-34. syndrome: Head Neck Surg Ephros HD, Madani M, Yalamanchili SC. Surgical treatment of snoring & obstructive sleep apnoea. Indian J Med Res 2010;131:267-276.
  • Conradt R, Hochban W, Brandenburg U, Heitmann J, Peter JH. Long-term follow-up after surgical treatment of obstructive maxillomandibular advancement. Eur Respir J 1997;10:123-128.[CrossRef]
  • Friedman M, Tanyeri H, Lim JW, Landsberg R, Vaidyanathan K, Caldarelli D. Effect of improved nasal breathing on obstructive sleep apnea. Otolaryngol ;122:71-74.[CrossRef] Neck Surg Bowden MT, Kezirian EJ, Utley D, Goode RL. Outcomes of hyoid suspension for the treatment of obstructive Otolaryngol ;131:440-445.[CrossRef] Neck Surg Powell NB, Riley RW, Troell RJ, Li K, Blumen MB, Guilleminault C. Radiofrequency volumetric tissue reduction of the palate in subjects with sleep-disordered ;113:1163-1174.[CrossRef]
  • Riley RW, Powell NB, Guilleminault C. Obstructive sleep apnea and the hyoid: a revised surgical procedure. Otolaryngol ;111:717-721.[CrossRef] Neck Surg Johnson NT, Chinn J. and Uvulopalatopharyngoplasty inferior sagittal mandibular osteotomy with genioglossus advancement for treatment of obstructive sleep apnea. Chest 1994;105:278-283.[CrossRef]
  • Chan ASL, Lee RWW, Cistulli PA. Dental obstructive ;132:693-699.[CrossRef] apnea. sleep Chest Lowe AA. The Durability of Intraoral Devices for snoring and sleep apnea: another view. J Can Dent Assoc ;66:486-487. Ng AT, Qian J, Cistulli PA. Oropharyngeal treatment response with oral appliance therapy in obstructive sleep apnea. Sleep 2006;29:666-671. predicts
  • Cistulli PA, Gotsopoulos H, Marklund M, Lowe AA. Treatment of snoring and obstructive sleep apnea with mandibular repositioning appliances. Sleep Med Rev CrossRef] ;8:443-457. Bailey DR. Dental therapy for obstructive sleep apnea. Semin Respir Crit Care Med 2005;26(1):89-95. CrossRef]
  • Cartwright RD, Samelson C. The effects of a nonsurgical treatment for obstructive sleep apnea: the tongue retaining :705-709.[CrossRef] JAMA ; Kushida CA, Morgenthaler TI, Littner MR, Alessi CA, Bailey D, Coleman J, Friedman L, Hirshkowitz M, Kapen S, Kramer M, Lee-Chiong T, Owens J, Pancer JP; American Academy of Sleep. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: An update ;29(2):240-243. Sleep Johal A, Battagel JM. Current principles in the management of obstructive mandibular advancement appliances. Br Dent J 2001;190:532-536. with
  • Nathe C, Logothetis D, Schmidt- Nowara W. Oral appliances for the treatment of snoring and obstructive sleep apnea. J Pract Hygiene 2001;27
  • Ferguson KA, Cartwright R, Rogers R, appliances for snoring and obstructive sleep apnea: A review. Sleep ;29:244-262. W. Oral W, Lowe A, Wiegand L, Cartwright R, Perez- Guerra F, Menn S. Oral appliances forthe treatment of snoring and obstructive sleep apnea: A review. Sleep 1995;18:501-510.
  • Pepin JL, Leger P, Veale D, Langevin B, Robert D, Levy P. Side effectes of nasal continuous positive airway pressure in sleep apnea syndrome: Study of 193 patients in two French sleep centers. Chest 1995;107:375- [CrossRef]
  • D’Ambrosio C, Bowman T, Mohsenin V. Quality of life in patients with obstructive sleep apnea: Effect of nasal continuous positive airway pressure - a prospective study. Chest ;115:123-129. Chervin RD, Theut S, Bassetti C, Aldrich MS. Compliance with nasal CPAP can be improved by simple interventions. Sleep 1997;20:284-289.
  • White J, Cates C, Wright J. Continuous positive airways pressure for obstructive sleep apnoea. Cochrane Database ;(2):CD001106. Rev American Sleep
  • Association. Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep 1995;18:511-513.
  • Hoekema A, Stegenga B, de Bont LGM. Efficacy and co-morbidity of oral appliances in the treatment of obstructive sleep apnea-hypopnea: A systematic review. Crit Rev Oral Biol Med 2004;15:137-155.[CrossRef]
  • Petit FX, Pépin JL, Bettega G, Sadek H, Raphaël B, Lévy P. Mandibular advancement contraindications in 100 consecutive obstructive sleep apnea patients. Am J Respir Crit Care Med 2002;166:274- [CrossRef] rate of
  • Nayar S, Knox J. Management of obstructive sleep apnea in an edentulous patient with a mandibular advancement splint: A clinical report. J Prosthet Dent 2005;94:108-111. CrossRef]
  • Kurtulmus H, Cotert HS. Management of obstructive sleep apnea in an edentulous patient with a combination of mandibular advancement splint and tongue-retaining device: a clinical report. Sleep Breath 2009;13:97-102. CrossRef]
  • Piskin B, Sentut F, Sevketbeyoglu H, Avsever H, Gunduz K, Kose M, Oguz D, Uyar S. Efficacy of a modified mandibular advancement device for a totally edentulous patient with severe obstructive sleep apnea. Sleep Breath ;14(1):81-85.[CrossRef] Eckhart JE. Comparisons of oral devices for snoring. J Calif Dent Assoc 1998;26:611-623.
  • Lindman R, Bondemark L. A review of oral devices in the treatment of habitual snoring and obstructive sleep apnoea. Swed Dent J 2001;25:39-51. George PT. Selecting sleep- disordered-breathing appliances.
  • Biomechanical considerations. J Am Dent Assoc 2001;132:339-347.
  • Henke KG, Frantz DE, Kuna ST. An oral elastic mandibular advancement device for obstructive sleep apnea. Am J Respir Crit Care Med 2000;161:420
  • Pancer J, Al-Faifi S, Al-Faifi M, Hoffstein V. Evaluation of variable mandibular advancement appliance for treatment of snoring and sleep apnea. Chest CrossRef] Pitsis AJ, Darendeliler MA, Gotsopoulos H, Petocz P, Cistulli PA. Effect of vertical dimension on efficacy of oral appliance therapy in obstructive sleep apnea. Am J Respir Crit Care Med 2002;166:860-864.
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  • Rose E, Staats R, Virchow C, Jonas IE. A comparative study of two mandibular advancement appliances for the treatment of obstructive sleep apnoea. Eur J Orthod 2002;24:191- [CrossRef]
  • Mehta A, Qian J, Petocz P, Darendeliler MA, Cistulli PA. A randomized, controlled study of a mandibular advancement splint for obstructive sleep apnea. Am J Respir Crit Care Med 2001;163:1457-1461.
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  • Wilhelmsson B, Tegelberg Å, Walker- ML, Engström Andersson L, Krekmanov L, Ringgvist I. A prospective randomized study of a dental appliance compared with uvulopalatopharyngoplasty treatment of obstructive sleep apnoea. Acta Otolaryngol 1999;119:503-509.
  • Neill A, Whyman R, Bannan S, Jeffrey O, Campbell A. Mandibular advancement splint improves indices of obstructive sleep apnoea and snoring but side effects are common. N Z Med J 2002;115:289-292.
  • Marklund M, Stenlund H, Franklin KA. Mandibular advancement devices in 630 men and women with obstructive sleep apnea and snoring. Chest CrossRef] Yoshida K. Effects of a mandibular advancement device for the treatment of sleep apnea syndrome and snoring on respiratory function and sleep quality. Cranio 2000;18:98-105.
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Toplam 62 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Review
Yazarlar

Bulent Piskin

Hakan Akin

Fatih Sentut

Yayımlanma Tarihi 30 Temmuz 2012
Gönderilme Tarihi 24 Eylül 2011
Yayımlandığı Sayı Yıl 2012Cilt: 15 Sayı: 3

Kaynak Göster

EndNote Piskin B, Akin H, Sentut F (01 Temmuz 2012) Obstrüktif uyku apnesinde oral aparey kullanımı. Cumhuriyet Dental Journal 15 3 264–278.

Cited By

Mandibular Advancement Device use for therapy of simple snoring: mini review
Romanian Journal of Rhinology
Erdem Atalay Cetinkaya
https://doi.org/10.2478/rjr-2021-0006
OSAS'lı Hastalarda Temporomandibular Eklem Rahatsızlıklarının Prevelansının Değerlendirilmesi
Harran Üniversitesi Tıp Fakültesi Dergisi
Saim YANIK
https://doi.org/10.35440/hutfd.652214

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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