Italian recommendations on dental support in the treatment of adult obstructive sleep apnea syndrome (OSAS)
Identifieur interne : 000731 ( Main/Exploration ); précédent : 000730; suivant : 000732Italian recommendations on dental support in the treatment of adult obstructive sleep apnea syndrome (OSAS)
Auteurs : Luca Levrini [Italie] ; Franco Sacchi [Italie] ; Francesca Milano [Italie] ; Antonella Polimeni [Italie] ; Paolo Cozza [Italie] ; Edoardo Bernkopf [Italie] ; Marzia Segù [Italie]Source :
- Annali di Stomatologia [ 1824-0852 ] ; 2016.
Abstract
The aim of the present article is to present a set of proposed clinical recommendations aimed at Italian dentists involved in the management of patients with obstructive sleep apnea syndrome or snoring.
With the purpose of creating a study group, some of the most important Italian scientific societies operating in fields relevant to the issue of sleep medicine in dentistry were asked to appoint a representative. Each member of the study group was required to answer questions regarding the clinical management of OSAS and snoring.
Oral appliances can be used to treat: - simple snoring, in patients who do not respond to, or do not appear to be suitable candidates for behavioral measures such as weight loss or positional therapy; - mild or moderate OSAS, in patients who prefer OAs to continuous positive airway pressure (CPAP) or who are not suitable candidates for CPAP, because of its failure or failure of behavioral approaches like weight loss or positional therapy; - severe OSAS, in patients who do not respond to or do not tolerate CPAP and in whom no indication for either maxillofacial or ENT surgery appears applicable.
The application of oral appliances is highly desirable in cases of simple snoring or mild to moderate OSAS, whereas considerable caution is warranted when treating severe OSAS. It is fundamental to ensure that the patient understands his problem and, at the same time, to present all the various treatment options.
Url:
DOI: 10.11138/ads/2015.6.3.081
PubMed: 26941893
PubMed Central: 4755685
Affiliations:
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type="main">Italian recommendations on dental support in the treatment of adult obstructive sleep apnea syndrome (OSAS)</title><author><name sortKey="Levrini, Luca" sort="Levrini, Luca" uniqKey="Levrini L" first="Luca" last="Levrini">Luca Levrini</name><affiliation wicri:level="1"><nlm:aff id="af1-81-86">Dipartimento di Scienze Chirurgiche e Morfologiche, Università degli Studi dell’Insubria, Varese, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dipartimento di Scienze Chirurgiche e Morfologiche, Università degli Studi dell’Insubria, Varese</wicri:regionArea><wicri:noRegion>Varese</wicri:noRegion></affiliation></author><author><name sortKey="Sacchi, Franco" sort="Sacchi, Franco" uniqKey="Sacchi F" first="Franco" last="Sacchi">Franco Sacchi</name><affiliation wicri:level="1"><nlm:aff id="af2-81-86">Società Italiana Medicina del Sonno Odontoiatrica, Milano, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Società Italiana Medicina del Sonno Odontoiatrica, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Milano, Francesca" sort="Milano, Francesca" uniqKey="Milano F" first="Francesca" last="Milano">Francesca Milano</name><affiliation wicri:level="1"><nlm:aff id="af3-81-86">Società Italiana Medicina del Sonno Odontoiatrica, Bologna, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Società Italiana Medicina del Sonno Odontoiatrica, Bologna</wicri:regionArea><wicri:noRegion>Bologna</wicri:noRegion></affiliation></author><author><name sortKey="Polimeni, Antonella" sort="Polimeni, Antonella" uniqKey="Polimeni A" first="Antonella" last="Polimeni">Antonella Polimeni</name><affiliation wicri:level="3"><nlm:aff id="af4-81-86">Dipartimento di Scienze Odontostomatologiche e Maxillo Facciali, Università di Roma “Sapienza”, Roma, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Dipartimento di Scienze Odontostomatologiche e 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xml:lang="fr">Italie</country><wicri:regionArea>Associazione Nazionale Dentisti Italiani, Vicenza</wicri:regionArea><wicri:noRegion>Vicenza</wicri:noRegion></affiliation></author><author><name sortKey="Segu, Marzia" sort="Segu, Marzia" uniqKey="Segu M" first="Marzia" last="Segù">Marzia Segù</name><affiliation wicri:level="1"><nlm:aff id="af7-81-86">Unità per lo Studio del dolore orofacciale e dei disordini temporomandibolari, University of Pavia, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Unità per lo Studio del dolore orofacciale e dei disordini temporomandibolari, University of Pavia</wicri:regionArea><wicri:noRegion>University of Pavia</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annali di Stomatologia</title><idno type="ISSN">1824-0852</idno><idno type="eISSN">1971-1441</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec><title>Background</title><p>The aim of the present article is to present a set of proposed clinical recommendations aimed at Italian dentists involved in the management of patients with obstructive sleep apnea syndrome or snoring.</p></sec><sec><title>Methods</title><p>With the purpose of creating a study group, some of the most important Italian scientific societies operating in fields relevant to the issue of sleep medicine in dentistry were asked to appoint a representative. Each member of the study group was required to answer questions regarding the clinical management of OSAS and snoring.</p></sec><sec><title>Results</title><p>Oral appliances can be used to treat: - simple snoring, in patients who do not respond to, or do not appear to be suitable candidates for behavioral measures such as weight loss or positional therapy; - mild or moderate OSAS, in patients who prefer OAs to continuous positive airway pressure (CPAP) or who are not suitable candidates for CPAP, because of its failure or failure of behavioral approaches like weight loss or positional therapy; - severe OSAS, in patients who do not respond to or do not tolerate CPAP and in whom no indication for either maxillofacial or ENT surgery appears applicable.</p></sec><sec><title>Conclusions</title><p>The application of oral appliances is highly desirable in cases of simple snoring or mild to moderate OSAS, whereas considerable caution is warranted when treating severe OSAS. It is fundamental to ensure that the patient understands his problem and, at the same time, to present all the various treatment options.</p></sec></div></front></TEI><affiliations><list><country><li>Italie</li></country><region><li>Latium</li></region><settlement><li>Rome</li></settlement></list><tree><country name="Italie"><noRegion><name sortKey="Levrini, Luca" sort="Levrini, Luca" uniqKey="Levrini L" first="Luca" last="Levrini">Luca Levrini</name></noRegion><name sortKey="Bernkopf, Edoardo" sort="Bernkopf, Edoardo" uniqKey="Bernkopf E" first="Edoardo" last="Bernkopf">Edoardo Bernkopf</name><name sortKey="Cozza, Paolo" sort="Cozza, Paolo" uniqKey="Cozza P" first="Paolo" last="Cozza">Paolo Cozza</name><name sortKey="Milano, Francesca" sort="Milano, Francesca" uniqKey="Milano F" first="Francesca" last="Milano">Francesca Milano</name><name sortKey="Polimeni, Antonella" sort="Polimeni, Antonella" uniqKey="Polimeni A" first="Antonella" last="Polimeni">Antonella Polimeni</name><name sortKey="Sacchi, Franco" sort="Sacchi, Franco" uniqKey="Sacchi F" first="Franco" last="Sacchi">Franco Sacchi</name><name sortKey="Segu, Marzia" sort="Segu, Marzia" uniqKey="Segu M" first="Marzia" last="Segù">Marzia Segù</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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