Oral appliance treatment for obstructive sleep apnoea patients with severe dental condition
Identifieur interne : 004637 ( Main/Exploration ); précédent : 004636; suivant : 004638Oral appliance treatment for obstructive sleep apnoea patients with severe dental condition
Auteurs : T. Ogawa [Japon, Belgique] ; T. Ito [Japon] ; M. V. Cardoso [Belgique] ; T. Kawata [Japon] ; K. Sasaki [Japon]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2011-03.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Avancement mandibulaire (instrumentation), Conception d'appareil de prothèse dentaire, Conception d'appareil orthodontique, Extraction dentaire, Humains, Maladies parodontales (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Planification des soins du patient, Polysomnographie, Prothèse dentaire partielle amovible, Résultat thérapeutique, Syndrome d'apnées obstructives du sommeil (), Traitement de canal radiculaire, Études de suivi.
- MESH :
- rééducation et réadaptation : Adulte d'âge moyen, Avancement mandibulaire, Conception d'appareil de prothèse dentaire, Conception d'appareil orthodontique, Extraction dentaire, Humains, Maladies parodontales, Mâchoire partiellement édentée, Mâle, Planification des soins du patient, Polysomnographie, Prothèse dentaire partielle amovible, Résultat thérapeutique, Syndrome d'apnées obstructives du sommeil, Traitement de canal radiculaire, Études de suivi.
English descriptors
- KwdEn :
- Apnea, Apnoea, Apnoea index, Apnoea indexes, Apnoea syndrome, Blackwell publishing, Case report, Clinical report, Denture, Denture Design, Denture, Partial, Removable, Edentulous, Edentulous patient, Edentulous patients, Follow-Up Studies, Frontal view, Humans, Jaw, Edentulous, Partially (rehabilitation), Male, Mandible, Mandibular, Mandibular Advancement (instrumentation), Mandibular advancement, Mandibular parts, Middle Aged, Minimum spo2, Ncpap therapy, Obstructive, Oral appliance, Oral appliances, Oral condition, Oral health, Oral problems, Orthodontic Appliance Design, Osas, Osas symptoms, Patient Care Planning, Periodontal, Periodontal Diseases (therapy), Periodontal problems, Polysomnography, Positive effect, Prosthetic dentistry, Root Canal Therapy, Rpds, Side effects, Sleep Apnea, Obstructive (therapy), Spo2, Tooth Extraction, Treatment Outcome.
- MESH :
- instrumentation : Mandibular Advancement.
- rehabilitation : Jaw, Edentulous, Partially.
- therapy : Periodontal Diseases, Sleep Apnea, Obstructive.
- Teeft :
- Apnea, Apnoea, Apnoea index, Apnoea indexes, Apnoea syndrome, Blackwell publishing, Case report, Clinical report, Denture, Denture Design, Denture, Partial, Removable, Edentulous, Edentulous patient, Edentulous patients, Follow-Up Studies, Frontal view, Humans, Male, Mandible, Mandibular, Mandibular advancement, Mandibular parts, Middle Aged, Minimum spo2, Ncpap therapy, Obstructive, Oral appliance, Oral appliances, Oral condition, Oral health, Oral problems, Orthodontic Appliance Design, Osas, Osas symptoms, Patient Care Planning, Periodontal, Periodontal problems, Polysomnography, Positive effect, Prosthetic dentistry, Root Canal Therapy, Rpds, Side effects, Spo2, Tooth Extraction, Treatment Outcome.
Abstract
Summary This clinical report introduces and evaluates the use of a mandibular advancement oral appliance (OA) attached to a denture base for the treatment of obstructive sleep apnoea syndrome (OSAS) in a patient presenting severe dental problems and multiple missing teeth. It concerned a 58‐year‐old man with moderate OSAS (apnoea index (AI): 15·9 h−1; apnoea hypopnea index (AHI): 21·7 h−1), presenting ten remaining teeth (maxilla: 5, mandible: 5) and important dental and periodontal problems. A treatment OA comprising both maxillary and mandibular parts was fabricated with an acrylic resin base, simulating the structure of a conventional removable partial denture (RPD). The polysomnography examination performed after the use of the OA showed the treatment induced a significant decrease in OSAS symptoms (AI: 0·7 h−1, AHI: 8·2 h−1). All the necessary dental and periodontal treatments were performed to assure the reestablishment of oral health. The treatment OA was modified after each treatment to adapt it to each new oral condition. After 18 months, once the oral health was reestablished with seven remaining teeth (maxilla: 5, mandible: 2), final RPDs and final OA were fabricated. Polysomnography with final OA showed a similar positive result with respect to OSAS symptoms. No side effects related to the OA treatment were detected during the 3‐year follow‐up. To keep a sound oral condition, periodical dental care was performed by specialists in both periodontal and prosthodontic clinics. This clinical report shows the feasibility of treating OSAS patients with OA even in the presence of severe oral conditions and multiple missing teeth.
Url:
DOI: 10.1111/j.1365-2842.2010.02138.x
Affiliations:
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Le document en format XML
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<term>Obstructive</term>
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<term>Oral appliances</term>
<term>Oral condition</term>
<term>Oral health</term>
<term>Oral problems</term>
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<term>Prosthetic dentistry</term>
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<term>Sleep Apnea, Obstructive (therapy)</term>
<term>Spo2</term>
<term>Tooth Extraction</term>
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<term>Avancement mandibulaire (instrumentation)</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception d'appareil orthodontique</term>
<term>Extraction dentaire</term>
<term>Humains</term>
<term>Maladies parodontales ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Planification des soins du patient</term>
<term>Polysomnographie</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Résultat thérapeutique</term>
<term>Syndrome d'apnées obstructives du sommeil ()</term>
<term>Traitement de canal radiculaire</term>
<term>Études de suivi</term>
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<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception d'appareil orthodontique</term>
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<term>Résultat thérapeutique</term>
<term>Syndrome d'apnées obstructives du sommeil</term>
<term>Traitement de canal radiculaire</term>
<term>Études de suivi</term>
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<term>Sleep Apnea, Obstructive</term>
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<term>Apnoea indexes</term>
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<term>Clinical report</term>
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<term>Edentulous patient</term>
<term>Edentulous patients</term>
<term>Follow-Up Studies</term>
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<term>Male</term>
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<front><div type="abstract">Summary This clinical report introduces and evaluates the use of a mandibular advancement oral appliance (OA) attached to a denture base for the treatment of obstructive sleep apnoea syndrome (OSAS) in a patient presenting severe dental problems and multiple missing teeth. It concerned a 58‐year‐old man with moderate OSAS (apnoea index (AI): 15·9 h−1; apnoea hypopnea index (AHI): 21·7 h−1), presenting ten remaining teeth (maxilla: 5, mandible: 5) and important dental and periodontal problems. A treatment OA comprising both maxillary and mandibular parts was fabricated with an acrylic resin base, simulating the structure of a conventional removable partial denture (RPD). The polysomnography examination performed after the use of the OA showed the treatment induced a significant decrease in OSAS symptoms (AI: 0·7 h−1, AHI: 8·2 h−1). All the necessary dental and periodontal treatments were performed to assure the reestablishment of oral health. The treatment OA was modified after each treatment to adapt it to each new oral condition. After 18 months, once the oral health was reestablished with seven remaining teeth (maxilla: 5, mandible: 2), final RPDs and final OA were fabricated. Polysomnography with final OA showed a similar positive result with respect to OSAS symptoms. No side effects related to the OA treatment were detected during the 3‐year follow‐up. To keep a sound oral condition, periodical dental care was performed by specialists in both periodontal and prosthodontic clinics. This clinical report shows the feasibility of treating OSAS patients with OA even in the presence of severe oral conditions and multiple missing teeth.</div>
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<name sortKey="Ito, T" sort="Ito, T" uniqKey="Ito T" first="T." last="Ito">T. Ito</name>
<name sortKey="Kawata, T" sort="Kawata, T" uniqKey="Kawata T" first="T." last="Kawata">T. Kawata</name>
<name sortKey="Sasaki, K" sort="Sasaki, K" uniqKey="Sasaki K" first="K." last="Sasaki">K. Sasaki</name>
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<country name="Belgique"><region name="Région flamande"><name sortKey="Ogawa, T" sort="Ogawa, T" uniqKey="Ogawa T" first="T." last="Ogawa">T. Ogawa</name>
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