Orthoimplants: an alternative treatment for SAHS?
Identifieur interne : 005526 ( Main/Exploration ); précédent : 005525; suivant : 005527Orthoimplants: an alternative treatment for SAHS?
Auteurs : Felix De Carlos [Espagne] ; Juan Cobo [Espagne] ; Maria Pilar Fernandez Mondragon [Espagne] ; Alberto Alvarez Suarez [Espagne] ; Juan Calvo Blanco [Espagne]Source :
- Sleep & breathing [ 1520-9512 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Numerous sleep studies have been published recently regarding the use of intraoral devices (ODs) for the treatment of sleep apnea-hypopnea syndrome (SAHS). The effectiveness of these devices varies, however, according to the series studied (patient characteristics, parameters assessed, type of device, etc.). Two factors should always be assessed: the presence of an appropriate dental support and a possible temporomandibular joint pathology which can, on occasions, contraindicate the use of these devices. Objectives To use orthoimplants as orthodontic anchorages for intermaxillary elastic bands which allow a mandibular advancement to be performed as an alternative treatment to ODs in SAHS patients without appropriate dental support. Materials and methods Four orthoimplants were placed in an edentulous SAHS patient who did not tolerate continuous positive airway pressure (CPAP). The mandible is pushed forward using orthodontic elastic bands anchored to the orthoimplants. Results and conclusions Although more studies are still required, orthoimplants could be an alternative treatment for reducing snoring and the apnea-hypopnea index and increasing SaO2, which should be considered for patients who do not tolerate CPAP and lack appropriate dental support for attaching intraoral devices.
Affiliations:
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Mondragon</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Patologia y terapeutica dental, EHU-UPV</s1><s2>Leioa, Vizcaya</s2><s3>ESP</s3><sZ>3 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Leioa, Vizcaya</wicri:noRegion></affiliation></author><author><name sortKey="Alvarez Suarez, Alberto" sort="Alvarez Suarez, Alberto" uniqKey="Alvarez Suarez A" first="Alberto" last="Alvarez Suarez">Alberto Alvarez Suarez</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Escuela Politécnica Superior de Ingenieria, University of Oviedo</s1><s2>Asturias</s2><s3>ESP</s3><sZ>4 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Asturias</wicri:noRegion></affiliation></author><author><name sortKey="Calvo Blanco, Juan" sort="Calvo Blanco, Juan" uniqKey="Calvo Blanco J" first="Juan" last="Calvo Blanco">Juan Calvo Blanco</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Hospital Universitario central de Asturias</s1><s2>Oviedo</s2><s3>ESP</s3><sZ>5 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Hospital Universitario central de Asturias</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Sleep & breathing</title><title level="j" type="abbreviated">Sleep breath.</title><idno type="ISSN">1520-9512</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Sleep & breathing</title><title level="j" type="abbreviated">Sleep breath.</title><idno type="ISSN">1520-9512</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Nervous system diseases</term><term>Oral administration</term><term>Screw</term><term>Sleep</term><term>Sleep apnea syndrome</term><term>Sleep disorder</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Syndrome d'apnée du sommeil</term><term>Pathologie du système nerveux</term><term>Trouble du sommeil</term><term>Traitement</term><term>Voie orale</term><term>Vis</term><term>Sommeil</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Numerous sleep studies have been published recently regarding the use of intraoral devices (ODs) for the treatment of sleep apnea-hypopnea syndrome (SAHS). The effectiveness of these devices varies, however, according to the series studied (patient characteristics, parameters assessed, type of device, etc.). Two factors should always be assessed: the presence of an appropriate dental support and a possible temporomandibular joint pathology which can, on occasions, contraindicate the use of these devices. Objectives To use orthoimplants as orthodontic anchorages for intermaxillary elastic bands which allow a mandibular advancement to be performed as an alternative treatment to ODs in SAHS patients without appropriate dental support. Materials and methods Four orthoimplants were placed in an edentulous SAHS patient who did not tolerate continuous positive airway pressure (CPAP). The mandible is pushed forward using orthodontic elastic bands anchored to the orthoimplants. Results and conclusions Although more studies are still required, orthoimplants could be an alternative treatment for reducing snoring and the apnea-hypopnea index and increasing SaO2, which should be considered for patients who do not tolerate CPAP and lack appropriate dental support for attaching intraoral devices.</div></front></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Principauté des Asturies</li></region></list><tree><country name="Espagne"><region name="Principauté des Asturies"><name sortKey="De Carlos, Felix" sort="De Carlos, Felix" uniqKey="De Carlos F" first="Felix" last="De Carlos">Felix De Carlos</name></region><name sortKey="Alvarez Suarez, Alberto" sort="Alvarez Suarez, Alberto" uniqKey="Alvarez Suarez A" first="Alberto" last="Alvarez Suarez">Alberto Alvarez Suarez</name><name sortKey="Calvo Blanco, Juan" sort="Calvo Blanco, Juan" uniqKey="Calvo Blanco J" first="Juan" last="Calvo Blanco">Juan Calvo Blanco</name><name sortKey="Cobo, Juan" sort="Cobo, Juan" uniqKey="Cobo J" first="Juan" last="Cobo">Juan Cobo</name><name sortKey="Fernandez Mondragon, Maria Pilar" sort="Fernandez Mondragon, Maria Pilar" uniqKey="Fernandez Mondragon M" first="Maria Pilar" last="Fernandez Mondragon">Maria Pilar Fernandez Mondragon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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