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Orthoimplants: an alternative treatment for SAHS?

Identifieur interne : 000509 ( PascalFrancis/Curation ); précédent : 000508; suivant : 000510

Orthoimplants: 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 :

RBID : Pascal:10-0361662

Descripteurs français

English descriptors

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.
pA  
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A08 01  1  ENG  @1 Orthoimplants: an alternative treatment for SAHS?
A11 01  1    @1 DE CARLOS (Felix)
A11 02  1    @1 COBO (Juan)
A11 03  1    @1 FERNANDEZ MONDRAGON (Maria Pilar)
A11 04  1    @1 ALVAREZ SUAREZ (Alberto)
A11 05  1    @1 CALVO BLANCO (Juan)
A14 01      @1 Department of Surgery and Medical-Surgical Specialities, Area of Orthodontics, Faculty of Medicine, Universidad de Oviedo, Clinica Universitaria de Odontologia, C/Catedrático José Serrano, s/n @2 33006 Oviedo @3 ESP @Z 1 aut. @Z 2 aut.
A14 02      @1 Patologia y terapeutica dental, EHU-UPV @2 Leioa, Vizcaya @3 ESP @Z 3 aut.
A14 03      @1 Escuela Politécnica Superior de Ingenieria, University of Oviedo @2 Asturias @3 ESP @Z 4 aut.
A14 04      @1 Hospital Universitario central de Asturias @2 Oviedo @3 ESP @Z 5 aut.
A20       @1 171-174
A21       @1 2010
A23 01      @0 ENG
A43 01      @1 INIST @2 27172 @5 354000191720980140
A44       @0 0000 @1 © 2010 INIST-CNRS. All rights reserved.
A45       @0 19 ref.
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A60       @1 P @3 EC
A61       @0 A
A64 01  1    @0 Sleep & breathing
A66 01      @0 DEU
C01 01    ENG  @0 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.
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C02 03  X    @0 002B02Q
C03 01  X  FRE  @0 Syndrome d'apnée du sommeil @2 NM @5 01
C03 01  X  ENG  @0 Sleep apnea syndrome @2 NM @5 01
C03 01  X  SPA  @0 Apnea sueno síndrome @2 NM @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Trouble du sommeil @5 03
C03 03  X  ENG  @0 Sleep disorder @5 03
C03 03  X  SPA  @0 Trastorno sueño @5 03
C03 04  X  FRE  @0 Traitement @5 09
C03 04  X  ENG  @0 Treatment @5 09
C03 04  X  SPA  @0 Tratamiento @5 09
C03 05  X  FRE  @0 Voie orale @5 10
C03 05  X  ENG  @0 Oral administration @5 10
C03 05  X  SPA  @0 Vía oral @5 10
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C03 06  X  ENG  @0 Screw @5 11
C03 06  X  SPA  @0 Tornillo @5 11
C03 07  X  FRE  @0 Sommeil @5 12
C03 07  X  ENG  @0 Sleep @5 12
C03 07  X  SPA  @0 Sueño @5 12
C07 01  X  FRE  @0 Pathologie de l'appareil respiratoire @5 37
C07 01  X  ENG  @0 Respiratory disease @5 37
C07 01  X  SPA  @0 Aparato respiratorio patología @5 37
C07 02  X  FRE  @0 Cycle veille sommeil @5 39
C07 02  X  ENG  @0 Sleep wake cycle @5 39
C07 02  X  SPA  @0 Ciclo sueño vigilia @5 39
C07 03  X  FRE  @0 Trouble neurologique @5 40
C07 03  X  ENG  @0 Neurological disorder @5 40
C07 03  X  SPA  @0 Trastorno neurológico @5 40
N21       @1 235
N44 01      @1 OTO
N82       @1 OTO

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Le document en format XML

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<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>235</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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