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<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">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>
<nlm:aff id="af1-81-86">Dipartimento di Scienze Chirurgiche e Morfologiche, Università degli Studi dell’Insubria, Varese, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sacchi, Franco" sort="Sacchi, Franco" uniqKey="Sacchi F" first="Franco" last="Sacchi">Franco Sacchi</name>
<affiliation>
<nlm:aff id="af2-81-86">Società Italiana Medicina del Sonno Odontoiatrica, Milano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Milano, Francesca" sort="Milano, Francesca" uniqKey="Milano F" first="Francesca" last="Milano">Francesca Milano</name>
<affiliation>
<nlm:aff id="af3-81-86">Società Italiana Medicina del Sonno Odontoiatrica, Bologna, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Polimeni, Antonella" sort="Polimeni, Antonella" uniqKey="Polimeni A" first="Antonella" last="Polimeni">Antonella Polimeni</name>
<affiliation>
<nlm:aff id="af4-81-86">Dipartimento di Scienze Odontostomatologiche e Maxillo Facciali, Università di Roma “Sapienza”, Roma, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cozza, Paolo" sort="Cozza, Paolo" uniqKey="Cozza P" first="Paolo" last="Cozza">Paolo Cozza</name>
<affiliation>
<nlm:aff id="af5-81-86">Università degli Studi di Roma “Tor Vergata”, Roma, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bernkopf, Edoardo" sort="Bernkopf, Edoardo" uniqKey="Bernkopf E" first="Edoardo" last="Bernkopf">Edoardo Bernkopf</name>
<affiliation>
<nlm:aff id="af6-81-86">Associazione Nazionale Dentisti Italiani, Vicenza, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Segu, Marzia" sort="Segu, Marzia" uniqKey="Segu M" first="Marzia" last="Segù">Marzia Segù</name>
<affiliation>
<nlm:aff id="af7-81-86">Unità per lo Studio del dolore orofacciale e dei disordini temporomandibolari, University of Pavia, Italy</nlm:aff>
</affiliation>
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<idno type="pmid">26941893</idno>
<idno type="pmc">4755685</idno>
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<idno type="RBID">PMC:4755685</idno>
<idno type="doi">10.11138/ads/2015.6.3.081</idno>
<date when="2016">2016</date>
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<title xml:lang="en" level="a" 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>
<nlm:aff id="af1-81-86">Dipartimento di Scienze Chirurgiche e Morfologiche, Università degli Studi dell’Insubria, Varese, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sacchi, Franco" sort="Sacchi, Franco" uniqKey="Sacchi F" first="Franco" last="Sacchi">Franco Sacchi</name>
<affiliation>
<nlm:aff id="af2-81-86">Società Italiana Medicina del Sonno Odontoiatrica, Milano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Milano, Francesca" sort="Milano, Francesca" uniqKey="Milano F" first="Francesca" last="Milano">Francesca Milano</name>
<affiliation>
<nlm:aff id="af3-81-86">Società Italiana Medicina del Sonno Odontoiatrica, Bologna, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Polimeni, Antonella" sort="Polimeni, Antonella" uniqKey="Polimeni A" first="Antonella" last="Polimeni">Antonella Polimeni</name>
<affiliation>
<nlm:aff id="af4-81-86">Dipartimento di Scienze Odontostomatologiche e Maxillo Facciali, Università di Roma “Sapienza”, Roma, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cozza, Paolo" sort="Cozza, Paolo" uniqKey="Cozza P" first="Paolo" last="Cozza">Paolo Cozza</name>
<affiliation>
<nlm:aff id="af5-81-86">Università degli Studi di Roma “Tor Vergata”, Roma, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bernkopf, Edoardo" sort="Bernkopf, Edoardo" uniqKey="Bernkopf E" first="Edoardo" last="Bernkopf">Edoardo Bernkopf</name>
<affiliation>
<nlm:aff id="af6-81-86">Associazione Nazionale Dentisti Italiani, Vicenza, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Segu, Marzia" sort="Segu, Marzia" uniqKey="Segu M" first="Marzia" last="Segù">Marzia Segù</name>
<affiliation>
<nlm:aff id="af7-81-86">Unità per lo Studio del dolore orofacciale e dei disordini temporomandibolari, University of Pavia, Italy</nlm:aff>
</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>
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<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>
<pmc article-type="review-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Ann Stomatol (Roma)</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Stomatol (Roma)</journal-id>
<journal-id journal-id-type="publisher-id">Annali_Stomatologia</journal-id>
<journal-title-group>
<journal-title>Annali di Stomatologia</journal-title>
</journal-title-group>
<issn pub-type="ppub">1824-0852</issn>
<issn pub-type="epub">1971-1441</issn>
<publisher>
<publisher-name>CIC Edizioni Internationali</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26941893</article-id>
<article-id pub-id-type="pmc">4755685</article-id>
<article-id pub-id-type="doi">10.11138/ads/2015.6.3.081</article-id>
<article-id pub-id-type="publisher-id">81-86</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Italian recommendations on dental support in the treatment of adult obstructive sleep apnea syndrome (OSAS)</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Levrini</surname>
<given-names>Luca</given-names>
</name>
<degrees>MD, MSC</degrees>
<xref ref-type="aff" rid="af1-81-86">1</xref>
<xref ref-type="corresp" rid="c1-81-86"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sacchi</surname>
<given-names>Franco</given-names>
</name>
<degrees>MD, DDS</degrees>
<xref ref-type="aff" rid="af2-81-86">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Milano</surname>
<given-names>Francesca</given-names>
</name>
<degrees>DMD, MSC</degrees>
<xref ref-type="aff" rid="af3-81-86">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Polimeni</surname>
<given-names>Antonella</given-names>
</name>
<degrees>MD, DDS, MSC</degrees>
<xref ref-type="aff" rid="af4-81-86">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cozza</surname>
<given-names>Paolo</given-names>
</name>
<degrees>MD, DDS, MSC</degrees>
<xref ref-type="aff" rid="af5-81-86">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bernkopf</surname>
<given-names>Edoardo</given-names>
</name>
<degrees>MD, DDS</degrees>
<xref ref-type="aff" rid="af6-81-86">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Segù</surname>
<given-names>Marzia</given-names>
</name>
<degrees>DMD, MSC, PhD</degrees>
<xref ref-type="aff" rid="af7-81-86">7</xref>
</contrib>
</contrib-group>
<contrib-group>
<contrib contrib-type="author">
<collab>Italian dentist work group about OSAS Collaborators</collab>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zucconi</surname>
<given-names>Marco</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vicini</surname>
<given-names>Claudio</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brunello</surname>
<given-names>Enrico</given-names>
</name>
</contrib>
</contrib-group>
<aff id="af1-81-86">
<label>1</label>
Dipartimento di Scienze Chirurgiche e Morfologiche, Università degli Studi dell’Insubria, Varese, Italy</aff>
<aff id="af2-81-86">
<label>2</label>
Società Italiana Medicina del Sonno Odontoiatrica, Milano, Italy</aff>
<aff id="af3-81-86">
<label>3</label>
Società Italiana Medicina del Sonno Odontoiatrica, Bologna, Italy</aff>
<aff id="af4-81-86">
<label>4</label>
Dipartimento di Scienze Odontostomatologiche e Maxillo Facciali, Università di Roma “Sapienza”, Roma, Italy</aff>
<aff id="af5-81-86">
<label>5</label>
Università degli Studi di Roma “Tor Vergata”, Roma, Italy</aff>
<aff id="af6-81-86">
<label>6</label>
Associazione Nazionale Dentisti Italiani, Vicenza, Italy</aff>
<aff id="af7-81-86">
<label>7</label>
Unità per lo Studio del dolore orofacciale e dei disordini temporomandibolari, University of Pavia, Italy</aff>
<author-notes>
<corresp id="c1-81-86">Corresponding author: Luca Levrini, Dipartimento di Scienze Chirurgiche e Morfologiche, Università degli Studi dell’Insubria, Via Piatti, 10/a, Velate, 21100 Varese, Italy, E-mail:
<email>luca.levrini@uninsubria.it</email>
</corresp>
</author-notes>
<pub-date pub-type="collection">
<season>Jul-Dec</season>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>12</day>
<month>2</month>
<year>2016</year>
</pub-date>
<volume>6</volume>
<issue>3-4</issue>
<fpage>81</fpage>
<lpage>86</lpage>
<permissions>
<copyright-statement>Copyright © 2015, CIC Edizioni Internazionali</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<abstract>
<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>
</abstract>
<kwd-group>
<kwd>obstructive sleep apnea syndrome</kwd>
<kwd>snoring</kwd>
<kwd>guidelines</kwd>
<kwd>oral appliance</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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