Oral Appliance for the Treatment of Severe Obstructive Sleep Apnea in Edentulous Patient
Identifieur interne : 000900 ( Pmc/Curation ); précédent : 000899; suivant : 000901Oral Appliance for the Treatment of Severe Obstructive Sleep Apnea in Edentulous Patient
Auteurs : Marcele Jardim Pimentel ; Ataís Bacchi ; Gabriela Cassaro De Castro ; Célia Marisa Rizzatti-BarbosaSource :
- The Journal of the Indian Prosthodontic Society [ 0972-4052 ] ; 2013.
Abstract
Oral appliances have attracted interest for the treatment of mild and moderate obstructive sleep apnea (OSA) and the mandibular repositioning device (MRD) or a tongue-retainer device (TRD) is usually indicated to increase the upper air space. Describes a combination of MRD (with 60 % maximum mandibular protrusion) and TRD to treat severe OSA. Polysomnography (PSG) and two questionnaires: the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI) evaluated the sleep pattern in two times (after and before the use of oral appliance). The initial PSG exam was compatible with diagnoses severe OSA and the Apnea–Hypopnea Index was 40.4, and 54 % oxygen saturation −spO2. The ESS and PSQI scores were 11 and 6, respectively. After she began wearing the device she stopped snoring, her Apnea–Hypopnea Index decreased to 17.6, presented a sleep efficiency of 81.6 % and had a 77 % spO2. The ESS and PSQI scores dropped to three. MRD in association with the tongue-retainer was effective in reducing the severity of the apnea for this edentulous patient.
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DOI: 10.1007/s13191-013-0312-4
PubMed: 26199526
PubMed Central: 4501976
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Marcele Jardim Pimentel<affiliation><nlm:aff id="Aff1">Department of Periodontology and Prosthodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Av. Limeira, 901, Caixa Postal 52, Piracicaba, SP 13414-903 Brazil</nlm:aff><wicri:noCountry code="subfield">SP 13414-903 Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Periodontology and Prosthodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Av. Limeira, 901, Caixa Postal 52, Piracicaba, SP 13414-903 Brazil</nlm:aff><wicri:noCountry code="subfield">SP 13414-903 Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Periodontology and Prosthodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Av. Limeira, 901, Caixa Postal 52, Piracicaba, SP 13414-903 Brazil</nlm:aff><wicri:noCountry code="subfield">SP 13414-903 Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Periodontology and Prosthodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Av. Limeira, 901, Caixa Postal 52, Piracicaba, SP 13414-903 Brazil</nlm:aff><wicri:noCountry code="subfield">SP 13414-903 Brazil</wicri:noCountry></affiliation>Le document en format XML
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Limeira, 901, Caixa Postal 52, Piracicaba, SP 13414-903 Brazil</nlm:aff><wicri:noCountry code="subfield">SP 13414-903 Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Bacchi, Atais" sort="Bacchi, Atais" uniqKey="Bacchi A" first="Ataís" last="Bacchi">Ataís Bacchi</name><affiliation><nlm:aff id="Aff1">Department of Periodontology and Prosthodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Av. Limeira, 901, Caixa Postal 52, Piracicaba, SP 13414-903 Brazil</nlm:aff><wicri:noCountry code="subfield">SP 13414-903 Brazil</wicri:noCountry></affiliation></author><author><name sortKey="De Castro, Gabriela Cassaro" sort="De Castro, Gabriela Cassaro" uniqKey="De Castro G" first="Gabriela Cassaro" last="De Castro">Gabriela Cassaro De Castro</name><affiliation><nlm:aff id="Aff1">Department of Periodontology and Prosthodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Av. Limeira, 901, Caixa Postal 52, Piracicaba, SP 13414-903 Brazil</nlm:aff><wicri:noCountry code="subfield">SP 13414-903 Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Rizzatti Barbosa, Celia Marisa" sort="Rizzatti Barbosa, Celia Marisa" uniqKey="Rizzatti Barbosa C" first="Célia Marisa" last="Rizzatti-Barbosa">Célia Marisa Rizzatti-Barbosa</name><affiliation><nlm:aff id="Aff1">Department of Periodontology and Prosthodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Av. Limeira, 901, Caixa Postal 52, Piracicaba, SP 13414-903 Brazil</nlm:aff><wicri:noCountry code="subfield">SP 13414-903 Brazil</wicri:noCountry></affiliation></author></analytic><series><title level="j">The Journal of the Indian Prosthodontic Society</title><idno type="ISSN">0972-4052</idno><idno type="eISSN">1998-4057</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Oral appliances have attracted interest for the treatment of mild and moderate obstructive sleep apnea (OSA) and the mandibular repositioning device (MRD) or a tongue-retainer device (TRD) is usually indicated to increase the upper air space. Describes a combination of MRD (with 60 % maximum mandibular protrusion) and TRD to treat severe OSA. Polysomnography (PSG) and two questionnaires: the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI) evaluated the sleep pattern in two times (after and before the use of oral appliance). The initial PSG exam was compatible with diagnoses severe OSA and the Apnea–Hypopnea Index was 40.4, and 54 % oxygen saturation −spO<sup>2</sup>. The ESS and PSQI scores were 11 and 6, respectively. After she began wearing the device she stopped snoring, her Apnea–Hypopnea Index decreased to 17.6, presented a sleep efficiency of 81.6 % and had a 77 % spO<sup>2</sup>. The ESS and PSQI scores dropped to three. MRD in association with the tongue-retainer was effective in reducing the severity of the apnea for this edentulous patient.</p></div></front></TEI><pmc article-type="case-report"><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">J Indian Prosthodont Soc</journal-id><journal-id journal-id-type="iso-abbrev">J Indian Prosthodont Soc</journal-id><journal-title-group><journal-title>The Journal of the Indian Prosthodontic Society</journal-title></journal-title-group><issn pub-type="ppub">0972-4052</issn><issn pub-type="epub">1998-4057</issn><publisher><publisher-name>Springer India</publisher-name><publisher-loc>New Delhi</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26199526</article-id><article-id pub-id-type="pmc">4501976</article-id><article-id pub-id-type="publisher-id">312</article-id><article-id pub-id-type="doi">10.1007/s13191-013-0312-4</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Report</subject></subj-group></article-categories><title-group><article-title>Oral Appliance for the Treatment of Severe Obstructive Sleep Apnea in Edentulous Patient</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Pimentel</surname><given-names>Marcele Jardim</given-names></name><address><phone>(19) 2106-5200</phone><fax>(19) 3421-0144</fax><email>marcelejardim@gmail.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Bacchi</surname><given-names>Ataís</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>de Castro</surname><given-names>Gabriela Cassaro</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Rizzatti-Barbosa</surname><given-names>Célia Marisa</given-names></name><address><email>rizzatti@fop.unicamp.br</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1">Department of Periodontology and Prosthodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Av. Limeira, 901, Caixa Postal 52, Piracicaba, SP 13414-903 Brazil</aff></contrib-group><pub-date pub-type="epub"><day>15</day><month>8</month><year>2013</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2014</year></pub-date><volume>14</volume><issue>Suppl 1</issue><fpage>255</fpage><lpage>259</lpage><history><date date-type="received"><day>22</day><month>5</month><year>2013</year></date><date date-type="accepted"><day>8</day><month>8</month><year>2013</year></date></history><permissions><copyright-statement>© Indian Prosthodontic Society 2013</copyright-statement></permissions><abstract id="Abs1"><p>Oral appliances have attracted interest for the treatment of mild and moderate obstructive sleep apnea (OSA) and the mandibular repositioning device (MRD) or a tongue-retainer device (TRD) is usually indicated to increase the upper air space. Describes a combination of MRD (with 60 % maximum mandibular protrusion) and TRD to treat severe OSA. Polysomnography (PSG) and two questionnaires: the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI) evaluated the sleep pattern in two times (after and before the use of oral appliance). The initial PSG exam was compatible with diagnoses severe OSA and the Apnea–Hypopnea Index was 40.4, and 54 % oxygen saturation −spO<sup>2</sup>. The ESS and PSQI scores were 11 and 6, respectively. After she began wearing the device she stopped snoring, her Apnea–Hypopnea Index decreased to 17.6, presented a sleep efficiency of 81.6 % and had a 77 % spO<sup>2</sup>. The ESS and PSQI scores dropped to three. MRD in association with the tongue-retainer was effective in reducing the severity of the apnea for this edentulous patient.</p></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Sleep apnea</kwd><kwd>Oral appliance</kwd><kwd>Sleep disturbance</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Indian Prosthodontic Society 2014</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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