Serveur d'exploration sur le patient édenté

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Implant-retained oral appliances: a novel treatment for edentulous patients with obstructive sleep apnea-hypopnea syndrome.

Identifieur interne : 002462 ( PubMed/Curation ); précédent : 002461; suivant : 002463

Implant-retained oral appliances: a novel treatment for edentulous patients with obstructive sleep apnea-hypopnea syndrome.

Auteurs : Aarnoud Hoekema [Pays-Bas] ; Frist De Vries ; Kees Heydenrijk ; Boudewijn Stegenga

Source :

RBID : pubmed:17355355

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English descriptors

Abstract

Mandibular repositioning appliances (MRAs) are a viable treatment alternative in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). Because these appliances require retention in the patient's dentition, edentelous patients generally do not qualify for this treatment. This study describes our experiences with an implant-retained MRA in the treatment of edentulous OSAHS patients.

DOI: 10.1111/j.1600-0501.2007.01343.x
PubMed: 17355355

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Le document en format XML

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<title xml:lang="en">Implant-retained oral appliances: a novel treatment for edentulous patients with obstructive sleep apnea-hypopnea syndrome.</title>
<author>
<name sortKey="Hoekema, Aarnoud" sort="Hoekema, Aarnoud" uniqKey="Hoekema A" first="Aarnoud" last="Hoekema">Aarnoud Hoekema</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. a.hoekema@kchir.umcg.nl</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen</wicri:regionArea>
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<author>
<name sortKey="De Vries, Frist" sort="De Vries, Frist" uniqKey="De Vries F" first="Frist" last="De Vries">Frist De Vries</name>
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<author>
<name sortKey="Heydenrijk, Kees" sort="Heydenrijk, Kees" uniqKey="Heydenrijk K" first="Kees" last="Heydenrijk">Kees Heydenrijk</name>
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<author>
<name sortKey="Stegenga, Boudewijn" sort="Stegenga, Boudewijn" uniqKey="Stegenga B" first="Boudewijn" last="Stegenga">Boudewijn Stegenga</name>
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<title xml:lang="en">Implant-retained oral appliances: a novel treatment for edentulous patients with obstructive sleep apnea-hypopnea syndrome.</title>
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<name sortKey="Heydenrijk, Kees" sort="Heydenrijk, Kees" uniqKey="Heydenrijk K" first="Kees" last="Heydenrijk">Kees Heydenrijk</name>
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<title level="j">Clinical oral implants research</title>
<idno type="ISSN">0905-7161</idno>
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<term>Dental Implants</term>
<term>Dental Prosthesis, Implant-Supported (methods)</term>
<term>Humans</term>
<term>Male</term>
<term>Mandibular Advancement (instrumentation)</term>
<term>Mandibular Advancement (methods)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (therapy)</term>
<term>Orthodontic Appliances</term>
<term>Sleep Apnea, Obstructive (therapy)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Appareils orthodontiques</term>
<term>Avancement mandibulaire ()</term>
<term>Avancement mandibulaire (instrumentation)</term>
<term>Bouche édentée ()</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâle</term>
<term>Prothèse dentaire implanto-portée ()</term>
<term>Syndrome d'apnées obstructives du sommeil ()</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Mandibular Advancement</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Dental Prosthesis, Implant-Supported</term>
<term>Mandibular Advancement</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Mouth, Edentulous</term>
<term>Sleep Apnea, Obstructive</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Orthodontic Appliances</term>
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<term>Adulte d'âge moyen</term>
<term>Appareils orthodontiques</term>
<term>Avancement mandibulaire</term>
<term>Bouche édentée</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâle</term>
<term>Prothèse dentaire implanto-portée</term>
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<div type="abstract" xml:lang="en">Mandibular repositioning appliances (MRAs) are a viable treatment alternative in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). Because these appliances require retention in the patient's dentition, edentelous patients generally do not qualify for this treatment. This study describes our experiences with an implant-retained MRA in the treatment of edentulous OSAHS patients.</div>
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<DateCompleted>
<Year>2007</Year>
<Month>10</Month>
<Day>15</Day>
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<DateRevised>
<Year>2007</Year>
<Month>05</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Print">0905-7161</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>18</Volume>
<Issue>3</Issue>
<PubDate>
<Year>2007</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Clinical oral implants research</Title>
<ISOAbbreviation>Clin Oral Implants Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Implant-retained oral appliances: a novel treatment for edentulous patients with obstructive sleep apnea-hypopnea syndrome.</ArticleTitle>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Mandibular repositioning appliances (MRAs) are a viable treatment alternative in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS). Because these appliances require retention in the patient's dentition, edentelous patients generally do not qualify for this treatment. This study describes our experiences with an implant-retained MRA in the treatment of edentulous OSAHS patients.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">Six edentulous OSAHS patients were included in this study. Standard treatment consisted of the placement of four endosseous dental implants in the mandible and the construction of a new maxillary denture and a mandibular overdenture. Subsequently, an MRA was made. After a habituation and adjustment period, the effect of treatment was evaluated with polysomnography. Treatment was considered effective in cases where it yielded an apnea-hypopnea index <5.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the six patients included, two did not tolerate the MRA because of pressure-induced discomfort on the labial mucosa in the maxilla. These two patients were offered an implant-retained overdenture and MRA in the maxilla. One of the two patients proceeded with this secondary treatment. Of the five patients completing the follow-up polysomnography, effective OSAHS treatment was attained in four.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The results from this study suggest that an implant-retained MRA in the mandible is a viable treatment modality in edentulous OSAHS patients. Because the therapeutic effectiveness of this treatment may be compromised by excessive pressure of the MRA on the labial mucosa in the maxilla, we suggest that an implant-retained MRA in the maxilla be offered as a secondary treatment in selected patients.</AbstractText>
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<DescriptorName UI="D009967" MajorTopicYN="Y">Orthodontic Appliances</DescriptorName>
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<DescriptorName UI="D020181" MajorTopicYN="N">Sleep Apnea, Obstructive</DescriptorName>
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