Introduction: Intraoral devices have increasingly assumed a key role in the treatment of obstructive sleep apnea syndrome, but there are limitations to their indication and side effects that result from their continuous use, as well as the use of the continuous positive airway pressure device.
Objectives: To evaluate the changes in dental positioning caused by the continuous use of mandibular advancement devices.
Methods: A prospective longitudinal study with a sample of 15 patients, with evaluation of complete documentation after a mean time of 6.47 months, assessed changes in dental positioning due to the use of the Twin Block oral device for the treatment of patients with apnea. The following variables were evaluated: overjet, overbite, upper and lower intermolar distances, upper and lower intercanine distances, Little's irregularity index and the incisor mandibular plane angle. An intraclass correlation test was performed and a correlation index>0.08 was accepted. After verifying the normal sample distribution (Shapiro-Wilks), a parametric test was used (t test), with a significance level set at 5%.
Results: There was a decrease in the values of overjet, overbite and Little's irregularity index, whereas there was an increase in the lower intercanine distance and IMPA values. All these variables are influenced, at different levels, by the forward inclination of the lower incisors, an action that can be expected due to the force applied by the device on the dentition. The other variables did not show statistically significant differences.
Conclusion: After a mean time of 6.47 months of use of the mandibular advancement device, there were statistically significant changes in the dental positioning, but they were not clinically relevant. However, it is relevant that this device is commonly in use over long periods of time, making the monitoring of these patients of the utmost importance for the duration of their therapy.
Dentista do Sono
Aparelhos Orais
A Apnéia do Sono, doença que pode levar o paciente a ter problemas cardíacos graves e o RONCO um de seus sinais, podem ser tratados com aparelhos orais.
Com excelentes resultados no tratamento do ronco e das apnéias leves e moderadas, confortável e com custo relativamente baixo, os aparelhos orais são uma das opções de tratamento.
A indicação do uso dos aparelhos é multidisciplinar, necessitando da avaliação do dentista e do médico especialista em sono e de exames próprios para determinar a gravidade da apnéia (Polissonografia)
A clinica REMSONO disponibiliza de dentista habilitado para realizaçao de aparelho intra-oral quando indicado pelo seu médico !
doi: 10.1016/j.bjorl.2017.09.003.Epub 2017 Oct 14.
Side effects of intraoral devices for OSAS treatment
Andressa Otranto de Britto Teixeira 1, Ana Luiza Ladeia Andrade 2, Rhita Cristina da Cunha Almeida 2, Marco Antonio de Oliveira Almeida 3
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Introduction: Intraoral devices have increasingly assumed a key role in the treatment of obstructive sleep apnea syndrome, but there are limitations to their indication and side effects that result from their continuous use, as well as the use of the continuous positive airway pressure device.
Objectives: To evaluate the changes in dental positioning caused by the continuous use of mandibular advancement devices.
Methods: A prospective longitudinal study with a sample of 15 patients, with evaluation of complete documentation after a mean time of 6.47 months, assessed changes in dental positioning due to the use of the Twin Block oral device for the treatment of patients with apnea. The following variables were evaluated: overjet, overbite, upper and lower intermolar distances, upper and lower intercanine distances, Little's irregularity index and the incisor mandibular plane angle. An intraclass correlation test was performed and a correlation index>0.08 was accepted. After verifying the normal sample distribution (Shapiro-Wilks), a parametric test was used (t test), with a significance level set at 5%.
Results: There was a decrease in the values of overjet, overbite and Little's irregularity index, whereas there was an increase in the lower intercanine distance and IMPA values. All these variables are influenced, at different levels, by the forward inclination of the lower incisors, an action that can be expected due to the force applied by the device on the dentition. The other variables did not show statistically significant differences.
Conclusion: After a mean time of 6.47 months of use of the mandibular advancement device, there were statistically significant changes in the dental positioning, but they were not clinically relevant. However, it is relevant that this device is commonly in use over long periods of time, making the monitoring of these patients of the utmost importance for the duration of their therapy.
Keywords: Avanço mandibular; Continuous positive airway pressure; Mandibular advancement; Obstructive sleep apnea syndrome; Pressão positiva contínua nas vias aéreas; Síndrome da apneia obstrutiva do sono.
Copyright © 2017 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved