폐쇄성 수면무호흡증 환자에서 구강내 장치의 장기간 사용시 부작용
Long term complication of oral appliance for obstructive sleep apnea
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Obstructive sleep apnea (OSA) is a common sleep disorder which affects personal as well as social life, and increases the incidence of cardiovascular disease. Various treatments are available, including modification of life style, surgical treatment, continuous positive airway pressure (CPAP) therapy and oral appliance therapy. Dentist’s role in treating OSA through oral appliance is to select appropriate type of the appliance with the consideration of the efficacy and possible side effects of the appliance. Oral appliance is known to be effective in mild to moderate OSA, and is relatively more tolerable for the patients compared to other treatment modalities of OSA. However, long term use of the appliance can give rise to various side effects, such as, occlusal change, increase salivation during sleep, xerostomia, temporomandibular disorder, etc. Therefore, oral appliance should be managed by well-experienced dentist who can predict and control the possible side effects.
Abstract
Obstructive sleep apnea (OSA) is a common sleep disorder which affects personal as well as social life, and increases the incidence of cardiovascular disease. Various treatments are available, including modification of life style, surgical treatment, continuous positive airway pressure (CPAP) therapy and oral appliance therapy. Dentist’s role in treating OSA through oral appliance is to select appropriate type of the appliance with the consideration of the efficacy and possible side effects of the appliance. Oral appliance is known to be effective in mild to moderate OSA, and is relatively more tolerable for the patients compared to other treatment modalities of OSA. However, long term use of the appliance can give rise to various side effects, such as, occlusal change, increase salivation during sleep, xerostomia, temporomandibular disorder, etc. Therefore, oral appliance should be managed by well-experienced dentist who can predict and control the possible side effects.
참고문헌 (15)
- Mohsenin N, "The role of oral appliances in treating obstructive sleep apnea", J Am Dent Assoc, 134, pp.442~449 (2003)
- Bailey DR, "Dental therapy for obstructive sleep apnea", Semin Respir Crit Care Med, 26, pp.89~95 (2005)
- Bailey DR, "Dentistry’s role in the management of sleep disorders. Recognition and management", Dent Clin North Am, 45, pp.619~630 (2001)
- Chan AS, "Dental appliance treatment for obstructive sleep apnea", Chest, 132, pp.693~699 (2007)
- Chan AS, "Non-positive airway pressure modalities:mandibular advancement devices", positional therapy, 2008, pp.5, 179~184
- Padma A, "Management of obstructive sleep apnea: A dental perspective", Indian J Dent Res, 18, pp.201~209 (2007)
- Hoffstein V, "Review of oral appliances for treatment of sleepdisordered breathing", Sleep Breath, 11, pp.1~22 (2007)
- Pantin CC, "Dental side effects of an oral device to treat snoring and obstructive sleep apnea", Sleep, 22, pp.237~240 (1999)
- Rose EC, "Occlusal and skeletal effects of an oral appliance in the treatment of obstructive sleep apnea", Chest, 122, pp.871~877 (2002)
- Robertson C, "Dental and occlusal changes during mandibular advancement splint therapy in sleep disordered patients", Eur J Orthod, 25, pp.371~376 (2003)
- Ghazal A, "Dental side effects of mandibular advancement appliances – a 2-year follow-up", J Orofac Orthop, 69, pp.437~447 (2008)
- Almeida FR, "Long-term sequellae of oral appliance therapy in obstructive sleep apnea patients: Part 1. Cephalometric analysis", Am J Orthod Dentofacial Orthop, 129, pp.195~204 (2006)
- Almeida FR, "Long-term sequellae of oral appliance therapy in obstructive sleep apnea patients: Part 2. Study-model analysis", Am J Orthod Dentofacial Orthop, 129, pp.205~213 (2006)
- Robertson CJ, "Dental and skeletal changes associated with longterm mandibular advancement", Sleep, 24, pp.531~537 (2001)
- Marklund M, "Predictors of long-term orthodontic side effects from mandibular advancement devices in patients with snoring and obstructive sleep apnea", Am J Orthod Dentofac Orthop, 129, pp.214~221 (2006)