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구강내 장치를 이용한 수면호흡장애 치료의 전신적 효과

Systemic effects of oral appliance treatment for sleep related breathing disorders

박지운|김희영
대한치과의사협회 (korea dental association)|2021.11|대한치과의사협회지 (Journal of Korean Dental Association)|제59권 제12호|pp. 742-750|DOI 10.22974/jkda.2021.59.12.005

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참고문헌

키워드

cardiovascular diseaseobstructive sleep apneacognitive dysfunctionsnoringmood disorderSleep related breathing disordersendocrine disorder
주제분류치의학

초록

Sleep related breathing disorders (SRBDs) are a spectrum of diseases characterized by difficulties in airflow during sleep. Central sleep apnea, obstructive sleep apnea (OSA), sleep-related hypoventilation, and hypoxemia disorder are included in this disease entity. OSA is known to be the most common SRBDs and studies show its significant correlation with general health issues including hypertension, arrhythmia, diabetes, and metabolic syndrome. The relationship between cardiovascular risk and OSA is especially significant with systemic inflammation, intermittent hypoxia, and increased oxidative stress considered as the underlying mechanism. Previous studies show that oral appliance treatment for OSA has a positive impact on lowering blood pressure and such an effect is non-inferior to that of continuous positive airway pressure therapy. More recent studies also support the favorable effect of oral appliance treatment for OSA patients in the aspect of endocrine, psychologic disorders, and cognitive function. Furthermore oral appliance treatment for OSA is known to improve the overall quality of life and daytime sleepiness levels of the patient. The dentist who is experienced in dental sleep medicine can easily identify patients with the risk of OSA and provide appropriate treatment. The dentist should play an important part in the diagnosis and treatment of OSA which is inevitably connected to the well-being of the patient and better treatment results for various conditions. So the objective of this article is to assist dental professionals in gaining knowledge and insight of the systemic effects of oral appliance treatment for OSA.

Abstract

Sleep related breathing disorders (SRBDs) are a spectrum of diseases characterized by difficulties in airflow during sleep. Central sleep apnea, obstructive sleep apnea (OSA), sleep-related hypoventilation, and hypoxemia disorder are included in this disease entity. OSA is known to be the most common SRBDs and studies show its significant correlation with general health issues including hypertension, arrhythmia, diabetes, and metabolic syndrome. The relationship between cardiovascular risk and OSA is especially significant with systemic inflammation, intermittent hypoxia, and increased oxidative stress considered as the underlying mechanism. Previous studies show that oral appliance treatment for OSA has a positive impact on lowering blood pressure and such an effect is non-inferior to that of continuous positive airway pressure therapy. More recent studies also support the favorable effect of oral appliance treatment for OSA patients in the aspect of endocrine, psychologic disorders, and cognitive function. Furthermore oral appliance treatment for OSA is known to improve the overall quality of life and daytime sleepiness levels of the patient. The dentist who is experienced in dental sleep medicine can easily identify patients with the risk of OSA and provide appropriate treatment. The dentist should play an important part in the diagnosis and treatment of OSA which is inevitably connected to the well-being of the patient and better treatment results for various conditions. So the objective of this article is to assist dental professionals in gaining knowledge and insight of the systemic effects of oral appliance treatment for OSA.

참고문헌 (43)

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