본문 바로가기
KERD
논문KCI 등재

Microimplant mandibular advancement (MiMA) therapy for the treatment of snoring and obstructive sleep apnea (OSA)

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류치의학

초록

This case report describes the treatment of a 66 year old adult patient with a diagnosis of severe obstructive sleep apnea who was intolerant of nasal continuous positive airway pressure (nCPAP) treatment and oral appliance therapy. An alternative treatment of snoring and obstructive sleep apnea (OSA) with 2 orthodontic microimplants anchored to the mandible providing skeletal anchorage for mandibular advancement was implemented. After a 2 week healing period, a custom designed facemask provided extraoral anchorage to which the microimplants were connected to for titratable mandibular advancement. Microimplant Mandibular Advancement (MiMA) therapy resulted in resolution of the symptoms of severe OSA with a reduction of the apnea-hypopnea index (AHI), snoring and OSA symptoms. (Korean J Orthod 2010;40(2):115-126)

Abstract

This case report describes the treatment of a 66 year old adult patient with a diagnosis of severe obstructive sleep apnea who was intolerant of nasal continuous positive airway pressure (nCPAP) treatment and oral appliance therapy. An alternative treatment of snoring and obstructive sleep apnea (OSA) with 2 orthodontic microimplants anchored to the mandible providing skeletal anchorage for mandibular advancement was implemented. After a 2 week healing period, a custom designed facemask provided extraoral anchorage to which the microimplants were connected to for titratable mandibular advancement. Microimplant Mandibular Advancement (MiMA) therapy resulted in resolution of the symptoms of severe OSA with a reduction of the apnea-hypopnea index (AHI), snoring and OSA symptoms. (Korean J Orthod 2010;40(2):115-126)

참고문헌 (48)

  1. Kim J, "Prevalence of sleep-disordered breathing in middle-aged Korean men and women", Am J Respir Crit Care Med, 170, pp.1108~13 (2004)
  2. Joo S, "Prevalence of excessive daytime sleepiness and associated factors in the adult population of Korea", Sleep Med, 10, pp.182~8 (2009)
  3. Lee SA, "Heavy snoring as a cause of carotid artery atherosclerosis", Sleep, 31, pp.1207~31 (2008)
  4. Sullivan CE, "Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares", Lancet, 1, pp.862~5 (1981)
  5. 황상희, "한국인 성인 남성 폐쇄성수면무호흡 환자의 측모 두부 방사선계측학적 비교", 대한치과교정학회지, 38(3), pp.202~213 (2008), 대한치과교정학회
  6. Mehta A, "A randomized, controlled study of a mandibular advancement splint for obstructive sleep apnea", Am J Respir Crit Care Med, 163, pp.1457~61 (2001)
  7. Panula K, "Irreversible alteration in occlusion caused by a mandibular advancement appliance: an unexpected complication of sleep apnea treatment", Int J Adult Orthodon Orthognath Surg, 15, pp.192~6 (2000)
  8. Petit FX, "Mandibular advancement devices: rate of contraindications in 100 consecutive obstructive sleep apnea patients", Am J Respir Crit Care Med, 166, pp.274~8 (2002)
  9. Kyung HM, "Development of orthodontic micro-implants for intraoral anchorage", J Clin Orthod, 37, pp.321~8 (2003)
  10. 이한아, "Miniscrew implant를 이용한 상악 구치부 압하와 개방교합 치료의 효과 및 안정성", 대한치과교정학회지, 38(1), pp.31~40 (2008), 대한치과교정학회
  11. Park HS, "A simple method of molar uprighting with micro-implant anchorage", J Clin Orthod, 36, pp.592~6 (2002)
  12. Kuroda S, "anterior open-bite case treated using titanium screw anchorage", Angle Orthod, 74, pp.558~67 (2004)
  13. Yao CC, "Comparison of treatment outcomes between skeletal anchorage and extraoral anchorage in adults with maxillary dentoalveolar protrusion", Am J Orthod Dentofacial Orthop, 134, pp.615~24 (2008)
  14. Takano-Yamamoto T, "Titanium screw anchorage for correction of canted occlusal plane in patients with facial asymmetry", Am J Orthod Dentofacial Orthop, 132, pp.237~42 (2007)
  15. Park HS, "Factors affecting the clinical success of screw implants used as orthodontic anchorage", Am J Orthod Dentofacial Orthop, 130, pp.18~25 (2006)
  16. 이승연, "교정력 부하시기에 따른 교정용 미니 임플란트의 안정성", 대한치과교정학회지, 38(3), pp.149~158 (2008), 대한치과교정학회
  17. Kushida CA, "Practice parameters for the treatment of snoring and Obstructive Sleep Apnea with oral appliances: an update for 2005", Sleep, 29, pp.240~3 (2006)
  18. Pepin JL, "Side effects of nasal continuous positive airway pressure in sleep apnea syndrome. Study of 193 patients in two French sleep centers", Chest, 107, pp.375~81 (1995)
  19. Clark GT, "A crossover study comparing the efficacy of continuous positive airway pressure with anterior mandibular positioning devices on patients with obstructive sleep apnea", Chest, 109, pp.1477~83 (1996)
  20. Tegelberg A, "Effects and adverse events of a dental appliance for treatment of obstructive sleep apnoea", Swed Dent J, 23, pp.117~26 (1999)
  21. Battagel JM, "Dental side-effects of mandibular advancement splint wear in patients who snore", Clin Otolaryngol, 30, pp.149~56 (2005)
  22. Pantin CC, "Dental side effects of an oral device to treat snoring and obstructive sleep apnea", Sleep, 22, pp.237~40 (1999)
  23. Rose EC, "Occlusal and skeletal effects of an oral appliance in the treatment of obstructive sleep apnea", Chest, 122, pp.871~7 (2002)
  24. de Almeida FR, "Long-term compliance and side effects of oral appliances used for the treatment of snoring and obstructive sleep apnea syndrome", J Clin Sleep Med, 1, pp.143~52 (2005)
  25. Marklund M, "Orthodontic side-effects of mandibular advancement devices during treatment of snoring and sleep apnoea", Eur J Orthod, 23, pp.135~44 (2001)
  26. Hoekema A, "Implant-retained oral appliances: a novel treatment for edentulous patients with obstructive sleep apnea-hypopnea syndrome", Clin Oral Implants Res, 18, pp.383~7 (2007)
  27. Flanagan D, "A removable snore reduction appliance for a mandibular", J Oral Implantol, 35, pp.221~4 (2009)
  28. de Carlos F, "Fernandez Mondragon MP, Alvarez Suarez A, Calvo Blanco J. Orthoimplants: an alternative treatment for SAHS?", Sleep Breath, ~ (2009), Epub ahead of print
  29. Huja SS, "Larsen PE. Pull-out strength of monocortical screws placed in the maxillae and mandibles of dogs", Am J Orthod Dentofacial Orthop, 127, pp.307~13 (2005)
  30. Motoyoshi M, "The effect of cortical bone thickness on the stability of orthodontic mini-implants and on the stress distribution in surrounding bone", Int J Oral Maxillofac Surg, 38, pp.13~8 (2009)
  31. Chen Y, "Critical factors for the success of orthodontic mini-implants: a systematic review", Am J Orthod Dentofacial Ortho, 135, pp.284~91 (2009)
  32. Huja SS, "Biomechanical and histomorphometric analyses of monocortical screws at placement and 6 weeks postinsertion", J Oral Implantol, 32, pp.110~6 (2006)
  33. McLain RF, "Lumbar pedicle screw salvage: pullout testing of three different pedicle screw designs", J Spinal Disord, 8, pp.62~8 (1995)
  34. Zdeblick TA, "Pedicle screw pullout strength. Correlation with insertional torque", Spine (Phila Pa 1976), 18, pp.1673~6 (1993)
  35. Salmoria KK, "Insertional torque and axial pull-out strength of mini-implants in mandibles of dogs", Am J Orthod Dentofacial Orthop, 133, pp.790 e715~722 (2008)
  36. Motoyoshi M, "Recommended placement torque when tightening an orthodontic mini-implant", Clin Oral Implants Res, 17, pp.109~14 (2006)
  37. Chen YJ, "Stability of miniplates and miniscrews used for orthodontic anchorage: experience with 492 temporary anchorage devices", Clin Oral Implants Res, 19, pp.1188~96 (2008)
  38. Liou EJ, "Do miniscrews remain stationary under orthodontic forces?", Am J Orthod Dentofacial Orthop, 126, pp.42~7 (2004)
  39. Brettin BT, "Bicortical vs monocortical orthodontic skeletal anchorage", Am J Orthod Dentofacial Orthop, 134, pp.625~35 (2008)
  40. Freudenthaler JW, "Bicortical titanium screws for critical orthodontic anchorage in the mandible: a preliminary report on clinical applications", Clin Oral Implants Res, 12, pp.358~63 (2001)
  41. Ueda H, "Changes in occlusal contact area during oral appliance therapy assessed on study models", Angle Orthod, 78, pp.866~72 (2008)
  42. Kato J, "Dose-dependent effects of mandibular advancement on pharyngeal mechanics and nocturnal oxygenation in patients with sleep-disordered breathing", Chest, 117, pp.1065~72 (2000)
  43. 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)
  44. 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.205~13 (2006)
  45. Hitchon PW, "Factors affecting the pullout strength of self-drilling and self-tapping anterior cervical screws", Spine (Phila Pa 1976), 28, pp.9~13 (2003)
  46. Sato K, "Sleep-related deglutition in patients with sleep apnea-hypopnea syndrome", Ann Otol Rhinol Laryngol, 118, pp.30~6 (2009)
  47. Sato K, "Human adult deglutition during sleep", Ann Otol Rhinol Laryngol, 115, pp.334~9 (2006)
  48. Teran-Santos J, "The association between sleep apnea and the risk of traffic accidents. Cooperative Group Burgos-Santander", N Engl J Med, 340, pp.847~51 (1999)

관련 논문AI추천

이 간행물의 다른 논문 (5건)