Schwarting Susanne, Huebers Ulrich, Heise Markus, Schlieper Joerg, Hauschild Andreas
Andreas-Gayk-Strasse 23, 24103 Kiel, Germany.
Sleep Breath. 2007 Jun;11(2):125-6. doi: 10.1007/s11325-007-0116-z.
Custom-made mandibular advancement devices are an effective treatment option for snoring, upper airway resistance syndrome, and obstructive sleep apnea (OSA). Evidence-based data indicates their efficacy, and international sleep societies recommend oral appliance (OA) therapy for patients with sleep-related breathing disorders. The following position paper by the German Society of Dental Sleep Medicine (DGZS) is to guide the interdisciplinary team (sleep physician and sleep disorder dentist) in detail when to prescribe oral appliances. This position paper supports the responsible use of OA as an effective treatment option for patients with sleep-related breathing disorders. The paper advises of proper indication regarding OSA severity, body mass index (BMI), and dentition. It emphasizes the interdisciplinary approach of oral appliance therapy and suggests treatment under the guidance of dentists trained in dental sleep medicine.
定制下颌前移装置是治疗打鼾、上气道阻力综合征和阻塞性睡眠呼吸暂停(OSA)的一种有效治疗选择。循证数据表明了其有效性,国际睡眠协会推荐对患有与睡眠相关呼吸障碍的患者采用口腔矫治器(OA)治疗。德国牙科睡眠医学协会(DGZS)的以下立场文件旨在详细指导跨学科团队(睡眠医生和睡眠障碍牙医)何时开具口腔矫治器。该立场文件支持将OA作为治疗与睡眠相关呼吸障碍患者的一种有效治疗选择合理使用。该文件就OSA严重程度、体重指数(BMI)和牙列给出了恰当的适应症建议。它强调了口腔矫治器治疗的跨学科方法,并建议在接受牙科睡眠医学培训的牙医指导下进行治疗。