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[阻塞性睡眠呼吸暂停综合征(OSAS):口腔颌面部问题的评估与治疗]

[Obstructive Sleep Apnea Syndrome (OSAS): evaluation and treatment of odontostomatological problems].

作者信息

Ierardo Gaetano, Luzzi Valeria, Polimeni Antonella

机构信息

Università La Sapienza Roma.

出版信息

Med Lav. 2017 Aug 28;108(4):293-296. doi: 10.23749/mdl.v108i4.6232.

DOI:10.23749/mdl.v108i4.6232
PMID:28853428
Abstract

The Obstructive Sleep Apnea Syndrome (OSAS) is a breathing disorder characterized by repeated episodes of apnea/hypopnea occurring during sleep and caused by the obstruction of the upper airway. As OSAS can have a significant impact on quality of life, an early diagnosis and a multi-specialized recognition become important. Therapeutic proposals include the Mandibular Advancement Devices (MADs), intraoral devices that induce a mandibular advancement during the night to eliminate snoring and apnea. Italian guidelines on dental aspects of OSAS in adults and children focus primarily on anamnestic and clinical methods by which the dentist, in a role of epidemiological sentinel, can first identify a patient with OSAS and then participate in the therapeutic process using specific orthodontic intraoral devices.

摘要

阻塞性睡眠呼吸暂停综合征(OSAS)是一种呼吸障碍,其特征是睡眠期间反复出现呼吸暂停/呼吸不足发作,由上呼吸道阻塞引起。由于OSAS会对生活质量产生重大影响,早期诊断和多专业识别变得很重要。治疗建议包括下颌前移装置(MADs),即夜间可促使下颌前移以消除打鼾和呼吸暂停的口腔内装置。意大利关于成人和儿童OSAS牙科方面的指南主要侧重于问诊和临床方法,通过这些方法,牙医作为流行病学哨兵,可首先识别OSAS患者,然后使用特定的正畸口腔内装置参与治疗过程。

相似文献

1
[Obstructive Sleep Apnea Syndrome (OSAS): evaluation and treatment of odontostomatological problems].[阻塞性睡眠呼吸暂停综合征(OSAS):口腔颌面部问题的评估与治疗]
Med Lav. 2017 Aug 28;108(4):293-296. doi: 10.23749/mdl.v108i4.6232.
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Obstructive sleep apnea syndrome in the pediatric age: the role of the dentist.小儿阻塞性睡眠呼吸暂停综合征:牙医的作用
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[Dutch national guidelines for diagnosis and treatment of obstructive sleep apnea syndrome in adults].[荷兰成人阻塞性睡眠呼吸暂停综合征诊断与治疗国家指南]
Ned Tijdschr Tandheelkd. 2010 Apr;117(4):227-31. doi: 10.5177/ntvt2010.04.09133.
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Mandibular advancement devices: indications and predictors of treatment outcome. A review.下颌前移装置:治疗结果的适应症和预测因素。综述。
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Principles of mandibular advancement device applied to the therapeutic of snoring and sleep apnea syndrome.下颌前移装置应用于打鼾及睡眠呼吸暂停综合征治疗的原理。
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Treatment of the obstructive sleep apnea syndrome in adults by mandibular advancement device: the state of the art.下颌前移装置治疗成人阻塞性睡眠呼吸暂停综合征:现状
Int Orthod. 2009 Sep;7(3):287-304. doi: 10.1016/S1761-7227(09)73504-1. Epub 2010 Jan 30.
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Snoring and Obstructive Sleep Apnea: Objective Efficacy and Impact of a Chairside Fabricated Mandibular Advancement Device.打鼾和阻塞性睡眠呼吸暂停:椅旁制作的下颌前伸装置的客观疗效和影响。
J Prosthodont. 2017 Jul;26(5):381-386. doi: 10.1111/jopr.12401. Epub 2015 Nov 30.

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Correlations of Obstructive Sleep Apnea Syndrome and Daytime Sleepiness with the Risk of Car Accidents in Adult Working Population: A Systematic Review and Meta-Analysis with a Gender-Based Approach.阻塞性睡眠呼吸暂停综合征及日间嗜睡与成年工作人群交通事故风险的相关性:基于性别的系统评价和荟萃分析
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Oral microbiome: possible harbinger for children's health.
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