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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.

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。

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