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可摘口腔矫治器治疗的依从性:过去与未来

Adherence to Treatment with Removable Oral Appliances: the Past and the Future.

作者信息

Kirshenblatt Stacey, Chen Hui, Dieltjens Marijke, Pliska Benjamin, Almeida Fernanda R

出版信息

J Can Dent Assoc. 2018 Apr;84:i3.

PMID:31199719
Abstract

Oral appliances (OAs) are frequently used in orthodontics and for the treatment of obstructive sleep apnea. Because OAs can be inserted and removed by patients themselves, the patient's cooperation is a major component of effective treatment. In this review, we provide an overview of factors studied in the past that affect adherence to OA use in orthodontics and dental sleep medicine. We also describe future directions in adherence and the use of objective microsensor technology to measure adherence in these patients. Because removable oral appliances (OAs) can be inserted and removed by patients themselves, their cooperation and adherence to therapy are necessary to achieve success.1,2 Removable OAs, such as headgear, removable retainers and functional appliances, are used in orthodontics to correct malocclusions. In the field of sleep medicine, removable OAs are increasingly used as an option in the treatment of patients with obstructive sleep apnea (OSA).

摘要

口腔矫治器(OAs)常用于正畸治疗以及阻塞性睡眠呼吸暂停的治疗。由于口腔矫治器可由患者自行插入和取出,患者的配合是有效治疗的重要组成部分。在本综述中,我们概述了过去研究的影响正畸和牙科睡眠医学中口腔矫治器使用依从性的因素。我们还描述了依从性方面的未来方向以及使用客观微传感器技术来测量这些患者的依从性。由于可摘式口腔矫治器(OAs)可由患者自行插入和取出,患者的配合以及对治疗的依从性对于取得成功是必要的。1,2 可摘式口腔矫治器,如头帽、可摘式保持器和功能性矫治器,在正畸治疗中用于矫正错牙合畸形。在睡眠医学领域,可摘式口腔矫治器越来越多地被用作治疗阻塞性睡眠呼吸暂停(OSA)患者的一种选择。

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1
Adherence to Treatment with Removable Oral Appliances: the Past and the Future.可摘口腔矫治器治疗的依从性:过去与未来
J Can Dent Assoc. 2018 Apr;84:i3.
2
Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015.口腔矫治器治疗阻塞性睡眠呼吸暂停和打鼾的临床实践指南:2015年更新版
J Clin Sleep Med. 2015 Jul 15;11(7):773-827. doi: 10.5664/jcsm.4858.
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Oral Appliances for the Management of OSA: An Updated Review of the Literature.口腔矫治器治疗阻塞性睡眠呼吸暂停:文献更新综述。
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