Ng Jing Hao, Yow Mimi
Department of Orthodontics, National Dental Centre Singapore, 5 Second Hospital Avenue, Singapore 168938, Singapore.
Department of Orthodontics, National Dental Centre Singapore, 5 Second Hospital Avenue, Singapore 168938, Singapore.
Sleep Med Clin. 2020 Jun;15(2):241-250. doi: 10.1016/j.jsmc.2020.02.010.
Obstructive sleep apnea (OSA) is a multifactorial condition, and an interdisciplinary approach to diagnosis forms the basis for effective treatment planning. Craniofacial structure and attached soft tissues and muscles play a central role in OSA. Evidence-based studies demonstrate the effectiveness of oral appliances for mandibular advancement and tongue stabilization in managing OSA, and current clinical standards of practice recommend the use of oral appliances to treat OSA when patients cannot tolerate continuous positive airway pressure (CPAP). Although effective, oral appliances are less predictable in managing OSA compared with CPAP therapy. Measures can be taken to improve predictability of oral appliance treatment.
阻塞性睡眠呼吸暂停（OSA）是一种多因素疾病，跨学科的诊断方法是有效治疗方案规划的基础。颅面结构以及附着的软组织和肌肉在OSA中起着核心作用。循证研究表明，口腔矫治器在治疗OSA时，对于下颌前移和舌稳定具有有效性，并且当前的临床实践标准建议，当患者无法耐受持续气道正压通气（CPAP）时，使用口腔矫治器来治疗OSA。尽管口腔矫治器有效，但与CPAP治疗相比，其在治疗OSA方面的可预测性较低。可以采取措施来提高口腔矫治器治疗的可预测性。
