阻塞性睡眠呼吸暂停的口腔矫治器：新出现的问题、即将面临的挑战及可能的解决方案。
Oral appliances for obstructive sleep apnea: Emerging issues, upcoming challenges, and possible solutions.
作者信息
Belkhode Vikram, Godbole Surekha, Nimonkar Sharayu, Parhad Sameer, Nimonkar Pranali
机构信息
Department of Prosthodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
Department of Orthodontics, Dr. Rajesh Ramdasji Kambe Dental College and Hospital, Akola, Maharashtra, India.
出版信息
J Family Med Prim Care. 2021 Sep;10(9):3172-3175. doi: 10.4103/jfmpc.jfmpc_54_21. Epub 2021 Sep 30.
BACKGROUND
As per the current epidemiological studies, the prevalence of obstructive sleep apnea (OSA) among the adult population is very high. Oral appliances (OAs) have emerged as the most recommended alternative treatment option for mild to moderate OSA.
OBJECTIVE
The objective of this article is to propose or develop a new design of OA named "customized maxillary oral appliance (CMOA)," for managing moderate OSA syndrome.
METHODS
The design proposed in this article is first of its kind that is fabricated on the maxillary arch. CMOA is developed by combining the principles of the three most popular OAs used in OSA, namely, soft palate lifters, tongue retaining devices, and mandibular advancement devices.
CONCLUSIONS
Given the potential impact of OSA on general and mental health and the side effects of existing appliances, there is a need for a new remedy to be introduced in the field of sleep medicine. This novel design can provide a new therapeutic option for patients with moderate OSA.
背景
根据当前的流行病学研究，阻塞性睡眠呼吸暂停（OSA）在成年人群中的患病率非常高。口腔矫治器（OAs）已成为轻至中度OSA最推荐的替代治疗选择。
目的
本文的目的是提出或开发一种名为“定制上颌口腔矫治器（CMOA）”的新型口腔矫治器设计，用于治疗中度OSA综合征。
方法
本文提出的设计是首次在上颌牙弓上制作的。CMOA是通过结合OSA中使用的三种最流行的口腔矫治器的原理开发的，即软腭提升器、舌保持装置和下颌前移装置。
结论
鉴于OSA对总体健康和心理健康的潜在影响以及现有矫治器的副作用，睡眠医学领域需要引入新的治疗方法。这种新颖的设计可以为中度OSA患者提供新的治疗选择。
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