Adjunct Faculty, University of Utah School of Dentistry, Salt Lake City, Utah; Private Practice, Taylorsville, Utah.
Compend Contin Educ Dent. 2023 Jun;44(6):308-312; quiz 313.
Obstructive sleep apnea (OSA) is characterized by recurrent episodes of upper airway obstruction that result in interrupted breathing during sleep. Left untreated, OSA can be associated with a range of serious long-term health risks. Despite OSA being a prevalent, potentially dangerous condition, approximately only 10% to 20% of patients are diagnosed and appropriately treated. Dentists can play a critical role in the identification and management of OSA. This article provides an evidence-based review of the diagnosis and treatment of OSA from a dental perspective. It discusses the epidemiology, pathophysiology, and clinical presentation of OSA as well as information on oral appliance therapy as a treatment option and the dentist's role as part of a multidisciplinary team in the evaluation, diagnosis, and treatment of sleep-related breathing disorders.
阻塞性睡眠呼吸暂停(OSA)的特征是反复发作的上呼吸道阻塞,导致睡眠期间呼吸中断。如果不治疗,OSA 可能与一系列严重的长期健康风险相关。尽管 OSA 是一种普遍存在的、潜在危险的疾病,但只有大约 10%至 20%的患者得到诊断和适当治疗。牙医可以在识别和管理 OSA 方面发挥关键作用。本文从牙科角度提供了 OSA 的诊断和治疗的循证综述。它讨论了 OSA 的流行病学、病理生理学和临床表现,以及口腔器具治疗作为一种治疗选择的信息,以及牙医作为多学科团队的一部分在评估、诊断和治疗睡眠相关呼吸障碍方面的作用。