Jafarimehrabady Niloofar, Scribante Andrea, Defabianis Patrizia, Merlati Giuseppe, Vitale Marina Consuelo
Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, Section of Dentistry, Unit of Orthodontics and Pediatric Dentistry, University of Pavia, Pavia, Italy.
Department of Surgical Sciences, C.I.R. Dental School-Section of Pediatric Dentistry, University of Turin, Turin, Italy.
Biomed Res Int. 2024 Feb 23;2024:9361528. doi: 10.1155/2024/9361528. eCollection 2024.
Prolonged use of oral devices as a substitute for traditional treatments has been studied in relation to the dental and skeletal changes associated with obstructive sleep apnea syndrome (OSA), which is a sleep-breathing disorder.
A review of articles indexed in PubMed, Google Scholar, Cochrane Library, Scopus, Web of Sciences, and CINHAL databases in September 2022 based on MeSH-based keywords with "dental and skeletal" and "oral appliance" and "obstructive sleep apnea" was examined to ensure that the keywords alone or cross-linked, depending on which base of the searched data, were used. 16 articles out of 289 articles were included in the research, and 273 articles were excluded due to lack of study.
CPAP treatment has limited dental or skeletal effects in short-term or long-term use. OAs and MADs show significant dental changes with prolonged use. MAS and TSD are more effective in short-term goals than CPAP. OAs' increase may cause dental and skeletal changes. MPD shows notable cephalometric alterations.
作为传统治疗方法的替代手段，长期使用口腔矫治器与阻塞性睡眠呼吸暂停综合征（一种睡眠呼吸障碍）相关的牙齿和骨骼变化之间的关系已得到研究。
2022年9月，基于医学主题词（MeSH），对PubMed、谷歌学术、Cochrane图书馆、Scopus、科学网和CINHAL数据库中索引的文章进行综述，关键词为“牙齿和骨骼”、“口腔矫治器”和“阻塞性睡眠呼吸暂停”，以确保根据搜索数据的不同库，单独或交叉使用这些关键词。289篇文章中有16篇被纳入研究，273篇文章因缺乏研究而被排除。
持续气道正压通气（CPAP）治疗在短期或长期使用中对牙齿或骨骼的影响有限。口腔矫治器（OAs）和下颌前移装置（MADs）长期使用会导致显著的牙齿变化。口外弓（MAS）和舌保持装置（TSD）在短期目标上比CPAP更有效。口腔矫治器的增加可能会导致牙齿和骨骼的变化。肌功能矫治器（MPD）显示出显著的头影测量改变。
