Suppr超能文献

口腔健康专业人员对阻塞性睡眠呼吸暂停患者报告结局的评估

ASSESSMENT BY ORAL HEALTH PROFESSIONALS OF PATIENT-REPORTED OUTCOMES IN OBSTRUCTIVE SLEEP APNEA.

作者信息

Fagundes Nathalia Carolina Fernandes, Flores-Mir Carlos

机构信息

School of Dentistry, Faculty of Medicine and Dentistry, College of Health Sciences, University of Alberta, Edmonton, Alberta, Canada.

School of Dentistry, Faculty of Medicine and Dentistry, College of Health Sciences, University of Alberta, Edmonton, Alberta, Canada.

出版信息

J Evid Based Dent Pract. 2025 Mar;25(1S):102045. doi: 10.1016/j.jebdp.2024.102045. Epub 2024 Oct 22.

Abstract

Oral health professionals, including general dentists and orthodontists, may participate in the provision of care to adults and children with obstructive sleep apnea (OSA) when referred by a sleep medicine specialist. The use of oral appliances (OA) has been presented as a possible management option for mild obstructive sleep apnea among adults. In children, although oral interventions are not supported as a first-line stand-alone management option for OSA, short-term studies have suggested an improvement in sleep signs and symptoms in milder cases. The monitoring of management outcomes from OA interventions is essential to monitor OSA conditions. Due to the chronic nature of OSA, the measure of dental patient-reported outcomes (dPROs) will likely help to understand interplaying factors that may influence the effectiveness of OA interventions among subjects with OSA. This narrative review discusses the current evidence regarding main dPROs in OSA, evaluation methods, and the contribution of oral health professionals in assessing it for both children and adults. The main dPROs assessed among OA users include quality of life, treatment adherence, and side effects. The use of validated tools to measure dPROs must be preferred when available. Overall, the clinical assessment of dPROs by oral health professionals is likely beneficial to monitoring OSA management outcomes and must be encouraged as part of an interdisciplinary approach led by the sleep physician.

摘要

口腔健康专业人员,包括普通牙医和正畸医生,在睡眠医学专家转诊的情况下,可参与为患有阻塞性睡眠呼吸暂停(OSA)的成人和儿童提供护理。口腔矫治器(OA)的使用已被视为成人轻度阻塞性睡眠呼吸暂停的一种可能的治疗选择。在儿童中,虽然口腔干预不被支持作为OSA的一线独立治疗选择,但短期研究表明,在较轻病例中睡眠体征和症状有所改善。监测OA干预的治疗效果对于监测OSA病情至关重要。由于OSA的慢性性质,牙科患者报告结局(dPROs)的测量可能有助于了解可能影响OSA患者中OA干预效果的相互作用因素。本叙述性综述讨论了关于OSA中主要dPROs、评估方法以及口腔健康专业人员在评估儿童和成人dPROs方面的贡献的现有证据。在OA使用者中评估的主要dPROs包括生活质量、治疗依从性和副作用。如有可用,应优先使用经过验证的工具来测量dPROs。总体而言,口腔健康专业人员对dPROs进行临床评估可能有利于监测OSA治疗效果,并且必须作为由睡眠医生主导的跨学科方法的一部分予以鼓励。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验