Multidisciplinary approach as a tool for personalised treatment in obstructive sleep apnea: a retrospective analysis

Author(s):  
Daniela Carioli ◽  
Michele Romano ◽  
Alessandra Colombo ◽  
Mirko Marra ◽  
Marco Mantero
2017 ◽  
Vol 3 (1) ◽  
pp. 16-21
Author(s):  
Karina Woodling ◽  
Juan Fiorda-Diaz ◽  
Bradley A. Otto ◽  
Christie A. Barnes ◽  
Alberto A. Uribe ◽  
...  

2015 ◽  
Vol 22 (3) ◽  
pp. 167-170 ◽  
Author(s):  
Samuel Alan Stewart ◽  
Robert Skomro ◽  
John Reid ◽  
Erika Penz ◽  
Mark Fenton ◽  
...  

Obstructive sleep apnea is a common condition within the Canadian population. The current gold standard for diagnosis and management of patients is in-laboratory (in-lab) polysomnography; however, the limited availability of testing options for patients has led to long wait times and increased disease burden within the population. The Sleep Research Laboratory in Saskatoon (Saskatchewan) implemented a home management program to run in parallel with the in-lab system several years ago in an effort to increase their capacity and reduce wait times. The present study was a retrospective analysis of all patients referred to the program between 2009 and 2012. The home management system has improved wait times by diagnosing and managing up to one-half of the referred patient population, reducing the wait for in-lab treatment from a median of 152 days in 2009 to 92 days in 2012 (P<0.0001). Moving forward, home management can provide a viable alternative to in-lab testing for patients who meet strict entry criteria, reducing the in-lab workload and, ultimately, reducing wait times.


2016 ◽  
Vol 6 (3) ◽  
pp. 189-193
Author(s):  
VK Ravindranath ◽  
Aarti B Madhaswar ◽  
Prateek N Daga

ABSTRACT Obstructive sleep apnea (OSA) is the most common type of sleep apnea and is caused by complete or partial obstructions of the upper airway. In this study we are presenting a case report of 11-year-old male patient with enlarged adenoids and tonsils, convex profile, receded chin, lower lip trap, class II skeletal and dental relationship with increased overjet. Surgical removal of enlarged adenoids was done before commencement of twinblock therapy. After this, two-step advancement with expansion in both arches utilizing twin blocks was planned. Four months into the treatment, patient reported with history of facial trauma with avulsed maxillary left central incisor. Twin block was then modified with pontic as replacement for maxillary left central incisor. Sagittal correction resulting in class I molar relationship was achieved in next 6 months. Fixed appliance therapy was followed. The design of the appliance and the results achieved after the postfunctional therapy are presented in this case report. How to cite this article Madhaswar AB, Ravindranath VK, Daga PN. Multidisciplinary Approach for Correction of Obstructive Sleep Apnea. J Contemp Dent 2016;6(3):189-193.


2017 ◽  
Vol 06 (03) ◽  
Author(s):  
Pauna HF ◽  
Serrano TLI ◽  
Moreira APSM ◽  
Cabrini MAM ◽  
Cunha MO ◽  
...  

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