scholarly journals Orthodontic treatment of patients with obstructive sleep apnea syndrome (OSAS)

2019 ◽  
Vol 2 (1) ◽  
pp. 168-176
Author(s):  
Mariana Păcurar ◽  
Eugen Bud ◽  
Silvia Pop ◽  
Manuela Chibelean ◽  
Martha Krisztina
Keyword(s):  
Sleep Apnea Syndrome ◽  
Upper Airway ◽  
Craniofacial Morphology ◽  
Interdisciplinary Treatment ◽  
Mandibular Advancement ◽  
Maxillary Expansion ◽  
Gonial Angle ◽  
Rapid Palatal Expansion ◽  
Anterior Cranial Base ◽  
Obstructive Sleep

AbstractIntroductionThe craniofacial skeleton in the growing child is responsive to changing functional demands and environmental factors. Orthopedic modification of facial bones through the application of constant forces over long periods of time has been a mainstay of orthodontic and dentofacial orthopedic therapy.Aim of the studyThe aim of this study was to evaluate changes in pharyngeal structures after rapid palatal expansion (RPE) and compare them with those after using a removable mandibular advancement device (MAD).Material and methodsIn order to accomplish function we modified the pattern of neuromuscular activity throught mandible forward position.ResultsThis finding shows that maxillary deficiency and mandibular retrognathism have been reportedly linked to OSA as both etiologic factors and sequelae of prolonged mouth breathing during the period of growth, these illustrate the potential interaction between alteration in respiratory function and craniofacial morphology.ConclusionsCraniofacial anatomic defects, including inferior displacement of the hyoid bone, larger gonial angle, smaller anterior cranial base, altered anterior and posterior facial heights, and mandibular deficiency, have been suggested as predisposing factors for upper airway obstruction during sleep. Cephalometry has been used extensively in the fields of orthodontics and anthropology to record craniofacial form. Recently, it has been also suggested that cephalometry could be an adjunctive procedure for assessing craniofacial patterns associated with OSAS.Estimating efficacy of rapid maxillary expansion and mandibular advanced in the treatment of paediatric SDB. This might provide alternatives to primary treatments and/or enhance interdisciplinary treatment planning for the children suffering from OSA. The relationships between maxillofacial malocclusions and upper airway volumes were investigated. Literature studies on the association of upper airway narrowing with dento-skeletal malocclusions have been confirmed by us for the group of patients studied.

scholarly journals MARPE for the treatment and cure of OSAS: Aruba experience

2020 ◽  
Vol 11 (5) ◽  
pp. 103-107
Author(s):  
Abdal Hadi Kawaiah ◽  
Ananda Kumar Kondepati ◽  
Shalini Devaprasad Pasumarthi ◽  
Tulika Mishra ◽  
Pratik Kumar Singh ◽  
...  
Keyword(s):  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Sleep Apnea Syndrome ◽  
Upper Airway ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Maxillomandibular Advancement ◽  
Obstructive Sleep ◽  
Mandibular Repositioning Appliance ◽  
Apnea Syndrome

Obstructive sleep apnea syndrome (OSAS) is defined as “the stoppage of ventilation or incidence of significant hypoventilation during sleep, which is characterized by episodes of partial or complete upper airway obstruction related with hypoxemia and/or hypercarbia. There have been many treatments reported for this syndrome including Mandibular repositioning appliance (MRA), continuous positive airway pressure (CPAP), weight loss, exercise, intraoral appliance therapy, soft tissue procedures, and maxillomandibular advancement (MMA) surgery. Present study is an attempt where three patients of OSAS have been treated withMiniscrew-assisted rapid palatal expansion (MARPE). The results of BMI, AHI index showed the promising effect. Even the use of MARPE has improved the air flow and increased the rapid palatal area.

scholarly journals Obstructive sleep apnea syndrome (OSA) in adolescents: therapeutic management

2018 ◽  
Vol 21 (1) ◽  
pp. 107
Author(s):  
A. Amaddeo ◽  
L. Griffon ◽  
B. Thierry ◽  
V. Couloigner ◽  
A. Joly ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Positive Airway Pressure ◽  
Sleep Apnea Syndrome ◽  
Upper Airway ◽  
Maxillary Expansion ◽  
Obstructive Sleep ◽  
Osa Treatment ◽  
Type 3

Obstructive sleep apnea (OSA) in adolescents is characterized by a predominance of OSA type 2 which is associated with overweight/obesity. The treatment of OSA in adolescents depends on the cause of OSA and its risk and / or precipitating factors. Adenotonsillectomy is the cornerstone of OSA treatment in case of hypertrophy of the adenoids and/or tonsils. An anti-inflammatory treatment has proven its efficacy in mild to moderate or mild residual OSA after adenotonsillectomy. Orthodontic treatments such as rapid maxillary expansion or jaw positioning are indicated in case of dentofacial disharmonies. Continuous positive airway pressure (CPAP), is mainly indicated in type-3 OSA, which is associated with craniofacial or upper airway malformations or anomalies and should be performed by a pediatric multidisciplinary team having an expertise in sleep and OSA. Finally, maxillofacial or craniofacial surgery may be indicated in adolescents with type-3 OSA. In conclusion, the treatment of OSA in adolescents is based on the type of OSA, its severity and the medical characteristics of each patient.

scholarly journals Pediatric Obstructive Sleep Apnea Syndrome: Emerging Evidence and Treatment Approach

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Maria Rita Giuca ◽  
Elisabetta Carli ◽  
Lisa Lardani ◽  
Marco Pasini ◽  
Marco Miceli ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Multidisciplinary Approach ◽  
Treatment Approach ◽  
Treatment Plan ◽  
Sleep Apnea Syndrome ◽  
Mandibular Advancement ◽  
Current Evidence ◽  
Maxillary Expansion ◽  
Pediatric Dentist ◽  
Obstructive Sleep

OSA pediatric subjects suffer from episodes of upper airway obstruction that can be partial or complete, with atypical sleep patterns and blood-gas level alteration. If poor treated and/or diagnosed, it can cause cardiovascular disease, learning difficulties, behavioural issues, and retardation of growth. In the literature, there are conflicting evidence about OSA assessment and treatment in pediatric age, so the aim of this paper is to highlight the multidisciplinary approach in the management of sleep disorders, stressing the role of the pediatric dentist in both diagnosing and treating the OSAS in children, according to the current evidence of the treatment options effectiveness of the syndrome itself. Conclusions. Scientific evidence shows that OSAS management requires a multidisciplinary approach in order to make an early diagnosis and a correct treatment plan. The orthodontic treatment approach includes orthopedic maxillary expansion and mandibular advancement using intraoral appliances. Hence, the orthodontist and the pediatric dentist play an important role not only in early diagnosis but also in the treatment of pediatric OSAS.

scholarly journals Treatment with Oral Appliances in Obstructive Sleep Apnea

2021 ◽  
Vol 1 (2) ◽  
pp. 1-6
Author(s):  
Palak Srivastava
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Apnea Syndrome ◽  
Upper Airway ◽  
Oral Appliance ◽  
Mandibular Advancement ◽  
Oral Appliances ◽  
Invasive Treatment ◽  
Obstructive Sleep ◽  
Osa Treatment

Obstructive sleep apnea (OSA) is a disorder caused by a number of factors like an obstruction of the upper airway during sleep because of insufficient motor tone of the tongue and/or airway dilator muscles or inadequate growth of the maxillary jaw bone etc. Oral appliances (OAs) are commonly used as a non-invasive treatment for obstructive sleep apnea syndrome. The primary oral appliance (OA) used in obstructive sleep apnea (OSA) treatment is the mandibular advancement device (MAD). Tongue-retaining devices or tongue-stabilizing devices (TSDs) are a second type of OA, which displace the tongue anteriorly and may be customized or come in different stock sizes. This review article aims to examine the best in class on this particular subject of treatment of OSA with oral appliances, explaining acceptability of an appliance in patients on the basis of its construction and results, while providing enough cognizance regarding the diagnosis, management and causes of discontinuation.

Rapid maxillary expansion in children with obstructive sleep apnea syndrome: 12-month follow-up

2007 ◽  
Vol 8 (2) ◽  
pp. 128-134 ◽  
Author(s):  
Maria Pia Villa ◽  
Caterina Malagola ◽  
Jacopo Pagani ◽  
Marilisa Montesano ◽  
Alessandra Rizzoli ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Obstructive Sleep ◽  
Apnea Syndrome

Using Two-Way Fluid-Structure Interaction to Study the Collapse of the Upper Airway of OSA Patients

2014 ◽  
Vol 553 ◽  
pp. 275-280 ◽  
Author(s):  
Mo Yin Zhao ◽  
Tracie J. Barber ◽  
Peter A. Cistulli ◽  
Kate Sutherland ◽  
Gary Rosengarten
Keyword(s):  
Computational Models ◽  
Treatment Success ◽  
Fluid Structure Interaction ◽  
Maximum Velocity ◽  
Upper Airway ◽  
Post Treatment ◽  
Mandibular Advancement ◽  
Fluid Structure ◽  
Structure Interaction ◽  
Obstructive Sleep

Obstructive Sleep Apnea (OSA) is a common sleep disorder characterized by repetitive collapse of the upper airway (UA) during sleep. Treatment options for OSA include mandibular advancement splints (MAS), worn intra-orally to protrude the lower jaw to stabilize the airway. However not all patients will respond to MAS therapy and individual effects on the upper airway are not well understood. Simulations of airway behavior represent a non-invasive means to understand this disorder and treatment responses in individual patients. The aims of this study was to perform analysis of upper airway (UA) occlusion and flow dynamics in OSA using the fluid structure interaction (FSI) method, and secondly to observe changes associated with MAS usage. Magnetic resonance imaging (MRI) scans were obtained with and without mandibular advance splint (MAS) treatment in a patient known to be a treatment responder. Computational models of the anatomically correct UA geometry were reconstructed for both pre-and post-treatment (MAS) conditions. By comparing the simulation results, the treatment success of MAS was demonstrated by smaller UA structure deformation (maximum 2mm) post-treatment relative to the pre-treatment fully collapsed (maximum 6mm) counterpart. The UA collapse was located at the oropharynx and the low oropharyngeal pressure (-51 Pa to-39 Pa) was induced by the velopharyngeal jet flow (maximum 10 m/s). The results support previous OSA computational fluid dynamics (CFD) studies by indicating similar UA pressure drop and maximum velocity values. These findings lay a firm platform for the application of computational models for the study of the biomechanical properties of the upper airway in the pathogenesis and treatment of OSA.

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