Mandibular Distalisation for Tooth Wear in Patients Requiring Mandibular Protrusion for Sleep Apnoea.

IF 1.1 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Journal of Prosthodontics and Restorative Dentistry Pub Date : 2023-08-31 DOI:10.1922/EJPRD_2479Millar05

B J Millar, D Parmenter

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引用次数: 0

Abstract

Background: Pathological tooth wear is an increasing concern and may require intervention and occlusal rehabilitation. Often the treatment includes distalisaton of the mandible to restore the dentition in centric relation. Obstructive sleep apnoea (OSA) is another condition treated my mandibular repositioning but in this case by an advancement appliance. The authors have a concern that there could be a group of patients with both conditions where distalisation for their tooth wear management would be contrary to their OSA treatment. This paper aims to look at this potential risk.

Methods: A literature search was carried out using the following keywords (OSA or sleep apnoea or apnea or snoring or AHI or Epworth score) and for tooth surface loss (TSL or distalisation or centric relation or tooth wear or full mouth rehabilitation).

Results: No studies were identified which considered the effect of mandibular distalisation on OSA.

Conclusion: There is a theoretical risk that dental treatment involving distalisation may adversely affect patients at risk of OSA or worsening their condition due to the modification of airway patency. Further study is recommended.

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睡眠呼吸暂停需要下颌前突的患者牙齿磨损的下颌远端。

背景:病理性牙齿磨损越来越受到关注，可能需要干预和咬合康复。通常治疗包括下颌骨离体以恢复牙列的中心关系。阻塞性睡眠呼吸暂停(OSA)是另一种治疗我的下颌复位的情况，但在这种情况下，是通过一个推进器。作者担心可能会有一组同时患有这两种情况的患者，他们的牙齿磨损管理的远端化与他们的OSA治疗相反。本文旨在探讨这一潜在风险。方法:使用以下关键词(OSA或睡眠呼吸暂停或呼吸暂停或打鼾或AHI或Epworth评分)和牙面缺失(TSL或远端或中心关系或牙齿磨损或全口康复)进行文献检索。结果:没有研究确定考虑下颌骨远端对OSA的影响。结论:由于气道通畅的改变，涉及远端的牙科治疗可能对有OSA风险的患者产生不利影响或使其病情恶化，这在理论上存在风险。建议进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Prosthodontics and Restorative Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： The European Journal of Prosthodontics and Restorative Dentistry is published quarterly and includes clinical and research articles in subjects such as prosthodontics, operative dentistry, implantology, endodontics, periodontics and dental materials.