{"title":"2022 AADSM Annual Meeting Abstracts and Case Reports","authors":"","doi":"10.15331/jdsm.7258","DOIUrl":null,"url":null,"abstract":"(range: 54.8-100%). Conclusions: The OAs used in the studies provided efficacious treatment for the majority of individuals with severe OSA, indicating that oral appliance therapy could be a suitable alternative to CPAP. The rate of therapeutic success was higher than that reported previously in the literature and might be a result of the precision of appliances generated from digital intraoral scans using a CAD/CAM approach. Study data by Technologies provided the OAs used in the studies. of mild, 96% of moderate and 59% of severe patients) Conclusions: This novel interactive device and material combination appear, after early analysis, appear to yield significantly better results that previous data has demonstrated. The literature suggests that legacy oral appliance efficacies range from 50%-62% and other AADSM poster/abstracts have reported similar precision milled, control cure PMMA appliances in the 74% - 76% range. These results suggest a need for further investigation of exceptional efficacy for this device design and material. Conclusions Severe SB is highly prevalent in adults with non-apneic snoring compared to the general population. The increase of sleep arousal increases the odds of having severe SB, while higher BMI and higher percentage of sleep stage 2 decreased the odds of having severe SB. Not applicable. in the changes in facial esthetics after between two on in facial 1) the effects of on respiratory function were better in patients with deficiency than in those without deficiency; and 2) the changes in facial esthetics followed by MMA were more acceptable in OSA patients with deficiency than in those without deficiency. prominence and nasolabial angle. The changes in soft tissue measurements were comparable between the two groups. The satisfaction degrees in breathing (7.0 vs 6.5, P = 0.713) and facial esthetics (6.5 vs 7.0; P = 0.983) did not differ significantly between both groups. Conclusions: Within the limitations of the retrospective study, it can be concluded that there is no significant difference in the effects of MMA on respiratory function and facial esthetics between OSA patients with and without maxillomandibular deficiency. Support: Not applicable. Discussion: Patients with CompSAS have a poor initial experience with CPAP and may be non-adherent to continued therapy. MAD are indicated for mild to moderate OSA and in selected patients with severe OSA who are non-adherent to PAP therapy. This case report showed successful management of CompSAS with MAD. Assessment of patient characteristics, predictors of MAD success, and therapeutic mandibular position must be assessed by the sleep dentist to optimize patient selection and improve treatment outcomes. Authors of interest and no financial support provided for this case report. values varied of 11% to 46% for atypical women and 2% to 75% for atypical men. The left masseter muscle was more affected, mainly in men. The severity of OSA, SB and SI was higher in men (38,5%, 54%, 27,65 events/h respectively). Conclusions: The mMH was confirmed in all subjects with DS, leading to a high amplitude of mouth opening due to ligament hyperlaxity of TMJ, mainly in atypical men. The pain, found in the masseter and temporal muscles and in the TMJ, may have interfered in the manifestation of the MMH, decreasing the muscle force mainly in some men. No correlation was found between the orofacial pain and sleep disorders. only daytime fatigue and sleepiness significantly worsened at 18 months in responders compared to non-responders, although daytime sleepiness was still within a normal range.","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of dental sleep medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15331/jdsm.7258","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
(range: 54.8-100%). Conclusions: The OAs used in the studies provided efficacious treatment for the majority of individuals with severe OSA, indicating that oral appliance therapy could be a suitable alternative to CPAP. The rate of therapeutic success was higher than that reported previously in the literature and might be a result of the precision of appliances generated from digital intraoral scans using a CAD/CAM approach. Study data by Technologies provided the OAs used in the studies. of mild, 96% of moderate and 59% of severe patients) Conclusions: This novel interactive device and material combination appear, after early analysis, appear to yield significantly better results that previous data has demonstrated. The literature suggests that legacy oral appliance efficacies range from 50%-62% and other AADSM poster/abstracts have reported similar precision milled, control cure PMMA appliances in the 74% - 76% range. These results suggest a need for further investigation of exceptional efficacy for this device design and material. Conclusions Severe SB is highly prevalent in adults with non-apneic snoring compared to the general population. The increase of sleep arousal increases the odds of having severe SB, while higher BMI and higher percentage of sleep stage 2 decreased the odds of having severe SB. Not applicable. in the changes in facial esthetics after between two on in facial 1) the effects of on respiratory function were better in patients with deficiency than in those without deficiency; and 2) the changes in facial esthetics followed by MMA were more acceptable in OSA patients with deficiency than in those without deficiency. prominence and nasolabial angle. The changes in soft tissue measurements were comparable between the two groups. The satisfaction degrees in breathing (7.0 vs 6.5, P = 0.713) and facial esthetics (6.5 vs 7.0; P = 0.983) did not differ significantly between both groups. Conclusions: Within the limitations of the retrospective study, it can be concluded that there is no significant difference in the effects of MMA on respiratory function and facial esthetics between OSA patients with and without maxillomandibular deficiency. Support: Not applicable. Discussion: Patients with CompSAS have a poor initial experience with CPAP and may be non-adherent to continued therapy. MAD are indicated for mild to moderate OSA and in selected patients with severe OSA who are non-adherent to PAP therapy. This case report showed successful management of CompSAS with MAD. Assessment of patient characteristics, predictors of MAD success, and therapeutic mandibular position must be assessed by the sleep dentist to optimize patient selection and improve treatment outcomes. Authors of interest and no financial support provided for this case report. values varied of 11% to 46% for atypical women and 2% to 75% for atypical men. The left masseter muscle was more affected, mainly in men. The severity of OSA, SB and SI was higher in men (38,5%, 54%, 27,65 events/h respectively). Conclusions: The mMH was confirmed in all subjects with DS, leading to a high amplitude of mouth opening due to ligament hyperlaxity of TMJ, mainly in atypical men. The pain, found in the masseter and temporal muscles and in the TMJ, may have interfered in the manifestation of the MMH, decreasing the muscle force mainly in some men. No correlation was found between the orofacial pain and sleep disorders. only daytime fatigue and sleepiness significantly worsened at 18 months in responders compared to non-responders, although daytime sleepiness was still within a normal range.
(范围:54.8-100%)。结论:研究中使用的OA为大多数严重OSA患者提供了有效的治疗,表明口腔矫治器治疗可能是CPAP的合适替代方案。治疗成功率高于文献中先前报道的,这可能是使用CAD/CAM方法进行口腔内数字扫描产生的矫治器精度的结果。Technologies的研究数据提供了研究中使用的OAs。轻度患者、96%的中度患者和59%的重度患者)结论:经过早期分析,这种新型的互动设备和材料组合似乎产生了比以前的数据更好的结果。文献表明,传统口腔矫治器的有效性在50%-62%之间,其他AADSM海报/摘要报道了类似的精密研磨、对照固化PMMA矫治器,有效性在74%-76%之间。这些结果表明,需要进一步研究这种装置设计和材料的特殊功效。结论与普通人群相比,重度SB在非呼吸暂停性打鼾的成年人中非常普遍。睡眠唤醒的增加会增加患严重SB的几率,而较高的BMI和较高的睡眠阶段2百分比会降低患严重SB。不适用。在两次面部护理后的面部美学变化中:1)对呼吸功能的影响,有缺陷的患者优于无缺陷的患者;和2)MMA后的面部美学变化在有缺陷的OSA患者中比在没有缺陷的患者中更容易接受。突出和鼻唇角。两组患者的软组织测量变化具有可比性。两组在呼吸(7.0 vs 6.5,P=0.713)和面部美学(6.5 vs 7.0,P=0.983)方面的满意度没有显著差异。结论:在回顾性研究的范围内,可以得出结论,MMA对OSA患者呼吸功能和面部美学的影响在伴有和不伴有上颌下颌缺失的患者之间没有显著差异。支持:不适用。讨论:CompSAS患者的CPAP初始体验较差,可能不坚持继续治疗。MAD适用于轻度至中度OSA和未坚持PAP治疗的重度OSA患者。该病例报告显示用MAD成功管理CompSAS。睡眠牙医必须评估患者特征、MAD成功的预测因素和治疗性下颌位置,以优化患者选择并改善治疗结果。感兴趣且没有为本案例报告提供资金支持的作者。非典型女性的数值在11%到46%之间,非典型男性的数值在2%到75%之间。左侧咬肌受到的影响更大,主要是男性。男性OSA、SB和SI的严重程度更高(分别为38.5%、54%、27.65次/小时)。结论:在所有DS受试者中都证实了mMH,导致TMJ韧带过度松弛引起的高幅度开口,主要发生在非典型男性中。在咬肌、颞肌和颞下颌关节中发现的疼痛可能干扰了MMH的表现,主要在一些男性中降低了肌肉力量。口腔面部疼痛和睡眠障碍之间没有发现相关性。与无应答者相比,应答者在18个月时只有日间疲劳和嗜睡显著恶化,尽管日间嗜睡仍在正常范围内。