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[Patient-specific subperiosteal implant for the treatment of upper denture retention problems]. 【患者特异性骨膜下种植治疗上义齿固位问题】。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-03-03 DOI: 10.5177/ntvt.2026.03.25071
F Papenhuijzen, E A J M Schulten, D H J Jager, J P T F Ho
{"title":"[Patient-specific subperiosteal implant for the treatment of upper denture retention problems].","authors":"F Papenhuijzen, E A J M Schulten, D H J Jager, J P T F Ho","doi":"10.5177/ntvt.2026.03.25071","DOIUrl":"10.5177/ntvt.2026.03.25071","url":null,"abstract":"<p><p>A 66-year-old man presented with a loose complete denture in the edentulous maxilla, 1 year after receiving treatment for mucormycosis. This fungal infection had caused progressive necrosis of the maxilla, eventually resulting in a partial maxillary resection. Due to the defect in the jawbone, the denture was unstable and the retention poor. To improve denture retention, a patient-specific subperiosteal implant was fabricated. Computed tomography was used to create a 3-dimensional design and the implant was manufactured from titanium using selective laser melting. The implant was fixed to the remaining jawbone with titanium screws under general anaesthetic. The final denture was placed after 6 weeks. Follow-up after 2 years showed that the subperiosteal implant and denture were functioning well, with a high level of patient satisfaction. This case study demonstrates the effectiveness of the latest generation of patient-specific subperiosteal implants for patients with defects in the jawbone resulting from pathology or severe physiological resorption of the alveolar bone.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"130 3","pages":"144-150"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Impact of the COVID-19 pandemic on prescribing antibiotics in dental care]. [COVID-19大流行对牙科护理中抗生素处方的影响]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-03-03 DOI: 10.5177/ntvt.2026.03.25082
A El Khalfioui, I F Persoon
{"title":"[Impact of the COVID-19 pandemic on prescribing antibiotics in dental care].","authors":"A El Khalfioui, I F Persoon","doi":"10.5177/ntvt.2026.03.25082","DOIUrl":"10.5177/ntvt.2026.03.25082","url":null,"abstract":"<p><p>Each use of antibiotics contributes to antimicrobial resistance. The COVID-19 pandemic affected the accessibility and treatment policies of dental care worldwide. This study examined the impact of the pandemic on prescribing antibiotics in the dental practice in the Netherlands by means of a retrospective database analysis of an academic dental clinic (2015-2022) combined with an online survey among Dutch dentists (2020). During the pandemic, fewer antibiotics were prescribed in the academic clinic. Most prescriptions concerned amoxicillin, often for implant and periodontal procedures. In general dental practices in the Netherlands, dentists temporarily prescribed more antibiotics in 9% of cases. Although the long-term impact of COVID-19 appears limited, this study stresses the importance of guideline implementation, increased awareness, and crisis preparedness in order to contribute to reducing antimicrobial resistance, including during future pandemics.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 3","pages":"158-163"},"PeriodicalIF":0.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Outcomes of bimaxillary osteotomy for obstructive sleep apnoea]. [双颌截骨术治疗阻塞性睡眠呼吸暂停的疗效]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-02-03 DOI: 10.5177/ntvt.2026.02.25026
N Zhou, J P T F Ho, J de Lange
{"title":"[Outcomes of bimaxillary osteotomy for obstructive sleep apnoea].","authors":"N Zhou, J P T F Ho, J de Lange","doi":"10.5177/ntvt.2026.02.25026","DOIUrl":"https://doi.org/10.5177/ntvt.2026.02.25026","url":null,"abstract":"<p><p>Bimaxillary osteotomy is skeletal surgery for the treatment of obstructive sleep apnoea. Several studies have shown bimaxillary osteotomy to significantly improve respiratory parameters - including the apnoea-hypopnoea index, zero oxygen saturation, and the respiratory disturbance index - in the short and the long term. Additionally, research has shown that bimaxillary osteotomy contributes to a reduction in systemic blood pressure and to improvements in sleep architecture and neurocognitive functions. Subjectively, a significant proportion of patients report a decrease in daytime sleepiness, an improvement in sleep-related and general quality of life, and a positive change in facial aesthetics. Potential disadvantages of the procedure include temporary or permanent sensory disorders, a temporary reduction in oral health-related quality of life, and a temporary restricted functioning of the lower jaw. Nevertheless, bimaxillary osteotomy is considered a durable and effective treatment option for patients with obstructive sleep apnoea.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"82-87"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Periodontal health in patients with obstructive sleep apnoea]. 阻塞性睡眠呼吸暂停患者的牙周健康
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-02-03 DOI: 10.5177/ntvt.2026.02.25025
R Ghandour, A K Singh, B Grift, E P van der Hoeve, L J Koppendraaier, V R Y Hollaar, M H T de Ruiter
{"title":"[Periodontal health in patients with obstructive sleep apnoea].","authors":"R Ghandour, A K Singh, B Grift, E P van der Hoeve, L J Koppendraaier, V R Y Hollaar, M H T de Ruiter","doi":"10.5177/ntvt.2026.02.25025","DOIUrl":"https://doi.org/10.5177/ntvt.2026.02.25025","url":null,"abstract":"<p><p>Obstructive sleep apnoea is a sleep-related breathing disorder characterized by repeated episodes of partial or complete obstruction of the upper airway during the sleep. The severity of obstructive sleep apnoea is determined by the apnoea-hypopnea index, which represents the number of apnoea s and hypopnea s per hour of sleep. A systematic literature review on the association between obstructive sleep apnoea and the periodontal condition was conducted in the PubMed and Dentistry and Oral Sciences databases. Independent selection and assessment of methodological quality were performed by 2 researchers, followed by a descriptive comparison of the results. From 236 search results, with a total of 462 participants aged 18 to 77, four cross-sectional studies met the inclusion criteria. A significant decrease in clinical attachment level and increase in bleeding tendency was observed in participants with an apnoea-hypopnoea index ? 5. Patients with obstructive sleep apnoea exhibit impaired periodontal health, particularly with regard to clinical attachment level and bleeding tendency. There appears to be a possible association, which may be influenced by shared risk factors.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"96-102"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[OSA in oral care: insights from a reader survey]. 口腔护理中的OSA：来自读者调查的见解。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-02-03 DOI: 10.5177/ntvt.2026.02.25095
G Aarab
{"title":"[OSA in oral care: insights from a reader survey].","authors":"G Aarab","doi":"10.5177/ntvt.2026.02.25095","DOIUrl":"https://doi.org/10.5177/ntvt.2026.02.25095","url":null,"abstract":"<p><p>A recent NTVT reader survey (n = 75) shows that oral healthcare professionals increasingly acknowledge obstructive sleep apnoea as part of their field. 73% consider screening for OSA a dentist s role, 80% believe this competency should be included in the curriculum, and 87% are positive about collaboration with medical specialists. At the same time, only 57% feel sufficiently equipped to recognize obstructive sleep apnoea, and just 27% have insight into its prevalence in their own practice. Willingness to pursue further training is high (72%). These findings, summarized in an infographic, demonstrate that dental sleep medicine is evolving from a niche area into a fully integrated part of general dentistry.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"110-113"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The edentulous patient with a mandibular advancement device]. 无牙患者使用下颌推进装置。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-02-03 DOI: 10.5177/ntvt.2026.02.25028
E M C Schotanus, H H R Al-Bayyati, L J Koppendraaier, E P van der Hoeve
{"title":"[The edentulous patient with a mandibular advancement device].","authors":"E M C Schotanus, H H R Al-Bayyati, L J Koppendraaier, E P van der Hoeve","doi":"10.5177/ntvt.2026.02.25028","DOIUrl":"https://doi.org/10.5177/ntvt.2026.02.25028","url":null,"abstract":"<p><p>Obstructive sleep apnoea is a prevalent disorder, with a significant portion of patients being edentulous. Continuous positive airway pressure therapy is the gold standard for treating obstructive sleep apnoea. Due to low compliance to this treatment method, however, effective alternative solutions are often looked for. The mandibular advancement device presents a potential option but is often dismissed for edentulous patients because of perceived issues with retention and stability. On the basis of a review of the literature regarding mandibular advancement device therapy in edentulous patients with obstructive sleep apnoea and a decision-making tool, the authors offer assistance to practitioners. The PRISMA guidelines were used for this scoping review. Literature was sourced from the MEDLINE database. This research suggests that mandibular advancement device therapy yields positive results in edentulous patients with obstructive sleep apnoea; all included studies reported a reduction in the Apnoea Hypopnea Index and encountered few therapy-related issues.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"104-109"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Treatment of obstructive sleep apnoea with a mandibular advancement device in the dental practice]. 下颌推进装置治疗阻塞性睡眠呼吸暂停的临床应用
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-02-03 DOI: 10.5177/ntvt.2026.02.25052
J C L Chung, Z Huang, G Bousche, M L Reyes Sevilla, N Sladeckova, F Lobbezoo, G Aarab
{"title":"[Treatment of obstructive sleep apnoea with a mandibular advancement device in the dental practice].","authors":"J C L Chung, Z Huang, G Bousche, M L Reyes Sevilla, N Sladeckova, F Lobbezoo, G Aarab","doi":"10.5177/ntvt.2026.02.25052","DOIUrl":"10.5177/ntvt.2026.02.25052","url":null,"abstract":"<p><p>Obstructive sleep apnoea is a common sleep-related breathing disorder with significant health and socio-economic consequences. Obstructive sleep apnoea is characterized by recurrent obstructions of the upper airway during sleep, leading to disrupted sleep due to frequent arousal and drops in blood oxygen levels. Research has demonstrated mandibular advancement devices to be effective in reducing upper airway obstructions and in alleviating obstructive sleep apnoea symptoms such as snoring and excessive daytime sleepiness. The application of mandibular advancement device therapy in patients with obstructive sleep apnoea requires specialized knowledge and clinical expertise. This article discusses mandibular advancement device therapy, from fitting the appliance to evaluating its effectiveness. Future research is necessary to improve treatment outcomes for individual patients.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"74-80"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Obstructive sleep apnoea in children with Down s syndrome: challenges and treatment strategies]. [唐氏综合症儿童的阻塞性睡眠呼吸暂停：挑战和治疗策略]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-02-03 DOI: 10.5177/ntvt.2026.02.25027
N Zhou, J P T F Ho, M A J van Looij, J de Lange
{"title":"[Obstructive sleep apnoea in children with Down s syndrome: challenges and treatment strategies].","authors":"N Zhou, J P T F Ho, M A J van Looij, J de Lange","doi":"10.5177/ntvt.2026.02.25027","DOIUrl":"https://doi.org/10.5177/ntvt.2026.02.25027","url":null,"abstract":"<p><p>Obstructive sleep apnoea poses a significant health challenge for children with Down s syndrome. Its high prevalence is attributed to unique anatomical, physiological, and comorbid factors in this population. Early diagnosis and effective treatment are crucial, as children with Down s syndrome are particularly vulnerable to the health consequences of obstructive sleep apnoea. While adenotonsillectomy is the first-line treatment, its efficacy in children with Down s syndrome can be lower. This often necessitates further airway evaluation and interventions. Alternative treatment options include continuous positive airway pressure, medication therapies, and surgical interventions such as upper airway soft tissue surgery and upper airway stimulation. Despite technological and therapeutic advancements, evidence on the effectiveness of these approaches for children with Down s syndrome remains lacking or inconclusive. Further research is essential to optimize obstructive sleep apnoea treatment strategies for children with Down s syndrome, intended ultimately to improve their health outcomes and quality of life.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"88-95"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The organization of sleep apnoea care in the Netherlands]. [荷兰睡眠呼吸暂停护理组织]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-02-03 DOI: 10.5177/ntvt.2026.02.25030
L N Venekamp, J Asin, M Sastry
{"title":"[The organization of sleep apnoea care in the Netherlands].","authors":"L N Venekamp, J Asin, M Sastry","doi":"10.5177/ntvt.2026.02.25030","DOIUrl":"https://doi.org/10.5177/ntvt.2026.02.25030","url":null,"abstract":"<p><p>Dentists in general practice currently play a very limited role in the care of sleep apnoea patients. Patients are referred by a primary care physician, usually a general practitioner, to a secondary medical care specialist if sleep apnoea is suspected. A medical specialist provides further analysis, diagnosis, and initiation of treatment. Oral healthcare providers who are trained for this can play an important role in early detection and referral of sleep apnea to the general practitioner and in treatment with a mandibular repositioning appliance if indicated by a medical specialist.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Obstructive sleep apnea in adults]. [成人阻塞性睡眠呼吸暂停]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-02-03 DOI: 10.5177/ntvt.2026.02.25053
M A J van Looij, S K Singh, G Aarab, J M Plooij, H J Reesink, E Schoustra, J P van Maanen
{"title":"[Obstructive sleep apnea in adults].","authors":"M A J van Looij, S K Singh, G Aarab, J M Plooij, H J Reesink, E Schoustra, J P van Maanen","doi":"10.5177/ntvt.2026.02.25053","DOIUrl":"https://doi.org/10.5177/ntvt.2026.02.25053","url":null,"abstract":"<p><p>Obstructive sleep apnea is a prevalent disorder characterized by symptoms such as snoring, apneas, excessive daytime sleepiness, and a variety of other clinical complaints. Dental comorbidities, including bruxism and xerostomia, are also commonly observed. If left untreated, OSA may result in significant cardiovascular and metabolic complications. The diagnosis is established through a sleep study, following a comprehensive clinical history and physical examination. Drug-Induced Sleep Endoscopy provides additional diagnostic insight, particularly in patients being evaluated for potential surgical intervention. Treatment planning takes into consideration not only the objective clinical findings and results of ancillary testing but also the patient s expectations and preferences. Treatment options include lifestyle intervention, continuous positive airway pressure, mandibular advancement devices, positional therapy, and surgical interventions.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 2","pages":"60-67"},"PeriodicalIF":0.0,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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