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[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":"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":"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":"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
[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":"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
[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":"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
[Success factors in crown and root resection; a systematic literature review]. 根冠切除术的成功因素；系统文献综述]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-01-05 DOI: 10.5177/ntvt.2026.01.25019
R S Hartman
{"title":"[Success factors in crown and root resection; a systematic literature review].","authors":"R S Hartman","doi":"10.5177/ntvt.2026.01.25019","DOIUrl":"10.5177/ntvt.2026.01.25019","url":null,"abstract":"<p><p>Based on 5 systematic literature reviews, 19 articles were analysed for 25 factors that could influence the success of root resections. Of these, 3 play a significant role: bone level during resection, finishing with an indirect restoration and bonding the treated tooth to an adjacent tooth. Patient- or practitioner-related factors were not demonstrated. Resections of upper and lower molars are equally successful, but removal of the palatal root and retention of the mesial root of the first lower molar have a significantly worse prognosis. Root resections mainly fail due to periodontitis or to a fracture. Failure due to periodontitis can more readily be prevented. Root resection following a fracture has the least chance of success.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 1","pages":"12-18"},"PeriodicalIF":0.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914023","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 care plan in oral health care]. 【口腔保健中的护理计划】。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-01-05 DOI: 10.5177/ntvt.2026.01.25059
N H J Creugers, D J Witter, R A Hoefnagel, W A Fokkinga
{"title":"[The care plan in oral health care].","authors":"N H J Creugers, D J Witter, R A Hoefnagel, W A Fokkinga","doi":"10.5177/ntvt.2026.01.25059","DOIUrl":"10.5177/ntvt.2026.01.25059","url":null,"abstract":"<p><p>Dutch legislation and regulations regarding care plans primarily focus on long-term care, yet pay little attention to oral healthcare, even though essentially oral healthcare is long-term care as well. Therefore, it is advocated that oral care plans be developed, in which care objectives and -orientation are recorded, tailored to the patient s oral health status, preferences, and capabilities. Healthcare professionals are expected to act in accordance with the professional standard and medical-ethical principles. Four types of oral healthcare are distinguished: basic care, aimed at maintaining a healthy oral condition, timely identification of potential issues, and early intervention in cases of emerging pathology; intensive care, focused on improving oral health and/or restoring oral functions; pragmatic care, intended to prevent deterioration through minimal interventions; and symptomatic care, aimed at relieving symptoms in patients who are unwilling or unable to undergo treatment. Both care objectives and type of care provided must be documented in the patient s medical records.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 1","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914044","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
[Beta thalassaemia: a surprising radiological image]. [地中海贫血：令人惊讶的放射图像]。
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-01-05 DOI: 10.5177/ntvt.2026.01.25057
S Ombashi, M Wevers, J C G Wagemans, E B Wolvius
{"title":"[Beta thalassaemia: a surprising radiological image].","authors":"S Ombashi, M Wevers, J C G Wagemans, E B Wolvius","doi":"10.5177/ntvt.2026.01.25057","DOIUrl":"10.5177/ntvt.2026.01.25057","url":null,"abstract":"<p><p>The aetiology of thalassaemia lies in a defect in the synthesis of 1 of the 2 chains, alpha or beta, of the haemoglobin molecule. This failure primarily results in haemolytic anaemia, which is the main clinical feature of the disorder. As a consequence of this haemolysis, erythropoiesis is stimulated, which in turn leads to morphological changes in the bone and hypertrophy of other organs. Radiographic findings reveal a decrease in cortical thickness accompanied by trabecular reduction in the bone, including the facial bones. Commonly, no local treatment is required in the field of maxillofacial or dental care.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 1","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914062","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 skin and mucosa of the head and neck area. Chewing how does that work again?] 头颈部的皮肤和粘膜咀嚼是怎么做到的？］
Nederlands tijdschrift voor tandheelkunde Pub Date : 2026-01-05 DOI: 10.5177/ntvt.2026.01.25064
J A M Korfage, G E J Langenbach, A van der Wal, K Jacobs
{"title":"[The skin and mucosa of the head and neck area. Chewing how does that work again?]","authors":"J A M Korfage, G E J Langenbach, A van der Wal, K Jacobs","doi":"10.5177/ntvt.2026.01.25064","DOIUrl":"10.5177/ntvt.2026.01.25064","url":null,"abstract":"<p><p>During food intake, 3 groups of muscles are active in coordinating the movements of the mandible and the hyoid bone: masticatory muscles, suprahyoid muscles and infrahyoid muscles. The mandibular nerve innervates the masticatory muscles. The mandibular nerve, the facial nerve and the cervical plexus innervate the suprahyoid muscles. The cervical plexus also innervates the infrahyoid muscles. Overuse of the masticatory muscles by clenching or grinding teeth, for example can result in temporomandibular dysfunction, which is characterized by muscle pain, and is often paired with limited mouth opening and headaches. Treatment is generally conservative and often interdisciplinary in nature. A key component of therapy involves increasing the patient s awareness of parafunctional oral habits.</p>","PeriodicalId":74255,"journal":{"name":"Nederlands tijdschrift voor tandheelkunde","volume":"133 1","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914037","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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