Jorge Faber, Aliciane Mota, Lai-In Ho, M Ali Darendeliler
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引用次数: 0
摘要
背景:阻塞性睡眠呼吸暂停(OSA)是一种复杂的疾病,其特点是睡眠时呼吸中断,导致一系列不良后果,从生活质量下降到严重的健康风险,包括心血管疾病和死亡率增加:本手稿回顾了正畸医生在负责管理 OSA 的多学科医疗团队中的重要作用。它特别强调了关键的正畸干预措施,如外科正畸上下颌前突矫治器(MMA)、下颌前突矫治器(MAA)和快速上颌扩弓矫治器(RME)。这些干预措施在改变颅颌面结构以提高气道通畅性方面起着关键作用。本文强调了进行全面气道分析、评估导致气道阻塞的全部解剖和功能因素的重要性:本文呼吁加强合作研究,开发标准化、循证的正畸程序,有效控制 OSA,旨在通过专门的、量身定制的干预措施改善患者的治疗效果。
The role of orthodontists in the multidisciplinary management of obstructive sleep apnea.
Background: Obstructive sleep apnea (OSA) is a complex disorder characterized by interruptions in breathing during sleep, leading to a range of adverse outcomes from reduced quality of life to serious health risks, including cardiovascular diseases and increased mortality.
Main body: This manuscript reviews the orthodontists' essential role in the multidisciplinary healthcare team tasked with managing OSA. It particularly highlights critical orthodontic interventions, such as surgical-orthodontic maxillomandibular advancement (MMA), mandibular advancement appliances (MAAs), and rapid maxillary expansion (RME). These interventions are pivotal in modifying craniofacial structures to enhance airway patency. The importance of conducting a thorough airway analysis is underscored, assessing the complete anatomical and functional factors contributing to airway obstruction.
Conclusion: The paper calls for increased collaborative research efforts to develop standardized, evidence-based orthodontic procedures for effectively managing OSA, aiming to improve patient outcomes through specialized, tailored interventions.
期刊介绍:
Progress in Orthodontics is a fully open access, international journal owned by the Italian Society of Orthodontics and published under the brand SpringerOpen. The Society is currently covering all publication costs so there are no article processing charges for authors.
It is a premier journal of international scope that fosters orthodontic research, including both basic research and development of innovative clinical techniques, with an emphasis on the following areas:
• Mechanisms to improve orthodontics
• Clinical studies and control animal studies
• Orthodontics and genetics, genomics
• Temporomandibular joint (TMJ) control clinical trials
• Efficacy of orthodontic appliances and animal models
• Systematic reviews and meta analyses
• Mechanisms to speed orthodontic treatment
Progress in Orthodontics will consider for publication only meritorious and original contributions. These may be:
• Original articles reporting the findings of clinical trials, clinically relevant basic scientific investigations, or novel therapeutic or diagnostic systems
• Review articles on current topics
• Articles on novel techniques and clinical tools
• Articles of contemporary interest