面部骨骼治疗方案在阻塞性睡眠呼吸暂停治疗中的疗效。

IF 3.4 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry Pub Date : 2025-01-06 DOI:10.1111/jopr.14006

Michael J Gunson

{"title":"面部骨骼治疗方案在阻塞性睡眠呼吸暂停治疗中的疗效。","authors":"Michael J Gunson","doi":"10.1111/jopr.14006","DOIUrl":null,"url":null,"abstract":"Obstructive sleep apnea (OSA) is characterized by intermittent cessation of breathing during sleep due to the collapse of oropharyngeal tissues. This review examines the role of craniofacial growth in OSA and evaluates the efficacy of orthodontic and orthognathic treatments. Maxillary expansion and orthognathic surgery have demonstrated significant reductions in sleep apneas and hypopneas, although they do not consistently achieve cure levels, particularly in the presence of obesity and connective tissue disorders. Understanding the multifaceted pathophysiology of OSA and addressing confounding factors such as obesity and muscle tone are essential for enhancing treatment outcomes.","PeriodicalId":49152,"journal":{"name":"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry","volume":" ","pages":""},"PeriodicalIF":3.4000,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The efficacy of facial skeletal treatment options in the management of obstructive sleep apnea.\",\"authors\":\"Michael J Gunson\",\"doi\":\"10.1111/jopr.14006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Obstructive sleep apnea (OSA) is characterized by intermittent cessation of breathing during sleep due to the collapse of oropharyngeal tissues. This review examines the role of craniofacial growth in OSA and evaluates the efficacy of orthodontic and orthognathic treatments. Maxillary expansion and orthognathic surgery have demonstrated significant reductions in sleep apneas and hypopneas, although they do not consistently achieve cure levels, particularly in the presence of obesity and connective tissue disorders. Understanding the multifaceted pathophysiology of OSA and addressing confounding factors such as obesity and muscle tone are essential for enhancing treatment outcomes.\",\"PeriodicalId\":49152,\"journal\":{\"name\":\"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-01-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jopr.14006\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jopr.14006","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

摘要

阻塞性睡眠呼吸暂停（OSA）的特点是睡眠时由于口咽组织塌陷而间歇性停止呼吸。本文综述了颅面生长在OSA中的作用，并评估了正畸和正颌治疗的疗效。上颌扩张和正颌手术已经证明了睡眠呼吸暂停和呼吸不足的显著减少，尽管它们不能始终达到治愈水平，特别是在肥胖和结缔组织疾病存在的情况下。了解阻塞性睡眠呼吸暂停的多层面病理生理，解决肥胖和肌张力等混杂因素对提高治疗效果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The efficacy of facial skeletal treatment options in the management of obstructive sleep apnea.

Obstructive sleep apnea (OSA) is characterized by intermittent cessation of breathing during sleep due to the collapse of oropharyngeal tissues. This review examines the role of craniofacial growth in OSA and evaluates the efficacy of orthodontic and orthognathic treatments. Maxillary expansion and orthognathic surgery have demonstrated significant reductions in sleep apneas and hypopneas, although they do not consistently achieve cure levels, particularly in the presence of obesity and connective tissue disorders. Understanding the multifaceted pathophysiology of OSA and addressing confounding factors such as obesity and muscle tone are essential for enhancing treatment outcomes.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

7.90

自引率

15.00%

发文量

171

审稿时长

6-12 weeks

期刊介绍： The Journal of Prosthodontics promotes the advanced study and practice of prosthodontics, implant, esthetic, and reconstructive dentistry. It is the official journal of the American College of Prosthodontists, the American Dental Association-recognized voice of the Specialty of Prosthodontics. The journal publishes evidence-based original scientific articles presenting information that is relevant and useful to prosthodontists. Additionally, it publishes reports of innovative techniques, new instructional methodologies, and instructive clinical reports with an interdisciplinary flair. The journal is particularly focused on promoting the study and use of cutting-edge technology and positioning prosthodontists as the early-adopters of new technology in the dental community.