Condylar Position in the Treatment of Obstructive Sleep Apnea with a Mandibular Advancement Device: A Pilot Study

被引：1

作者：

Gurgel, Marcela ^{[1
,2
]}

Kurita, Lucio ^{[1
]}

Fonteles, Cristiane ^{[1
]}

Ribeiro, Thyciana ^{[1
]}

Costa, Fabio ^{[1
]}

Freitas, Benedito ^{[3
]}

Bruin, Veralice ^{[4
]}

Cevidanes, Lucia ^{[2
]}

Chaves-Junior, Cauby ^{[1
]}

机构：

[1] Univ Fed Ceara, Sch Pharm Dent & Nursing, Dept Clin Dent, Fortaleza, CE, Brazil

[2] Univ Michigan, Sch Dent, Dept Orthodont & Pediat Dent, Ann Arbor, MI USA

[3] Univ Fed Maranhao, Sch Dent, Dept Clin Dent, Sao Luis, MA, Brazil

[4] Univ Fed Ceara, Sch Med, Dept Clin Med, Fortaleza, CE, Brazil

来源：

SLEEP SCIENCE | 2023年 / 16卷 / 04期

关键词：

obstructive sleep apnea; mandibular advancement; mandibular condyle; cone-beam computed tomography; AIRWAY;

D O I：

10.1055/s-0043-1776870

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective To evaluate, through a tomographic analysis, the positional changes of the condyle when using a mandibular advancement device (MAD) for the treatment of obstructive sleep apnea (OSA), and to assess if the condylar positions influence OSA polysomnographic patterns.Materials and Methods Ten OSA patients underwent treatment with an MAD, and polysomnographic and tomographic examinations were performed before therapy (T0) and after MAD placement (T1).Results By comparing the T0 and T1 measurements, we observed advancement and extrusion of the condyles in all patients ( p < 0.001), as well as a decrease in the apnea-hypopnea index (AHI) ( p < 0.001), increases in the mean ( p = 0.001) and minimum ( p < 0.001) oxyhemoglobin saturation, and a significant correlation between the anterior displacement of the right ( p = 0.003) and left ( p = 0.015) condyles.Discussion Condylar advancement was directly correlated with OSA improvement: the greater the advancement, the better the AHI.

引用

页码：381 / 388

页数：8

共 22 条

[1] Changes in airway and hyoid position in response to mandibular protrusion in subjects with obstructive sleep apnoea (OSA) [J].

Battagel, JM ;

Johal, A ;

L'Estrange, PR ;

Croft, CB ;

Kotecha, B .

EUROPEAN JOURNAL OF ORTHODONTICS, 1999, 21 (04) :363-376

[2] Prospective evaluation of an oral appliance in the treatment of obstructive sleep apnea syndrome [J].

Blanco J. ;

Zamarrón C. ;

Abeleira Pazos M.T. ;

Lamela C. ;

Suarez Quintanilla D. .

Sleep and Breathing, 2005, 9 (1) :20-25

[3] The Association Between Obstructive Sleep Apnea Characterized by a Minimum 3 Percent Oxygen Desaturation or Arousal Hypopnea Definition and Hypertension [J].

Budhiraja, Rohit ;

Javaheri, Sogol ;

Parthasarathy, Sairam ;

Berry, Richard B. ;

Quan, Stuart F. .

JOURNAL OF CLINICAL SLEEP MEDICINE, 2019, 15 (09) :1261-1270

[4] Short- and Long-Term Changes of Condylar Position After Bilateral Sagittal Split Ramus Osteotomy for Mandibular Advancement in Combination With Le Fort I Osteotomy Evaluated by Cone-Beam Computed Tomography [J].

Chen, Shuo ;

Lei, Jie ;

Wang, Xing ;

Fu, Kai-yuan ;

Farzad, Payam ;

Yi, Biao .

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2013, 71 (11) :1956-1966

[5] EFFECT OF ANTERIOR MANDIBULAR POSITIONING ON OBSTRUCTIVE SLEEP-APNEA [J].

CLARK, GT ;

ARAND, D ;

CHUNG, E ;

TONG, D .

AMERICAN REVIEW OF RESPIRATORY DISEASE, 1993, 147 (03) :624-629

[6]

Dal-Fabbro Cibele, 2010, Dental Press J. Orthod., V15, P107

[7]

de Almeida FR, 2005, J CLIN SLEEP MED, V1, P143

[8]

de Almeida FR, 2002, SLEEP, V25, P507

[9]

Epstein LJ, 2009, J CLIN SLEEP MED, V5, P263

[10]

Fabbro D C., 2012, Dentistry in Sleep Medicine

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