Zahnärztliche Schlafmedizin: eine Möglichkeit, das Leben von Menschen zu verändern

Zusammenfassung

Ziel dieser Abhandlung ist es, die Bedeutung der Zahnmedizin bei der Behandlung von schlafbezogenen Atmungsstörungen (SBAS) mit Unterkieferprotrusionsschienen (UPS) hervorzuheben. Ihr Schwerpunkt liegt auf der Anwendung der UPS-Therapie bei SBAS hinsichtlich bestehender Leitlinien für die klinische Praxis und Auswahlkriterien. Außerdem werden die relativen Vor- und Nachteile dieser Therapieform aufgezeigt.

Abstract

The aim of this paper is to emphasize the importance of dentistry in the treatment of sleep-related respiratory disorders (SRRD) with mandibular advancement splints (MAS). Its focus is on the application of MAS therapy with regard to existing guidelines for clinical practice and selection criteria. In addition, the relative advantages and disadvantages of this form of treatment are shown.

Schlüsselwörter

schlafbezogene Atmungsstörungen, - - Unterkieferprotrusionsschienen

Key words

sleep-related respiratory disorders, - mandibular advancement splints -

• Literatur

• 1 Al-Delaimy WK, Harris CD, Herold DL, Shepard Jr. JW. Snoring as a risk factor for type II diabetes mellitus: a prospective study. Am J Epidemiol 2002; 155: 387-393
• 2 Hu FB, Willett WC, Manson JE. et al. Snoring and risk of cardiovascular disease in women. J Am Coll Cardiol 2000; 35: 308-313
• 3 Lavie P, Herer P, Hoffstein V. Obstructive sleep apnoea syndrome as a risk factor for hypertension: A population study. Brit Med J 2008; 320: 479-482
• 4 Pataka A, Riha RL. Continuous positive airway pressure and cardiovascular events in patients with obstructive sleep apnea. Curr Cardiol Rep 2013; 15: 385 10.1007/s11886-013-0385-z. Review
• 5 Balk EM, Moorthy D, Obadan NO. et al. AHRQ Comparative Effectiveness Reviews. Diagnosis and treatment of obstructive sleep apnea in adults.. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011
• 6 Weaver TE, Grunstein RR. Adherence to continuous positive airway pressure therapy: The challenge to effective treatment. Proc Am Thorac Soc 2008; 5: 173-178
• 7 Johal A. A Review of the use of mandibular advancement appliances in sleep-disordered breathing. Dental Update 2008; 35: 230-235
• 8 Johal A, Fleming P, Manek S, Marinho V. Mandibular advancement splint (MAS) therapy for obstructive sleep apnoea – an overview and quality assessment of systematic reviews. Sleep and Breath 2015; 19: 1101-1108
• 9 NHS North Of England Specialized Commissioning Group (NESCG). 2012; Sleep-Related Breathing Disorders
• 10 Ramar K, Dort LC, katz SG, Lettieri CJ. et al. Clinical practice guideline for the treatment of obstructive sleep apnoea and snoring with oral appliances therapy: An update for 2015. J Clin Sleep Med 2015; 11: 773-827
• 11 Hoffstein V. Review of oral appliances for the treatment of sleep-disordered breathing. Sleep Breath 2007; 11: 1-22
• 12 American Sleep Disorders Association Report: Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances. Sleep 1995; 18: 511-513
• 13 Vanderveken OM, Devolder A, Marklund M. et al. Comparison of a custom-made and a thermoplastic oral appliance for the treatment of mild sleep apnea. Am J Respir Crit Care Med 2008; 178: 197-202
• 14 Johal A, Haria P, Manek S. et al. Ready-made versus custom-made mandibular repositioning devices in sleep apnea: A randomized clinical trial. J Clin Sleep Med 2017; 13: 1-8
• 15 Barnes M, Douglas R, Banks S. et al. Efficacy of positive airway pressure and oral appliance in mild to moderate obstructive sleep apnea. Am J Respir Crit Care Med 2004; 170: 656-664
• 16 Mehta A, Qian J, Petocz P, Ali Darendeliler M, Cistulli PA. A randomized, controlled study of mandibular advancement splint for obstructive sleep apnoea. Am J Respir Crit Care Med 2001; 163: 1457-1461
• 17 Gao X, Otsuka R, Ono T, Honda E, Sasaki T, Kuroda T. Effect of titrated mandibular advancement and jaw opening on the upper airway in non-apneic men: a magnetic resonance imaging and cephalometric study. Am J Orthod Dentofacial Orthop 2004; 125: 191-199
• 18 Tsuiki S, Lowe AA, Almeida FR, Fleetham JA. Effects of an anteriorly titrated mandibular position on awake airway and obstructive sleep apnea severity. Am J Orthod Dentofacial Orthop 2004; 125: 548-555
• 19 Millman RP, Rosenberg CL, Kramer NR. Oral appliances in the treatment of snoring and sleep apnoea. Clin Chest Med 1998; 19: 69-75
• 20 Johal A, Battagel JM. An investigation into the changes in airway dimension and the efficacy of mandibular advancement appliances in subjects with obstructive sleep apnoea. Br J Orthod 1999; 26: 205-210
• 21 O’Sullivan RA, Hillman DR, Mateljan R, Pantin C, Finucane KE. Mandibular advancement splint: An appliance to treat snoring and obstructive sleep apnea. Am Rev Respsir Crit Care Med 1995; 151: 194-198
• 22 Doff MHJ, Hoekema A, Pruim GJ, Huddleston JJR, Stegenga B. Long-term Oral Appliance Therapy in Obstructive Sleep Apnoea: A cephalometric Study of Craniofacial changes. J Dent 2010; 38: 1010-1018
• 23 Almeida FR, Lowe AA, Sung JO, Tsuiki S, Otsuka R. Long-term sequellae of oral appliance therapy in obstructive sleep apnea patients: Part 1. Cephalometric analysis. Am J Orthod Dentofacial Orthop 2006; 129: 195-204