Magnetic Resonance Imaging in Complete Denture Treated Edentulous Patients with Obstructive Sleep Apnea Syndrome-A Preliminary Study
| Autor: | Elvir Zvrko, Ljiljana Tihaček Šojić, Nikolić G, Ivica Stančić, Biljana Milosevic, Zanka Cerovic |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Vertical dimension of occlusion
medicine.diagnostic_test business.industry medicine.medical_treatment Epworth Sleepiness Scale Pharynx Dentistry Sleep apnea Magnetic resonance imaging 030206 dentistry medicine.disease Sagittal plane nervous system diseases respiratory tract diseases Obstructive sleep apnea 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure stomatognathic system medicine Dentures business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Oral Hygiene & Health. |
| ISSN: | 2332-0702 |
| DOI: | 10.4172/2332-0702.1000212 |
| Popis: | Background: Complex clinical presentation of obstructive sleep apnea syndrome (OSAS) is increasingly present in modern dentistry. In this research, we have been assumed that the reconstruction of optimal vertical dimension of occlusion (VDO) with complete dentures could reduce symptoms of mild to moderate sleep apnea in edentulous patients who have not worn dentures or have used inadequate ones. The aim of this study was to determine how the prosthetic treatment of edentulous patients with OSAS can extend the upper airways, reduce the accompanying day and night symptoms of sleep apnea and reduce the value of apnea-hypopnea index (AHI/h). Methods: The study comprised 9 edentulous patients with OSAS (AHI/h 5.70 to 26.30). The complete dentures with optimal VDO reconstruction were made for all patients. For the purposes of this study, the following were used: Epworth sleepiness scale (ESS) polysomnographic registration (PSG) of AHI/h, the diagnosis of the diameter of the upper respiratory tract by magnetic resonance imaging (MRI) before and 3 months after the prosthetic rehabilitation. Results: Prosthetic treatment of edentulous patients reduces day and night time symptoms of OSAS. Sagittal and axial tomograms of the pharynx in edentulous patients with OSAS before and 3 months after the treatment indicate significant differences in the diameter of the upper airways, which are correlated with reduced AHI/h (49.93%). Conclusion: The complete dentures prosthetic rehabilitation of edentulous patients, with optimal VDO reconstruction, increases the diameter of the upper respiratory tract which is reflected in a significant reduction of OSAS symptoms and AHI/h. |
| Databáze: | OpenAIRE |
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