THE INFLUENCE OF DENTAL ORTHOPEDIC REHABILITATION PROCEDURES ON MANIFESTATIONS OF OBSTRUCTIVE SLEEP APNEA IN PATIENTS WITH TEMPOROMANDIBULAR DISORDER
| Autor: | Aleksey Yumashev, Fatima Dzalaeva, Anatoliy Utyuzh, Maria Mikhailova, Sergey Chikunov |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Rehabilitation business.industry medicine.medical_treatment Temporomandibular disorder 030206 dentistry medicine.disease Obstructive sleep apnea 03 medical and health sciences 0302 clinical medicine stomatognathic system Modeling and Simulation Orthopedic surgery medicine Physical therapy In patient business 030217 neurology & neurosurgery |
| Zdroj: | Actual problems in dentistry. 16:114-120 |
| ISSN: | 2412-9461 2077-7566 |
| DOI: | 10.18481/2077-7566-20-16-2-114-120 |
| Popis: | Subject ― is a temporomandibular joint dysfunction. Goal ― to evaluate clinical effectiveness of an interdisciplinary approach towards dental orthopedic treatment of patients with obstructive sleep apnea and a need for a full mouth reconstruction. Methodology. A total of 95 patients (52 males and 43 females) with adentia, obstructive sleep apnea syndrome and temporomandibular disorder were assigned to comprehensive examination and treatment. All patients were in need for a full mouth reconstruction. Patients were divided into 3 groups. Group 1 (n = 32) was exposed to standard treatment procedures. Group 2 (n = 29) received certain elements of an interdisciplinary approach to dental orthopedic rehabilitation. Group 3 (n = 34) was exposed to multidisciplinary approach towards dental orthopedic rehabilitation. The follow-up period was 7 years. A key step in the treatment of group 3 patients was to conduct full patient examinations sequentially. The corresponding procedures were supplemented with a study of OSA manifestation patterns. Results. It was found that the use of the present proposal contributes to the normalization of the OSA picture in patients with temporomandibular disorder. For instance, the apnea-hypopnea index dropped, the basal nocturnal saturation increased, and the minimum saturation level decreased. Overall, the proportion of patients with better to favorable sleep increased. The revealed changes were persistent, and a positive effect was observed throughout the 5―7 years of follow-up. Conclusion. Performing restoration of the anatomical shape of the tooth with the interdisciplinary approach, the dentist should assess and relieve the manifestations of OSA while correcting the temporomandibular joint disturbances. |
| Databáze: | OpenAIRE |
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