Treatment of snoring and obstructive sleep apnea with a dental orthosis.

作者: Wolfgang W. Schmidt-Nowara , Thomas E. Meade , Marvin B. Hays

DOI: 10.1378/CHEST.99.6.1378

关键词: ApneaOrthodonticsOrthotic deviceLateral cephalogramsAirwayMandibular advancement splintObstructive sleep apneaPhysical therapyMedicineRehabilitationRespiratory disease

摘要: A dental orthosis, designed to increase the size of upper airway by advancing mandible, was used in 68 patients treat snoring and varying degrees obstructive sleep apnea. The orthosis increased posterior space, as assessed lateral cephalograms. Seven months (range 2 25) after begininng use, 75 percent were using regularly. Snoring, report, improved all but one (p

参考文章(19)
Andrew Jamieson, Christian Guilleminault, Markku Partinen, Maria Antonia Quera-Salva, Obstructive sleep apneic patients have craniomandibular abnormalities. Sleep. ,vol. 9, pp. 469- 477 ,(1986) , 10.1093/SLEEP/9.4.469
Robert V. Wiggins, Wolfgang W. Schmidt-Nowara, Treatment of the obstructive sleep apnea syndrome. Western Journal of Medicine. ,vol. 147, pp. 561- 568 ,(1987)
Mary Morris, Leon Lack, Drew Dawson, Sleep-onset insomniacs have delayed temperature rhythms. Sleep. ,vol. 13, pp. 1- 14 ,(1990) , 10.1093/SLEEP/13.1.1
D L Bliwise, G Nino-Murcia, C Guilleminault, C C McCann, W C Dement, Compliance and side effects in sleep apnea patients treated with nasal continuous positive airway pressure. Western Journal of Medicine. ,vol. 150, pp. 165- 169 ,(1989)
Robert Riley, Christian Guilleminault, Juan Herran, Nelson Powell, Cephalometric analyses and flow-volume loops in obstructive sleep apnea patients. Sleep. ,vol. 6, pp. 303- 311 ,(1983) , 10.1093/SLEEP/6.4.303
Rosalind Dymond Cartwright, Effect of sleep position on sleep apnea severity. Sleep. ,vol. 7, pp. 110- 114 ,(1984) , 10.1093/SLEEP/7.2.110
Rosalind Cartwright, Dusan Stefoski, David Caldarelli, Howard Kravitz, Sara Knight, Stephen Lloyd, Charles Samelson, Toward a treatment logic for sleep apnea: The place of the tongue retaining device Behaviour Research and Therapy. ,vol. 26, pp. 121- 126 ,(1988) , 10.1016/0005-7967(88)90111-8
W. Kloß, K. Meier-Ewert, H. Schäfer, Zur Therapie des obstruktiven Schlaf-Apnoe-Syndroms Fortschritte Der Neurologie Psychiatrie. ,vol. 54, pp. 267- 271 ,(1986) , 10.1055/S-2007-1001873
Charles L. Wiggins, Wolfgang W. Schmidt-Nowara, David B. Coultas, Jonathan M. Samet, Comparison of self- and spouse reports of snoring and other symptoms associated with sleep apnea syndrome. Sleep. ,vol. 13, pp. 245- 252 ,(1990) , 10.1093/SLEEP/13.3.245