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Side effects of intraoral devices for OSAS treatment()
INTRODUCTION: Intraoral devices have increasingly assumed a key role in the treatment of obstructive sleep apnea syndrome, but there are limitations to their indication and side effects that result from their continuous use, as well as the use of the continuous positive airway pressure device. OBJEC...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9442828/ https://www.ncbi.nlm.nih.gov/pubmed/29102398 http://dx.doi.org/10.1016/j.bjorl.2017.09.003 |
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author | Teixeira, Andressa Otranto de Britto Andrade, Ana Luiza Ladeia Almeida, Rhita Cristina da Cunha Almeida, Marco Antonio de Oliveira |
author_facet | Teixeira, Andressa Otranto de Britto Andrade, Ana Luiza Ladeia Almeida, Rhita Cristina da Cunha Almeida, Marco Antonio de Oliveira |
author_sort | Teixeira, Andressa Otranto de Britto |
collection | PubMed |
description | INTRODUCTION: Intraoral devices have increasingly assumed a key role in the treatment of obstructive sleep apnea syndrome, but there are limitations to their indication and side effects that result from their continuous use, as well as the use of the continuous positive airway pressure device. OBJECTIVES: To evaluate the changes in dental positioning caused by the continuous use of mandibular advancement devices. METHODS: A prospective longitudinal study with a sample of 15 patients, with evaluation of complete documentation after a mean time of 6.47 months, assessed changes in dental positioning due to the use of the Twin Block oral device for the treatment of patients with apnea. The following variables were evaluated: overjet, overbite, upper and lower intermolar distances, upper and lower intercanine distances, Little's irregularity index and the incisor mandibular plane angle. An intraclass correlation test was performed and a correlation index > 0.08 was accepted. After verifying the normal sample distribution (Shapiro-Wilks), a parametric test was used (t test), with a significance level set at 5%. RESULTS: There was a decrease in the values of overjet, overbite and Little's irregularity index, whereas there was an increase in the lower intercanine distance and IMPA values. All these variables are influenced, at different levels, by the forward inclination of the lower incisors, an action that can be expected due to the force applied by the device on the dentition. The other variables did not show statistically significant differences. CONCLUSION: After a mean time of 6.47 months of use of the mandibular advancement device, there were statistically significant changes in the dental positioning, but they were not clinically relevant. However, it is relevant that this device is commonly in use over long periods of time, making the monitoring of these patients of the utmost importance for the duration of their therapy. |
format | Online Article Text |
id | pubmed-9442828 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94428282022-09-09 Side effects of intraoral devices for OSAS treatment() Teixeira, Andressa Otranto de Britto Andrade, Ana Luiza Ladeia Almeida, Rhita Cristina da Cunha Almeida, Marco Antonio de Oliveira Braz J Otorhinolaryngol Original Article INTRODUCTION: Intraoral devices have increasingly assumed a key role in the treatment of obstructive sleep apnea syndrome, but there are limitations to their indication and side effects that result from their continuous use, as well as the use of the continuous positive airway pressure device. OBJECTIVES: To evaluate the changes in dental positioning caused by the continuous use of mandibular advancement devices. METHODS: A prospective longitudinal study with a sample of 15 patients, with evaluation of complete documentation after a mean time of 6.47 months, assessed changes in dental positioning due to the use of the Twin Block oral device for the treatment of patients with apnea. The following variables were evaluated: overjet, overbite, upper and lower intermolar distances, upper and lower intercanine distances, Little's irregularity index and the incisor mandibular plane angle. An intraclass correlation test was performed and a correlation index > 0.08 was accepted. After verifying the normal sample distribution (Shapiro-Wilks), a parametric test was used (t test), with a significance level set at 5%. RESULTS: There was a decrease in the values of overjet, overbite and Little's irregularity index, whereas there was an increase in the lower intercanine distance and IMPA values. All these variables are influenced, at different levels, by the forward inclination of the lower incisors, an action that can be expected due to the force applied by the device on the dentition. The other variables did not show statistically significant differences. CONCLUSION: After a mean time of 6.47 months of use of the mandibular advancement device, there were statistically significant changes in the dental positioning, but they were not clinically relevant. However, it is relevant that this device is commonly in use over long periods of time, making the monitoring of these patients of the utmost importance for the duration of their therapy. Elsevier 2017-10-14 /pmc/articles/PMC9442828/ /pubmed/29102398 http://dx.doi.org/10.1016/j.bjorl.2017.09.003 Text en © 2017 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Article Teixeira, Andressa Otranto de Britto Andrade, Ana Luiza Ladeia Almeida, Rhita Cristina da Cunha Almeida, Marco Antonio de Oliveira Side effects of intraoral devices for OSAS treatment() |
title | Side effects of intraoral devices for OSAS treatment() |
title_full | Side effects of intraoral devices for OSAS treatment() |
title_fullStr | Side effects of intraoral devices for OSAS treatment() |
title_full_unstemmed | Side effects of intraoral devices for OSAS treatment() |
title_short | Side effects of intraoral devices for OSAS treatment() |
title_sort | side effects of intraoral devices for osas treatment() |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9442828/ https://www.ncbi.nlm.nih.gov/pubmed/29102398 http://dx.doi.org/10.1016/j.bjorl.2017.09.003 |
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