Therapeutics of OSAHS (Obstructive sleep apnea-hypopnea syndrome (OSAHS) from the Orthopedic and Orthodontic point of view: A literature review
Article Sidebar
Main Article Content
Background: OSAHS is a respiratory condition during sleep that constitutes a set of signs and symptoms caused by the configuration of some anatomical structures of the stomatognathic system, leading to serious systemic alterations. In recent years, the dental branches of Orthodontics and Orthopedics have sought to develop effective treatment alternatives to improve the quality of life of these patients.
Objective: To describe and summarize orthopedic / orthodontic therapies for the treatment of patients with obstructive sleep apnea / hypopnea syndrome (OSAHS).
Materials and methods: A systematic search was carried out in the Pubmed, Scielo, Semanthic Scholar and Science Direct databases for scientific articles that studied the efficacy of orthodontic / orthopedic treatments in patients with OSAHS. English-language controlled clinical trials studies published in the last 5 years were included.
Results: A total of 83 articles were found, of which only 9 met the eligibility criteria. Within the orthodontic / orthopedic treatment for OSAHS, mandibular advancement device, oral appliance therapy, positional therapy were found; some involve adverse effects in certain patients.
Conclusion: In the orthodontic / orthopedic therapies for the treatment of OSAHS, it was observed that the signs and symptoms improved considerably despite presenting adverse effects.
Nogueira F, Borsini E, Cambursano H, Smurra M, Dibur E, Franceschini C, et al. Guías Prácticas de diagnóstico y tratamiento del síndrome de apneas e hipopneas obstructivas del sueño: Actualización 2019. Revista Americana de Medicina Respiratoria. 2019; 19(1): p. 59-90.Ringler F, Gajardo P. Síndrome de apnea obstructiva del sueño persistente en niños adenoamigdalectomizados: artículo de revisión. Rev. Otorrinolaringol. Cir. Cabeza Cuello. 2021; 81: p. 139-152.
García M, Cuspineda E, Valiente C. Síndrome de apnea hipopnea del sueño: rol protagónico del ortodoncista. Rev. Haban. Cienc. Méd. 2014; 13(2): p. 207-218.
Araoz R, Virhuez Y, Guzmán H. Síndrome de Apnea Obstructiva del Sueño como factor de riesgo para otras enfermedades. Rev. Cient. Cienc. Méd. 2011; 14(1): p. 25-30.
Páez-Moya S, Vega-Osorio P. Factores de riesgo y asociados al síndrome de apnea-hipopnea obstructiva del sueño (SAHOS). Rev. Fac. Med. 2017; 65(1): p. 21-24.
Ceolim M, Silva C. Alto riesgo para el síndrome de apnea obstructiva del sueño en pacientes con infarto agudo del miocardio. Rev. Latino-Am. Enfermagem. 2015; 23(5): p. 797-805.
Morales-Blanhir J, Valencia-Flores M, Lozano-Cruz O. El síndrome de apnea obstructiva del sueño como factor de riesgo para enfermedades cardiovasculares y su asociación con hipertensión pulmonar. Neumol Cir Torax. 2017; 76(1): p. 51-60.
Carrillo J, Arredondo F, Reyes M, Castorena A, Vásquez J, Torre L. Síndrome de apnea obstructiva del sueño en población adulta. Neumol Cir Torax. 2010; 69(2): p. 103-115.
Kong D, Qin Z, Wang W, Kang J. Effect of obstructive sleep apnea on carotid artery intima media thickness related to inflammation. Clin Invest Med. 2017; 40(1): p. 25-33.
Tapia L, Ricardo M, Fernández P, Rabino A. Estudio retrospectivo: características epidemiológicas de los pacientes con síndrome de apnea e hipoapnea obstructiva del sueño y roncopatía intervenidos por faringoplastia, Hospital Británico de Buenos Aires, 2011-2016. Medicina U.P.B. 2019; 38(1): p. 11-16.
Hidalgo E, Fuchslocher G, Vargas M, José P. Orthodontist's role in the treatment of snoring and sleep apnea. Revista Médica Clínica Las Condes. 2013; 24(3): p. 501-509.
Sharma S, Essick G, Schwartz D, Aronsky A. Sleep Medicine Care Under One Roof: A Proposed Model for Integrating Dentistry and Medicine. J Clin Sleep Med. 2013; 9(8): p. 827-833.
Barceló A, Soler M, Riutord P. Odontología y síndrome de apneas-hipopneas del sueño. Evidencias y necesidades para su integración. Medicina Balear. 2017; 32(2): p. 23-29.
Uniken J, Doff M, Joffe-Sokolova D, Wijkstra P, Van der Hoeven J, Stegenga B, et al. Long-term obstructive sleep apnea therapy: a 10-year follow-up of mandibular advancement device and continuous positive airway pressure. J Clin Sleep Med. 2020; 16(3): p. 353-359.
Tong B, Tran C, Ricciardiello A, Donegan M, Chiang A, Szollosi I, et al. CPAP combined with oral appliance therapy reduces CPAP requirements and pharyngeal pressure swings in obstructive sleep apnea. J Appl Physiol. 2020; 129(5): p. 1085-1091.
De Vries G, Hoekema A, Vermeulen K, Claessen J, Jacobs W, Van der Maten J, et al. Clinical- and Cost-Effectiveness of a Mandibular Advancement Device Versus Continuous Positive Airway Pressure in Moderate Obstructive Sleep Apnea. J Clin Sleep Med. 2019; 15(10): p. 1477-1485.
Léotard A, Lesgoirres M, Daabek N, Lebret M, Bailly S, Verain A, et al. Adherence to CPAP with a nasal mask combined with mandibular advancement device versus an oronasal mask: a randomized crossover trial. Sleep Breath. 2019; 23(3): p. 885-888.
Aarab G, Nikolopoulou M, Ahlberg J, Heymans M, Hamburguesa H, De Lange J, et al. Oral appliance therapy versus nasal continuous positive airway pressure in obstructive sleep apnea: a randomized, placebo-controlled trial on psychological distress. Clin Oral Investig. 2017; 21(7): p. 2371-2378.
Al-Dharrab A. A randomized cross over study comparing the efficacy of two mandibular advancement appliances in the treatment of mild-moderate obstructive sleep apnea. Cranio. 2017; 35(6): p. 379-384.
Isacsson G, Nohlert E, Fransson A, Bornefalk-Hermansson A, Wiman E, Ortlieb E, et al. Use of bibloc and monobloc oral appliances in obstructive sleep apnoea: a multicentre, randomized, blinded, parallel-group equivalence trial. Eur J Orthod. 2019; 41(1): p. 80-88.
Tegelberg A, Nohlert E, Bornefalk-Hermansson A, Fransson A, Isacsson G. Respiratory outcomes after a 1-year treatment of obstructive sleep apnoea with bibloc versus monobloc oral appliances: a multicentre, randomized equivalence trial. Acta Odontol Scand. 2020; 78(6): p. 401-408.
Johal A, Haria P, Manek S, De Pascua V, Riha R. Ready-Made Versus Custom-Made Mandibular Repositioning Devices in Sleep Apnea: A Randomized Clinical Trial. J Clin Sleep Med. 2017; 13(2): p. 175-182.
Banhiran D, Assanasen P, Nopmaneejumrudlers C, Nujchanart N, Srechareon W, Chongkolwatana C, et al. Adjustable thermoplastic oral appliance versus positive airway pressure for obstructive sleep apnea. Laryngoscope. 2018; 128(2): p. 516-522.
Edwards B, Andara C, Landry S, Sands S, Joosten S, Owens R, et al. Upper-Airway Collapsibility and Loop Gain Predict the Response to Oral Appliance Therapy in Patients with Obstructive Sleep Apnea. Am J Respir Crit Care Med. 2016; 194(11): p. 1413-1422.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores/as conservan los derechos de autor y ceden a la revista el derecho de la primera publicación, con el trabajo registrado con la licencia de atribución de Creative Commons, que permite a terceros utilizar lo publicado siempre que mencionen la autoría del trabajo y a la primera publicación en esta revista.