Treatment of sleep apnea with a new separated type of dental appliance (mandibular advancing positioner).

Treatment of sleep apnea with a new separated type of dental appliance (mandibular advancing positioner).
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使用新型分离式牙科矫治器(下颌前移定位器)治疗睡眠呼吸暂停。

DOI:
10.2739/kurumemedj.44.315
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发表时间:
1997
期刊:
The Kurume medical journal
影响因子:
--
通讯作者:
T. Kameyama
T. Kameyama
中科院分区:
--
文献类型:
--
作者:
K. Esaki;H. Kanegae;T. Uchida;H. Mizuma;T. Sakamoto;T. Kameyama

文献摘要

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我们研究了一种新型的分离式牙科矫治器(下颌推进定位器:MAP),它是可移动的,可以自由调节下颌前移。8例成年男性睡眠呼吸暂停综合征(SAS)患者平均呼吸暂停指数(AI)由31.1降至4.2,平均呼吸暂停低通气指数(AHI)由44.2降至11.7。以Flankfort水平面为标准,8例SAS患者头颅侧位片上颌骨前移距离为1.8~5.0 mm。下颌前移距离与AI改善率(R2=0.878)、呼吸紊乱改善率(R2=0.861)呈高度正相关,改善率越高,下颌前移越明显。
We investigated a new separated type of dental appliance (mandibular advancing positioner: MAP) that is mobile and allows free adjustment of mandibular advancement. In 8 adult male patients with sleep apnea syndrome (SAS), the mean apnea index (AI) decreased from 31.1 to 4.2, and the mean apnea hypopnea index (AHI) decreased from 44.2 to 11.7. The distance of mandibular advancement using the Flankfort horizontal plane as a standard ranged in the 8 SAS patients from 1.8 to 5.0 mm by lateral cephalograms. A high positive correlation was observed between the distance of mandibular advancement and the rate of improvement in AI (R2 = 0.878), or the rate of AHI (R2 = 0.861), showing a higher improvement rate with more marked mandibular advancement.