Predictors of Side Effects With Long-Term Oral Appliance Therapy for Obstructive Sleep Apnea
Predictors of Side Effects With Long-Term Oral Appliance Therapy for Obstructive Sleep Apnea
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DOI：
10.5664/jcsm.6896
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发表时间：
2018-01-01
影响因子：
4.3
通讯作者：
Sakai, Takayoshi
中科院分区：
文献类型：
--
作者：
Minagi, Hitomi Ono;Okuno, Kentaro;Sakai, Takayoshi
研究目标：本研究的目的是调查与长期治疗与口腔矫治器（OAs）阻塞性睡眠呼吸暂停（OSA）患者的牙齿变化的预测因素。方法：这是一项回顾性研究，调查日本OSA患者接受长期治疗与OAs。头影测量分析进行了初步和后续评估之间的牙齿和骨骼的变化。根据牙齿的变化，预测，可能会导致副作用investigated.Results：共64例患者（平均年龄在治疗开始：57.7 +/- 14.2岁，44名男性）被列入本研究。平均治疗持续时间为4.3 ± 2.1年。在整个治疗期间，覆盖（OJ）（1.5 +/- 1.3 mm）和覆牙合（0.90 +/- 1.5 mm）显著减少，下切牙线与下颌平面的距离增加（3.1 +/- 5.4度）。OJ的较大减少>= 1 mm与治疗持续时间、使用频率和OAs的下颌前移相关。除了这些预测因素，牙齿的数量与OJ reduction.Conclusions的金额：对于长期治疗与OAs，牙齿的副作用的风险，应考虑，如减少OJ。少数上颌牙齿，以及与OAs相关的因素，包括治疗时间，使用频率，下颌前移的OAs，与OJ减少率增加。
Study Objectives: The aim of this study was to investigate the predictors of dental changes associated with long-term treatment with oral appliances (OAs) in patients with obstructive sleep apnea (OSA).Methods: This was a retrospective study to investigate Japanese patients with OSA receiving long-term treatment with OAs. Comparisons of cephalometric analysis were carried out between the initial and follow-up assessments of dental and skeletal changes. Based on dental changes, predictors that may cause side effects were investigated.Results: A total of 64 patients (average age at start of treatment: 57.7 +/- 14.2 years, 44 males) were included in this study. The average duration of treatment was 4.3 +/- 2.1 years. Over the total treatment period, there was a significant reduction in overjet (OJ) (1.5 +/- 1.3 mm) and overbite (0.90 +/- 1.5 mm), and an increase in the lower incisor line to the mandibular plane (3.1 +/- 5.4 degrees). A larger reduction in OJ of >= 1 mm was associated with treatment duration, use frequency, and mandibular advancement of the OAs. In addition to these predictive factors, the number of teeth was correlated with the amount of OJ reduction.Conclusions: For long-term treatment with OAs, the risk of dental side effects should be considered, such as a reduction in OJ. A small number of maxillary teeth, as well as the factors associated with OAs, including treatment duration, use frequency, and mandibular advancement of the OAs, was correlated with an increased rate of OJ reduction.