Loading...
Publication
Estudo sobre o uso de dispositivos avanço mandibular como alternativa ao CPA: revisão narrativa
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 40421 | 264.78 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A apneia do sono pode causar várias complicações médicas, como hipertensão arterial, risco de diabetes tipo 2, acidente vascular cerebral, obesidade e depressão /ansiedade.
A Síndrome de Apneia e Hipopneia do Sono resulta da diminuição da capacidade ventilatória durante o sono, com ou sem obstrução das vias aéreas. Em 1900 foi inventado o dispositivo de avanço mandibular que na altura foi pouco utilizado.
Para o diagnóstico e tratamento é necessária uma equipa multidisciplinar sendo o papel do médico dentista importante na deteção destes distúrbios bem como na confeção de dispositivos de avanço mandibular.
O objetivo deste trabalho foi perceber se o uso do dispositivo mandibular pode ser uma alternativa ao Continuous Positive Airway Pressure (CPAP) muitas vezes não tolerado pelos pacientes.
Concluiu-se que o CPAP é o tratamento mais eficaz na melhoria do Índice de Apneia-Hipopneia, no entanto, outros resultados clínicos obtidos com os dispositivos de avanço mandibular (DAM) são comparáveis ao CPAP (sintomas, qualidade de vida, pressão arterial).O DAM revelou ser mais eficaz na adesão do paciente ao tratamento.
Sleep apnea can cause several medical complications, such as high blood pressure, risk of type 2 diabetes, stroke, obesity, and depression/anxiety. The Sleep Apnea and Hypopnea Syndrome result from reduced ventilatory capacity during sleep, with or without airway obstruction. In 1900, the mandibular advancement device was invented but was not widely used at that time. For diagnosis and treatment, a multidisciplinary team is necessary, with the dentist playing na important role in detecting these disorders and creating mandibular advancement devices. The objective of this study was to determine if the use of the mandibular device could be na alternative to Continuous Positive Airway Pressure (CPAP), which is often not tolerated by patients. It was concluded that CPAP is the most effective treatment in improving the Apnea-Hypopnea Index. However, other clinical results obtained with mandibular advancement devices (MAD) are comparable to CPAP (symptoms, quality of life, blood pressure). MAD proved to be more effective in patient adherence to treatment.
Sleep apnea can cause several medical complications, such as high blood pressure, risk of type 2 diabetes, stroke, obesity, and depression/anxiety. The Sleep Apnea and Hypopnea Syndrome result from reduced ventilatory capacity during sleep, with or without airway obstruction. In 1900, the mandibular advancement device was invented but was not widely used at that time. For diagnosis and treatment, a multidisciplinary team is necessary, with the dentist playing na important role in detecting these disorders and creating mandibular advancement devices. The objective of this study was to determine if the use of the mandibular device could be na alternative to Continuous Positive Airway Pressure (CPAP), which is often not tolerated by patients. It was concluded that CPAP is the most effective treatment in improving the Apnea-Hypopnea Index. However, other clinical results obtained with mandibular advancement devices (MAD) are comparable to CPAP (symptoms, quality of life, blood pressure). MAD proved to be more effective in patient adherence to treatment.
Description
Keywords
Obstructive sleep apnea Mandibular advancement device CPAP alternatives Sleep apnoea diagnosis and treatment Dental devices Risk factors Protocol