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Orthoimplants: an alternative treatment for SAHS?
Felix de Carlos1, Juan Cobo, Maria Pilar Fernandez Mondragon
1Department of Surgery and Medical-Surgical Specialities, Area of Orthodontics, Faculty of Medicine, Universidad de Oviedo, Clinica Universitaria de Odontologia, C/Catedrático José Serrano, Oviedo, Spain. fcarlos@uniovi.es
Sleep & Breathing = Schlaf & Atmung
|September 19, 2009
Summary
Orthoimplants offer an alternative treatment for sleep apnea-hypopnea syndrome (SAHS) in patients lacking dental support for oral devices. This method uses elastic bands and orthoimplants for mandibular advancement, potentially reducing apnea events.
Area of Science:
- Sleep Medicine
- Orthodontics
- Dental Implants
Background:
- Intraoral devices (ODs) are used for sleep apnea-hypopnea syndrome (SAHS), but their effectiveness varies.
- Dental support and temporomandibular joint health are crucial for OD efficacy and contraindications.
Observation:
- A novel approach utilizes orthoimplants as anchors for intermaxillary elastic bands.
- This facilitates mandibular advancement as an alternative to ODs for SAHS patients with inadequate dental support.
Findings:
- Four orthoimplants were placed in an edentulous SAHS patient intolerant to CPAP.
- Mandibular advancement was achieved using orthodontic elastic bands anchored to the orthoimplants.
Implications:
- Orthoimplants show potential as an alternative SAHS treatment for CPAP-intolerant patients lacking dental support.
- This method may reduce snoring, the apnea-hypopnea index, and improve oxygen saturation (SaO2).
- Further research is needed to validate these findings.
