客观测量的依从性可能会影响下前进治疗在阻塞性睡眠呼吸暂停患者的副作用
1Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, P. O. Box 100, 70029, Kuopio, Finland. riitta.pahkala@pshyvinvointialue.fi.
Sleep & breathing = Schlaf & Atmung
|December 19, 2023
概括
在阻塞性睡眠呼吸暂停 (OSA) 患者中,口腔器械 (OA) 的坚持会影响牙变化和关节障碍 (TMD). 在一年内,更大的夜间穿着与减少过射,过咬和TMD症状相关.
科学领域:
- 牙科 牙科是指牙科的专业.
- 睡眠医学 睡眠医学
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的睡眠障碍.
- 口腔器械 (OA) 是OSA的一种治疗选择.
- 关节炎对牙和关节 (TMJ) 健康的影响需要进一步研究.
研究的目的:
- 评估客观测量的口腔器械 (OA) 粘附度和牙变化之间的关系.
- 评估OA粘附对阻塞性睡眠呼吸暂停 (OSA) 患者中关节疾病 (TMD) 的影响.
主要方法:
- 研究了接受OA治疗的58名患有OSA的成年人.
- 记录了对OA的客观遵守监测.
- 牙参数 (过喷,过咬,关闭) 和临床TMD症状在基线和12个月随访时被评估.
主要成果:
- 经过1年的OA治疗后,观察到Overjet和Overbite的显著减少.
- 平均每晚的OA穿戴与过喷,过咬和TMD症状的减少有关.
- 过多的唾液,口腔干燥和牙不舒服是最常见的副作用.
结论:
- 夜间OA磨损与牙科参数和TMD症状的改善之间存在时间依赖的关系.
- 在研究期间,下前进率为60%,牙变化和TMD在研究期间是轻微的.
- 客观的坚持监测对于了解OSA患者的OA治疗结果至关重要.
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