阻塞性睡眠呼吸暂停:正牙医的作用是什么?
1Solo Private Orthodontic Practice, 110 Marter Ave., Suite 404, Moorestown, NJ, 08057, USA. drkaz@thinkstraightteeth.com.
Progress in orthodontics
|June 30, 2024
概括
牙医应查阻塞性睡眠呼吸暂停 (OSA),并将患者转诊给专家. 虽然正牙治疗可以帮助OSA管理,但它们需要仔细考虑有效性和患者风险.
科学领域:
- 牙科医学 牙科医学
- 睡眠医学 睡眠医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 2019年美国正牙医协会白皮书讨论了人们对阻塞性睡眠呼吸暂停 (OSA) 的兴趣日益增长以及对指导方针的需求.
- 相反的做法仍然存在,一些正牙医充当OSA的初级保健提供者,并滥用查工具进行诊断.
- 治疗的潜在副作用,如下前进装置和 palatal 扩张的有效性需要进一步的检查.
研究的目的:
- 澄清牙科医生在查和管理阻塞性睡眠呼吸暂停 (OSA) 中的作用.
- 为OSA提供基于证据的指导,对正牙干预提供指导.
- 强调在OSA治疗中多学科方法和以患者为中心的护理的重要性.
主要方法:
- 现有文献和指导方针的审查,关于正义牙科和阻塞性睡眠呼吸暂停 (OSA).
- 分析关于OSA查和治疗的正牙医目前的实践范围.
- 对OSA的各种正牙治疗方式的有效性和风险的评估.
主要成果:
- 正牙医在查OSA方面发挥着作用,适当的行动是转诊给专家医生.
- ортодонтические干预,包括 orthognathic 手术和下前进装置,可以在一个多学科的团队内OSA治疗的一部分.
- 口腔扩张不仅适用于OSA,而且由于负面影响,下前进装置应该是最后的手段.
结论:
- ортодонт应该通过健康史,临床检查和放射性审查进行OSA查.
- 在医生推后,当整合到多学科团队方法中时,对OSA的正牙治疗可能是有效的.
- 所有潜在的治疗益处,风险和后果都必须与患者彻底讨论,然后才能开始对OSA进行正义牙科干预.
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