Obstructive sleep apnea- a possible domain of orthodontics
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH - Year 2017, Vol 9, Issue 1
Abstract
Sleep related breathing disorders specially obstructive sleep apnea is a multifactorial complex condition associated with high co-morbidity and mortality rates. Obstructive sleep apnea is associated with decreased oxygen saturation due to mechanical obstruction at different level of upper airway associated with anatomical deviation like maxillary or mandibular retrognathism, large tongue, elongated soft palate inferior hyoid position and severe malocclusion. It affects both children and adults equally and causes neuropsychological impairment, metabolic and cardiovascular co-morbidity, sexual dysfunction, compromised economic potentiality and quality of life. Epworth sleepiness scale data, polysomnogram along with cephalometric radiographs, 2D-3D scans for anatomical variations and clinical evaluation are reliable measures to detect Obstructive Sleep Apneas. Multi disciplinary approaches from non invasive to advanced surgical procedures provided by specialty like ENT, Chest medicine, Sleep specialist, Maxillofacial surgeon and Orthodontist can serve better treatment to OSA patient. Orthodontic specialty has the opportunity to detect anatomical deviation early and can provided growth modifications with different non-invasive better compliant oral appliances for mild to moderate OSA patients. Classical treatment ranges from behavioral modification and MAD’s like oral appliances for mild to moderate OSA situation. Continuous positive airway pressure (CPAP) is the most effective measure for moderate to severe conditions .In severe situation different surgical approaches are followed with variable responses. This article reviews the current basic scientific knowledge about Obstructive Sleep Apnea including definition, prevalence, riskfactor, pathophysiology, diagnosis, complication and conventional & advanced treatment modalities with special emphasis on orthodontic mode of treatment.
Authors and Affiliations
Dr. Shyamal Bar, Dr. Shabnam Zahir, Dr. Jiban Mishra
Keywords
Related Articles
- EP ID EP399705
- DOI -
- Views 132
- Downloads 0
Tooth brushing frequency and rinsing habits and their effects on oral hygiene index scores (ohis) among the school children in meerut
Background: Plaque control, which involves its active removal, is a responsibility undertaken personally by individuals for better oral hygiene. Tooth brushing and oral rinsing are mechanical cleaning procedures which ar...
Hemodialysis and its impact on hematological components in end stage renal failure patients in a tertiary care Hospital in India
Chronic kidney disease is a global health burden with a high economic cost to health system and is an independent risk factor for cardiovascular disease. The final stage of chronic kidney disease is End-stage renal disea...
A very rare case of pycnodysostosis with concurrent osteomyelitis of mandible
Pycnodysostosis is a rare clinical entity, first described in 1962 by Maroteaux and Lamy. It is an autosomal recessive genetic disorder characterized by osteosclerosis, brittle bones, short stature, delayed closure of th...
Micropropagation study and production of transgenic callus from daucus glaber forssk
Daucus glaber Forssk, a wild annual herb, is distributed from the Mediterranean area to East Asia. This plant seems to be rich in important medicinally active secondary metabolites as volatile oils, phenylpropanoid ester...
Barriers of patient health teaching among nursing students
Background: Nursing literature indicates that patient teaching is a critical component of nursing roles, and health teaching is of the basic rights of the patients. Nursing students facing challenges and constraints whil...