Página Inicial » Inscrições Científicas » Trabalhos

Dados do Trabalho


Título

Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome.

Introdução

The characteristics of non-obese patients with mild to moderate Obstructive Sleep Apnea Syndrome (OSAS) who will present with a good response to Mandibular Repositioning Appliance (MRA) treatment have not yet been well established in the literature.

Objetivo

The aim of this study is to assess whether polysomnographic (PSG), demographic, anthropometric, cephalometric, and otorhinolaryngological parameters predict MRA success in the treatment of OSAS.

Métodos

Forty (40) males with mild and moderate OSAS were assessed pretreatment and 2-months post-treatment after wearing an MRA. Demographic, anthropometric, otorhinolaryngological (ENT), cephalometric, and polysomnographic parameters, including continuous positive airway pressure (CPAP) titrated pressure, dental models, Epworth Sleepiness Scale, quality of life (Short Form SF-36), and mood state (Profile of Mood States - POMS), were assessed.

Resultados

The responders exhibited fewer oropharyngeal alterations, increased upper pharyngeal space, reduced lower airway space, and increased mandibular intercanine width, and they had milder disease.

Conclusões

Nevertheless, no predictive factors of MRA success could be found. MRA was more successful among men with a more pervious airway, a larger interdental width and milder OSAS. However, a combined functional and structural assessment is needed to successfully predict the effectiveness of MRA treatment of OSA.

Palavras-chave

Polysomnography; Orthodontic Appliances; Otorhinolaryngologic Diseases; Cephalometry; Continuous Positive Airway Pressure

Área

Área Clínica

Instituições

UNIVERSIDADE FEDERAL DE SAO PAULO - Sao Paulo - Brasil, UNIVERSIDADE FEDERAL DE UBERLANDIA - Minas Gerais - Brasil

Autores

THAYS CROSARA ABRAHAO CUNHA, THAIS MOURA GUIMARAES, TERESA CRISTINA BARROS SCHLTZ, FERNANDA RIBEIRO ALMEIDA, THULIO MARQUEZ CUNHA, PAULO CESAR SIMAMOTO-JUNIOR, LIA RITA AZEREDO BITTENCOURT