The role of dentist in the diagnosis, prevention and treatment of obstructive sleep apnea syndrome (OSAS). Review of the literature

Pablo Echarri, Miguel Ángel Pérez Campoy, Javier Echarri, Ayham Mohsin, Adam Malawski-Róg, Dariusz Paliga

Streszczenie
Zespół obturacyjnego bezdechu sennego (obstructive sleep apnea syndrome, OSAS) w znacznym stopniu wpływa na jakość życia współczesnej populacji, a lekarzami, którzy najskuteczniej są w stanie go rozpoznać są lekarze ortodonci. Leczenie ortodontyczne może zwiększyć, zmniejszyć lub utrzymywać objętość górnych dróg oddechowych, a tym samym odpowiednio zaplanowany proces terapeutyczny odgrywa ważną rolę w zapobieganiu i leczeniu OSAS. Autorzy pracy  rozważają, na podstawie piśmiennictwa, kwestię najlepszego sposobu leczenia ortodontycznego pacjentów dotkniętych OSAS lub z ryzykiem jego wystąpienia.
 
Abstract
Obstructive sleep apnea syndrome (OSAS) significantly affects the quality of life of modern population, and physicians who are most able to recognize it are orthodontists. The orthodontic treatment may increase, decrease or maintain the volume of the upper airways, and for this reason a properly planned therapeutic process plays an important role in the prevention and treatment of OSAS. The authors of the article, based on the literature,  discuss the issue of the best way to treat orthodontic patients suffering from OSAS or with the risk of its occurrence.

Hasła indeksowe: bezdech, ortodoncja, OSAS

Key words: apnea, orthodontics, OSAS

PIŚMIENNICTWO

1. Ito S,. Otake H., Tsuiki S. i wsp.: Obstructive sleep apnea syndrome in a pubescent boy of short stature was improved with an orthodontic mandibular advancement oral appliance: a case report. J. Clin .Sleep Med., 2015, 11, 1, 75-76.
2. Machado-Júnior A.J., Zancanella E., Crespo A.N.: Rapid maxillary expansion and obstructive sleep apnea: a review and meta-analysis. Med. Oral Patol. Oral Cir. Bucal., 2016, 21,4, e465-469.
3. Marklund M., Verbraecken J., Randerath W.: Non-CPAP therapies in obstructive sleep apnoea: mandibular advancement device therapy. Eur. Respir. J., 2012, 39, 5, 1241-1247.
4. Cunha T.C.A., Guimarães T.M., Schultz T.C.B. i wsp.: Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome. Braz. Oral Res., 2017, 31, e37.
5. Schütz T.C., Cunha T.C., Moura-Guimaraes T. i wsp.: Comparison of the effects of continuous positive airway pressure, oral appliance and exercise training in obstructive sleep apnea syndrome. Clinics (Sao Paulo), 2013, 68, 8, 1168-1174.
6. Quinnell T.G., Bennett M., Jordan J. i wsp.: A crossover randomised controlled trial of oral mandibular advancement devices for obstructive sleep apnoea-hypopnoea (TOMADO). Thorax, 2014, 69, 10, 938-945.
7. Sharples L.D., Clutterbuck-James A.L., Glover M.J. i wsp.: Meta-analysis of randomised controlled trials of oral mandibular advancement devices and continuous positive airway pressure for obstructive sleep apnoea-hypopnoea. Sleep Med. Rev., 2016, 27, 108-124.
8. Sharples L., Glover M., Clutterbuck-James A. i wsp.: Clinical effectiveness and cost-effectiveness results from the randomised controlled Trial of Oral Mandibular Advancement Devices for Obstructive sleep apnoea-hypopnoea (TOMADO) and long-term economic analysis of oral devices and continuous positive airway pressure. Health Technol Assess., 2014, 18, 67, 1-296.
9. Phillips C.L., Grunstein R.R., Darendeliler M.A. i wsp.: Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: a randomized controlled trial. Am. J. Respir. Crit. Care Med., 2013, 187, 8, 8798-87.
10.White D.P., Shafazand S. :Mandibular advancement device vs. CPAP in the treatment of obstructive sleep apnea: are they equally effective in short term health outcomes? J. Clin. Sleep Med., 2013, 9, 9, 971-972.
11. Upadhyay R., Dubey A., Kant S., Singh B.P.: Management of severe obstructive sleep apnea using mandibular advancement devices with auto continuous positive airway pressures. Lung India, 2015, 32, 2, 158-161.
12. Health Quality Ontario: Oral appliances for obstructive sleep apnea: an evidence-based analysis. Ont. Health Technol. Assess. Ser., 2009, 9, 5, 1-51.
13. Doff M.H., Hoekema A., Wijkstra P.J.  i wsp.: Oral appliance versus continuous positive airway pressure in obstructive sleep apnea syndrome: a 2-year follow-up. Sleep, 2013, 36, 9, 1289-1296.
14.Tzur-Gadassi L., Hevroni A., Gross M., Davidovich E.: Pediatric obstructive sleep apnea – an orthodontic perspective. Refuat Hapeh Vehashinayim (1993). 2014, 31, 3, 48-58, 63.
15. Conley R.S., Legan H.L.: Correction of severe obstructive sleep apnea with bimaxillary transverse distraction osteogenesis and maxillomandibular advancement. Am. J. Orthod. Dentofacial Orthop., 2006, 129, 2, 283-292.
16. Boyd S.B.: Management of obstructive sleep apnea by maxillomandibular advancement. Oral Maxillofac. Surg. Clin. North Am., 2009, 21, 4, 447-457.
17. Nie P., Zhu M., Lu X.F., Fang B.: Bone-anchored maxillary expansion and bilateral interoral mandibular distraction osteogenesis in adult with severe obstructive sleep apnea syndrome. J. Craniofac. Surg., 2013, 24, 3, 949-952.
18. Zaghi S., Holty J.E., Certal V. i wsp.: Maxillomandibular advancement for treatment of obstructive sleep apnea: a meta-analysis. JAMA Otolaryngol. Head Neck Surg., 2016, 142, 1, 58-66.
19. Holty J.E., Guilleminault C.: Maxillomandibular advancement for the treatment of obstructive sleep apnea: a systematic review and meta-analysis. Sleep Med. Rev., 2010, 14, 5, 287-297.
20. Hoekema A., de Lange J., Stegenga B., de Bont L.G.: Oral appliances and maxillomandibular advancement surgery: an alternative treatment protocol for the obstructive sleep apnea-hypopnea syndrome. J. Oral Maxillofac. Surg., 2006,  64, 6, 886-891.
21. Jalbert F., Lacassagne L., Bessard J. i wsp.: Oral appliances or maxillomandibular advancement osteotomy for severe obstructive sleep apnoea in patients refusing CPAP. Rev. Stomatol. Chir. Maxillofac., 2012, 113, 1, 19-26.
22. Ng A., Gotsopoulos H., Darendeliler A.M., Cistulli P.A.: Oral appliance therapy for obstructive sleep apnea. Treat Respir. Med., 2005, 4, 6, 409-422.
23. Padma A., Ramakrishnan N., Narayanan V.:  Management of obstructive sleep apnea: a dental perspective. Indian J. Dent. Res., 2007, 18, 4, 201-209.
24. Lee C.H., Mo J.H., Choi I.J. i wsp.: The mandibular advancement device and patient selection in the treatment of obstructive sleep apnea. Arch. Otolaryngol. Head Neck Surg., 2009, 135, 5, 4394-44.
25. Lee C.H., Kim J.W., Lee H.J. i wsp.: Determinants of treatment outcome after use of the mandibular advancement device in patients with obstructive sleep apnea. Arch. Otolaryngol. Head Neck Surg., 2010, 136, 7, 677-681.
26. Lee C.H., Kim J.W., Lee H.J. i wsp.: An investigation of upper airway changes associated with mandibular advancement device using sleep videofluoroscopy in patients with obstructive sleep apnea. Arch. Otolaryngol. Head Neck Surg., 2009, 135, 9, 910-914.
27. Bratton D.J., Gaisl T., Schlatzer C., Kohler M.: Comparison of the effects of continuous positive airway pressure and mandibular advancement devices on sleepiness in patients with obstructive sleep apnoea: a network meta-analysis. Lancet Respir. Med., 2015, 3, 11, 869-878.
28. Bratton D.J., Gaisl T., Wons A.M., Kohler M.: CPAP vs. mandibular advancement devices and blood pressure in patients with obstructive sleep Apnea: a systematic review and meta-analysis. JAMA, 2015, 314, 21, 2280-2293.
29. Denolf P.L., Vanderveken O.M., Marklund M.E., Braem M.J.: The status of cephalometry in the prediction of non-CPAP treatment outcome in obstructive sleep apnea patients. Sleep Med. Rev., 2016, 27, 56-73.
30.Villa M.P., Rizzoli A., Miano S., Malagola C.: Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up. Sleep Breath, 2011, 15, 2, 179-184.
31. Zhu Y., Long H., Jian F. i wsp.: The effectiveness of oral appliances for obstructive sleep apnea syndrome: a meta-analysis. J. Dent., 2015, 43, 12, 1394-1402.
32. Cossellu G., Biagi R., Sarcina M. i wsp.: Three-dimensional evaluation of upper airway in patients with obstructive sleep apnea syndrome during oral appliance therapy. J. Craniofac Surg. 2015 May;26(3):745-8.
33. Serra-Torres S., Bellot-Arcís C., Montiel-Company J.M,.i wsp.: Effectiveness of mandibular advancement appliances in treating obstructive sleep apnea syndrome: a systematic review. Laryngoscope, 2016, 126, 2, 507-514.
34. Suga H., Mishima K., Nakano H. i wsp.: Different therapeutic mechanisms of rigid and semi-rigid mandibular repositioning devices in obstructive sleep apnea syndrome. J. Craniomaxillofac. Surg., 2014, 42, 8, 1650-1654.
35. Leite F.G., Rodrigues R.C., Ribeiro R.F. i wsp.: The use of a mandibular repositioning device for obstructive sleep apnea. Eur. Arch. Otorhinolaryngol., 2014, 271, 5, 1023-1029.
36. Brette C., Ramanantsoa H., Renouardiere J. i wsp.: A mandibular advancement device for the treatment of obstructive sleep apnea: long-term use and tolerance. Int. Orthod., 2012, 10, 4, 363-376.
37. Cohen-Levy J., Pételle B., Pinguet J. i wsp.: Forces created by mandibular advancement devices in OSAS patients: a pilot study during sleep. Sleep Breath, 2013,17, 2, 781-789.
38. Tison C., Sébille-Elhage S., Ferri J.: Mandibular advancement device: a 5-year long experience in obstructive sleep apnea/hypopnea syndrome. Rev. Stomatol. Chir. Maxillofac., 2011, 112, 2, 80-86.
39. Cunali P.A., Almeida F.R., Santos C.D.  i wsp.: Mandibular exercises improve mandibular advancement device therapy for obstructive sleep apnea. Sleep Breath, 2011, 15, 4, 717-727.