ABSTRACT
Introduction Obstructive sleep apnea syndrome affects up to 4% of middle-aged men and 2% of adult women. It is associated with obesity. Objective The objective of this article is to review the literature to determine which factors best correlate with treatment success in patients with obstructive sleep apnea syndrome treated with a mandibular repositioning appliance. Data Synthesis A search was performed of the PubMed, Cochrane, Lilacs, Scielo, and Web of Science databases of articles published from January 1988 to January 2012. Two review authors independently collected data and assessed trial quality. Sixty-nine articles were selected from PubMed and 1 from Cochrane library. Of these, 42 were excluded based on the title and abstract, and 27 were retrieved for complete reading. A total of 13 articles and 1 systematic review were considered eligible for further review and inclusion in this study: 6 studies evaluated anthropomorphic and physiologic factors, 3 articles addressed cephalometric and anatomic factors, and 4 studies evaluated variables related to mandibular repositioning appliance design and activation. All the studies evaluated had low to moderate methodologic quality and were not able to support evidence on prediction of treatment success. Conclusion Based on this systematic review on obstructive sleep apnea syndrome treatment, it remains unclear which predictive factors can be used with confidence to select patients suitable for treatment with a mandibular repositioning appliance. .
Subject(s)
Animals , Biological Evolution , Carrier Proteins/chemistry , Kinesins/chemistry , Models, Molecular , Microtubules/metabolism , Biological Transport/physiology , Chlorocebus aethiops , COS Cells , Dimerization , Fluorescence Resonance Energy Transfer , Kinetics , Microscopy, FluorescenceABSTRACT
O paciente respirador bucal requer uma abordagem multidisciplinar em seu tratamento, envolvendo principalmente otorrinolaringologistas e ortodontistas. O objetivo deste estudo foi avaliar, através da aplicação de questionário, a relação existente entre esses profissionais para garantir melhor qualidade de vida e efetividade no tratamento da respiração não fisiológica. Foram aplicados 103 questionários, respondidos por 53 ortodontistas e 50 otorrinolaringologistas durante o ano de 2009 na cidade do Rio de Janeiro. Os resultados foram descritos em tabela, descrevendo as variáveis dependentes. Os resultados demonstraram que existe uma interação entre as especialidades. O principal motivo que justifica a ação interdisciplinar, citado por ambas as áreas, é a respiração bucal, seguida de infecção da vias aéreas superiores para otorrinolaringologistas, e de dores articulares para os ortodontistas. A respiração bucal pode influenciar no desenvolvimento maxilofacial nos pacientes jovens e dificultar a qualidade do sono. Conclui-se que a interação observada entre as especialidades se dá principalmente pelo intercâmbio de pacientes.
Mouth breather patients require a multidisciplinary approach in their treatment, involving otorhinolaryngologist (ENTs) and orthodontists. This study aimed to assess through a questionnaire the relationship between these professionals in order to offer to the patient a better quality of life and effectiveness in the treatment of non-physiological breathing. We applied 103 questionnaires that were answered by 53 orthodontists and 50 otolaryngologists during the year 2009 in the city of Rio de Janeiro. Results were also described in tables presenting the dependent variables, and indicated that there is an interaction between the specialties. The main reason that justifies disciplinary action, mentioned by both areas was mouth breathing, followed by infection of the upper airways for otolaryngologists, and joint pain for orthodontists. Mouth breathing may influence the maxillofacial development in young patients and hamper the quality of sleep. We concluded that the interaction observed between the specialties, occurs mainly through the exchange of patients.