کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8963416 1646618 2018 37 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Dental and skeletal changes associated with long-term oral appliance use for obstructive sleep apnea: A systematic review and meta-analysis
ترجمه فارسی عنوان
تغییرات دندانی و اسکلتی مرتبط با استفاده از دستگاه های طولانی مدت خوراکی برای آپنه انسدادی خواب: بررسی منظم و متاآنالیز
کلمات کلیدی
آپنه انسدادی خواب لوازم خانگی خوراکی، عوارض جانبی، دندان و اسکلت،
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی
An oral appliance (OA) is an effective treatment option for patients with obstructive sleep apnea (OSA), but dental and skeletal changes have been detected by many studies after long-term OA use. Better understanding of the long-term side effects may decrease discontinuation of OA use and assist clinicians to make informed decisions. Accordingly, a systematic review and meta-analysis were performed to evaluate the dental and skeletal changes associated with OAs designed to advance the mandible. The quality of the studies was determined by using the risk of bias assessment tool for non-randomized studies (RoBANS), and 12 studies were included in the meta-analysis. OA use was associated with a significant decrease of overjet (OJ) and overbite (OB), and it was suggested that both parameters decreased along with the duration of treatment. Meta-analysis also demonstrated a significant increase of L1-MP. However, there were no significant changes of skeletal modifications or mandibular rotation. Changes of incisor inclination were suggested to make a contribution to reduction of OJ and OB. In conclusion, long-term OA use was associated with dental changes. The results of this study provide information for clinicians about the long-term effects of OAs.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Sleep Medicine Reviews - Volume 41, October 2018, Pages 161-172
نویسندگان
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