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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.52 no.4 São Paulo Dec. 1994

https://doi.org/10.1590/S0004-282X1994000400018 

Obstructive sleep apnea treatment with dental appliance

 

Apnéia do sono tipo obstrutiva: tratamento com aparelho dentário

 

 

Rubens ReimãoI; Marcia Maria de GouveiaII; Maria da Conceição de Gouveia PestanaIII; Sandra Regina LopesIV; Élio Giacomo PapaizV; Luiz Fernando PapaizVI

IDepartment of Neurology, Hospital das Clínicas, University of São Paulo (USP) Medical School and Sleep Disorders Center, Reimão Clinic, São Paulo
IIDepartment of Surgery, Buco-maxilo-facial Traumatology, Hospital Universitário, USP
IIIDentist surgeon
IVIntegrated Dentistry Clinic, Discipline of Endodonty, University of Mogi das Cruzes, São Paulo
VDepartment of Radiology, Dentistry School, University of São Francisco, Bragança Paulista, São Paulo
VIFellow in Radiology, São Paulo Dentistry Association

 

 


SUMMARY

The case of a 40-year-old male patient with obstructive sleep apnea syndrome (OSAS) is reported, with emphasis on treatment with a dental appliance. This therapeutic approach, which has been focused on recent research, has as its objective, the posturing of the mandibule and, consequently, the tongue more anteriorly, thus in turn leading to an increase in the posterior oropharyngeal airway space (PAS). Cephalometry contributed determining in this case whereby enlargement limits were observed in the PAS with mandibular displacement. Clinical and polysomnographic controls showed subjective reduction of the excessive daytime sleepiness and objective decrease in apneas intensity to normal limits. Eight months follow-up evidenced the steady improvement.

Key words: sleep apnea syndrome, apnea, dental appliance, treatment, cephalometry, polysomnography.


RESUMO

É relatado o caso de um paciente do sexo masculino, de 40 anos de idade, com síndrome de apnéia do sono tipo obstrutivo, tratado por meio de aparelho dentário. Esta terapêutica, alvo de pesquisas recentes, visa, no caso aqui descrito, modificar a posição da mandíbula e consequentemente da língua, aumentando o espaço aéreo posterior faríngeo. Cefalometria contribuiu na escolha do caso para uso de aparelho dentário pois evidenciou incremento do espaço aéreo posterior faríngeo atingindo dimensões normais ao se realizar o deslocamento anterior da mandíbula. Controles clínico e polissonográfico mostraram redução subjetiva da sonolência excessiva diurna e objetiva da severidade das apnéias e do ronco, levando-os a níveis normais. Em seguimento realizado por 8 meses, a melhora manteve-se inalterada.

Palavras-chave: síndrome de apnéia do sono, apnéia, aparelho dentário, tratamento, cefalometria, polissonografia.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

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Aceite: 31-maio-1994.

 

 

Dr. Rubens Reimão - Rua Glicineas 128 - 04048-050 São Paulo SP - Brasil.

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