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구강장치를 이용한 코골이 및 폐쇄성 수면무호흡증 치료를 위한 치료 권고안: 2005년 개정
Practice Parameters for the Treatment of Snoring and OSA with Oral Appliances: An Update for 2005

수면 2007년 4권 2호 p.35 ~ p.40

윤승현(Yoon Seung-Hyun) - 연세대학교 치과병원 구강내과학교실
최영찬(Choi Young-Chan) - 연세대학교 치과병원 구강내과학교실
심영주(Shim Young-Joo) - 연세대학교 치과대학 구강내과학교실
김성택(Kim Seong-Taek) - 연세대학교 치과병원 구강내과학교실

Abstract

These practice parameters are an update of the previously published recommendations regarding use of oral appliances in the treatment of snoring and Obstructive Sleep Apnea (OSA). Oral appliances (OAs) are indicated for use in patients with mild to moderate OSA who prefer them to continuous positive airway pressure (CPAP) therapy, or who do not respond to, are not appropriate candidates for, or who fail treatment attempts with CPAP. Until there is higher quality evidence to suggest efficacy, CPAP is indicated whenever possible for patients with severe OSA before considering OAs. Oral appliances should be fitted by qualified dental personnel who are trained and experienced in the over-all care of oral health, the temporomandibular joint, dental occlusion and associated oral structures. Follow-up polysomnography or an attended cardiorespiratory (Type 3) sleep study is needed to verify efficacy, and may be needed when symptoms of OSA worsen or recur. Patients with OSA who are treated with oral appliances should return for follow-up office visits with the dental specialist at regular intervals to monitor patient adherence, evaluate device deterioration or maladjustment, and to evaluate the health of the oral structures and integrity of the occlusion. Regular follow up is also needed to assess the patient for signs and symptoms of worsening OSA. Research to define patient characteristics more clearly for OAs acceptance, success, and adherence is needed.

키워드

Practice parameters, Practice guidelines, Standards of practice, Snoring, Obstructive sleep apnea syndrome, Oral appliances, Dental devices

KMID : 1002120070040020035

원문 및 링크아웃 정보

등재저널 정보

주제코드

주제명(Target field)

연구대상(Population)

연구참여(Sample size)

대상성별(Gender)

질병특성(Condition Category)

연구환경(Setting)

연구설계(Study Design)

연구기간(Period)

중재방법(Intervention Type)

중재명칭(Intervention Name)

키워드(Keyword)

유효성결과(Recomendation)

This review article updated on the practice parameters for the treatment of snoring and OSA with oral appliances.

연구비지원(Fund Source)

근거수준평가(Evidence Hierarchy)

출판년도(Year)

참여저자수(Authors)

대표저자

DOI

KCD코드

ICD 03

건강보험코드

구강장치를 이용한 코골이 및 폐쇄성 수면무호흡증 치료를 위한 치료 권고안: 2005년 개정 Practice Parameters for the Treatment of Snoring and OSA with Oral Appliances: An Update for 2005

Abstract

키워드

구강장치를 이용한 코골이 및 폐쇄성 수면무호흡증 치료를 위한 치료 권고안: 2005년 개정
Practice Parameters for the Treatment of Snoring and OSA with Oral Appliances: An Update for 2005