Ngiam, Joachim; Kyung, Hee-Moon
The Angle orthodontist
2012Nov ; 82 ( 6 ) :978-84.
PMID : 22594775
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Ngiam, Joachim -
Kyung, Hee-Moon -
ABSTRACT
OBJECTIVE: To investigate the efficacy of orthodontic microimplant-based mandibular advancement therapies for the treatment of snoring and obstructive sleep apnea (OSA) in adult patients. MATERIALS AND
METHODS: Ten adult OSA patients (seven men, three women; mean age 60.00 ± 9.25 years) were each treated with two mandibular orthodontic microimplants attached to a customized reverse face mask for mandibular advancement. Pretreatment and posttreatment outcome measures of microimplant mobility, apnea-hypopnea index, snoring, respiratory movement, and Epworth sleepiness scores were evaluated after 6 months.
RESULTS: Highly significant reductions in the apnea-hypopnea index, snoring, and sleep variables were observed. Sixteen of the 20 (80%) microimplants were stable and showed no mobility, and four (20%) demonstrated grade 1 or 2 mobility and required removal and reinsertion of a new microimplant.
CONCLUSIONS: Favorable reductions in sleep variables highlight the potential of microimplant-based mandibular advancement therapy as an alternative treatment modality for OSA patients who cannot tolerate continuous positive airway pressure and oral appliance therapy.
Aged, *Dental Implants, Female, Humans, Male, Mandibular Advancement/*instrumentation, Middle Aged, Prospective Studies, Sleep Apnea, Obstructive/*therapy, Snoring/*therapy
MESH
Aged, *Dental Implants, Female, Humans, Male, Mandibular Advancement/*instrumentation, Middle Aged, Prospective Studies, Sleep Apnea, Obstructive/*therapy, Snoring/*therapy
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