Orthodontics as a therapeutic tool for managing sleep apnea: A review
Abstract
Introduction: Sleep apnea is a disorder in which the person’s breathing is interrupted periodically at night due to the physical blockage of the airway. Determining the best way to treat their sleep disorders requires careful studies, tests, counseling and various examinations. Orthodontics is the best way to get a patient to have oral equipment. The use of orthodontic equipment is a non-surgical and effective treatment for mild to moderate sleep apnea. The aim at this study is a systematic review and meta-analysis of orthodontics as a therapeutic tool for managing sleep apnea.Materials and Methods: At first, all the papers (n=112) related to keywords (orthodontics therapeutic tools and sleep apnea) were searched for English databases; Google, Google scholar, PubMed, Embase, Cinahl, PsycInfo, and Cochrane Database of Systematic Reviews covering the period from 2010 through 2019 was studied. Then, papers related to orthodontics therapeutic tools of sleep apnea were selected and analyzed (n=8). As a result to inclusion and exclusion criteria, papers related to orthodontics therapeutic tools of sleepapnea were found and analyzed (n=8). Predefined inclusion and exclusion criteria were: papers related to orthodontics therapeutic tools of sleepapnea, papers were English, papers were original and all the papers were free full text. Results: In the initial search, 112 papers were found that after reviewing the titles and abstract articles and removing repetitive and non-related ones, 26 possible related articles were investigated. Of these, 18 papers were omitted from the abstract because of lack of access to the original article and lack of sufficient information. Finally, 8 papers were included in the study. Data were collected based on study characteristics, measures of orthodontics therapeutic tools, prevalence rates and factors associated with sleep apnea. Orthodontics therapeutic tools for sleep apnea are very important and can play very significant role in health improvement. So, paying more attention to benefits of orthodontics therapeutic tools in sleep apnea is necessary. On important points is the orthodontist’s active role play in screening the patients for this disease and advice oral appliance therapy, if needed. Conclusion: The most effective treatment for sleep apnea and snoring is orthodontics therapeutic tools. Orthodontics therapeutic tools are effective treatments for sleep apnea, snoring and night snoring. Orthodontics therapeutic tools are low cost, easy to use, portable and need little maintenance. Keywords: Therapeutic tools; Orthodontics; Sleep apnea; Systematic review; Meta-analysis.
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2. Heinzer R, Marti-Soler H, Marques-Vidal P, Tobback N, Andries D, Waeber G, et al (2018). Impact of sex and menopausal status on the prevalence, clinical presentation, and comorbidities of sleep-disordered breathing. Sleep Med. 2018 Nov;51:29-36.
3. Varol Y, Anar C, Tuzel OE, Guclu SZ, Ucar ZZ (2015). The impact of active and former smoking on the severity of obstructive sleep apnea. Sleep Breath. 2015 Dec;19(4):1279-84.
4. Zaghi S, Holty JE, Certal V, Abdullatif J, Guilleminault C, Powell NB, et al (2016). Maxillomandibular advancement for treatment of obstructive sleep apnea - a meta-analysis. JAMA Otolaryngol Head Neck Surg. 2016 Jan;142(1):58-66.
5. Bilici S, Yigit O, Celebi OO, Yasak AG, Yardimci AH (2018). Relations between hyoid-related cephalometric measurements and severity of obstructive sleep apnea. J Craniofac Surg. 2018 July;29(5):1276-81.
6. Franklin KA, Lindberg E (2015). Obstructive sleep apnea is a common disorder in the population-A review on the epidemiology of sleep apnea. J Thorac Dis. 2015 Aug;7(8):1311-22
7. Sana Alami, Hakima Aghoutan, Samir Diouny, Farid El Quars and Farid Bourzgui (2015). Orthodontic Considerations in Obstructive Sleep Apnea— State of the Art, A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2, Mohammad Hosein Kalantar Motamedi, IntechOpen,
8. Knappe SW, Bakke M, Svanholt P, Petersson A, Sonnesen L (2017). Long-term side effects on the temporomandibular joints and oro-facial function in patients with obstructive sleep apnoea treated with a mandibular advancement device. J Oral Rehabil. 2017 May;44(5):354-62.
9. Anandam A, Patil M, Akinnusi M, Jaoude P, El-Solh AA (2013). Cardiovascular mortality in obstructive sleep apnoea treated with continuous positive airway pressure or oral appliance: an observational study. Respirology. 2013 Nov;18(8):1184-90.
10. Narang I, Al-Saleh S, Amin R, Propst EJ, Bin-Hasan S, Campisi P, et al (2018). Utility of neck, height, and tonsillar size to screen for obstructive sleep apnea among obese youth. Otolaryngol Head Neck Surg. 2018 Apr;158(4):745-51.
11. Saglam-Aydinatay B, Taner T (2018). Oral appliance therapy in obstructive sleep apnea: Long-term adherence and patients' experiences. Med Oral Patol Oral Cir Bucal. 2018 Jan 1;23(1):e72-7.
12. Koretsi V, Eliades T, Papageorgiou SN (2018). Oral interventions for obstructive sleep apnea-an umbrella review of the effectiveness of intrabucal appliances, maxillary expansion, and maxillomandibular advancement. Dtsch Aerzteblatt Online. 2018;115(12):200-7.
13. Gong X, Zhang J, Zhao Y, Gao X (2013). Long-term therapeutic efficacy of oral appliances in treatment of obstructive sleep apnea-hypopnea syndrome. Angle Orthod. 2013 July;83(4):653-8.
14. Sutherland K, Takaya H, Qian J, Petocz P, Ng AT, Cistulli PA (2015). Oral appliance treatment response and polysomnographic phenotypes of obstructive sleep apnea. J Clin Sleep Med 2015;11(08):861–68.
15. Sommer JU, Heiser C, Gahleitner C, et al (2016). Tonsillectomy with uvulopalatopharyngoplasty in obstructive sleep apnea: A two-center randomized controlled trial. Dtsch Arztebl Int 2016;113(1–2).
16. Phan NT, Wallwork B, Panizza B (2016). Surgery for adult patients with obstructive sleep apnoea: A review for general practitioners. Aust Fam Physician 2016;45(8):574–78.
17. Martins OFM, Chaves Junior CM, Rossi RRP, Cunali PA, Dal-Fabbro C, Bittencourt L (2018). Side effects of mandibular advancement splints for the treatment of snoring and obstructive sleep apnea: a systematic review. Dental Press J Orthod. 2018 Aug 1;23(4):45-54.
18. Huang CS, Hsu SS, Chen YR. Systematic review of the surgery-first approach in orthognathic surgery. Biomed J. 2014 July-Aug;37(4):184-90.
19. Guilleminault C, Huang YS, Monteyrol PJ, et al (2013). Critical role of myofascial reeducation in pediatric sleep-disordered breathing. Sleep Med 2013; 14:518.
20. Chuang LC, Lian YC, Hervy-Auboiron M, et al (2016). Passive myofunctional therapy applied on children with obstructive sleep apnea: A 6-month follow-up. J Formos Med Assoc 2016.
21. Villa MP, Brasili L, Ferretti A, et al (2015). Oropharyngeal exercises to reduce symptoms of OSA after AT. Sleep Breath 2015; 19:281.
22. Idris G, Galland B, Robertson CJ, et al (2018). Mandibular advancement appliances for sleep-disordered breathing in children: A randomized crossover clinical trial. J Dent 2018; 71:9.
23. Yanyan M, Min Y, Xuemei G (2019). Mandibular advancement appliances for the treatment of obstructive sleep apnea in children: a systematic review and meta-analysis. Sleep Med 2019; 60:145.
24. Pirelli P, Saponara M, Guilleminault C (2015). Rapid maxillary expansion (RME) for pediatric obstructive sleep apnea: a 12-year follow-up. Sleep Med 2015; 16:933.
25. Ng JH, Yow M (2019). Oral Appliances in the Management of Obstructive Sleep Apnea. Sleep Med Clin. 2019 Mar;14(1):109-118.
26. Boyd SB, Walters AS, Song Y, Wang L. Comparative effectiveness of maxillomandibular advancement and uvulopalatopharyngoplasty for the treatment of moderate to severe obstructive sleep apnea. J Oral Maxillofac Surg. 2013 Apr;71(4):743-51.
27. Pirelli P, Saponara M, De Rosa C et al. Orthodontics and Obstructive Sleep Apnea in Children. Medical Clinics of North America 2010; 94 (3): 517-29et al
28. Ronchi P, Cinquini V, Ambrosoli A, et al. Maxillomandibular Advancement in Obstructive Sleep Apnea Syndrome Patients: a Restrospective Study on the Sagittal Cephalometric Variables. Oral Maxillofac Res 2013; (4): 2. doi: 10.5037/jomr.2013.4205
29. Villa M, Rizzoli A, Miano S, Malagola C. Efficacy of rapid maxillary expansion in children with obstructive sleep apnea syndrome: 36 months of follow-up. Sleep Breath 2011; 15: 179-84.
30. Rolf G. Behrents, Anita Valanju Shelgikar, R. Scott Conley, Carlos Flores-Mir, Mark Hans, Mitchell Levine, James A. McNamara, Juan Martin Palomo, Benjamin Pliska, John W. Stockstill, John Wise, Sean Murphy, Norman J. Nagel, Jackie Hittner (2019). Obstructive sleep apnea and orthodontics: An American Association of Orthodontists White Paper. American Journal of Orthodontics and Dentofacial Orthopedics. Volume 156, Issue 1. 2019, Pages 13-28.e1,
31. Kulshrestha R, Tandon R, Kinger S, Rohmetra A, Singh RV (2016). Obstructive sleep apnea in orthodontics: An overview. Int J Orthod Rehabil [serial online] 2016 [cited 2020 Jan 15];7:115-8.
32. Huynh, Nelly & Desplats, Eve & Almeida, Fernanda. (2015). Orthodontics Treatments for Managing Obstructive Sleep Apnea Syndrome in Children: A Systematic Review and Meta-analysis. Sleep Medicine Reviews. 25. 10.1016/j.smrv.2015.02.002.
33. Rossi, Rosa & Rossi, Nelson. (2015). Functional Appliances in the Treatment of Sleep Apnea in Children: A Systematic Review. otolaryngology. 05. 10.4172/2161-119X.1000212.
34. Gracco, Antonio & Bruno, Giovanni & De Stefani, Alberto & Ragona, Rosario & Mazzoleni, Sergio & Stellini, Edoardo. (2017). Combined Orthodontic and Surgical Treatment in a 8-Years-Old Patient Affected By Severe Obstructive Sleep Apnea: A Case-Report. Journal of Clinical Pediatric Dentistry. 42. 10.17796/1053-4628-42.1.14.
35. Sanchez-Sucar, AM & Sanchez-Sucar, FB & Almerich-Silla, Jose & Paredes, Vanessa & Montiel-Company, Jose & García-Sanz, Verónica & Bellot-Arcis, Carlos. (2019). Effect of rapid maxillary expansion on sleep apnea-hypopnea syndrome in growing patients. A meta-analysis. Journal of Clinical and Experimental Dentistry. 11. e759-e767. 10.4317/jced.55974.
36. Amaddeo, Alessandro & Griffon, L. & Thierry, Briac & Couloigner, Vincent & Joly, Aline & Galliani, E. & Arnaud, E. & Khirani, Sonia & Fauroux, B.. (2018). Obstructive sleep apnea syndrome (OSA) in adolescents: therapeutic management. Journal of Dentofacial Anomalies and Orthodontics. 21. 107. 10.1051/odfen/2018045.
37. Colceriu-Simon, Ioana Maria & Băciuț, M. & Todea, Adina & Haranguş, Antonia & Lucaciu, Ondine & Dinu, Cristian & Bran, Simion & Băciuț, G. & Irimie, A.I. & Șimon, M.. (2018). Orthodontic appliances in the management of obstructive sleep apnea syndrome - types and therapeutic indications. Pneumologia. 67. 62-66.
38. Tuncer, Burcu & Canigur bavbek, Nehir. (2016). The Role of Orthodontics in Diagnosis and Treatment Planning of Pediatric Obstructive Sleep Apnea Syndrome-A Case Report. Turkiye Klinikleri Journal of Dental Sciences Cases. 2. 10.5336/dentalcase.2016-51438.
39. Faber, Jorge, Faber, Carolina, & Faber, Ana Paula. (2019). Obstructive sleep apnea in adults. Dental Press Journal of Orthodontics, 24(3), 99-109. Epub August 01, 2019.https://dx.doi.org/10.1590/2177-6709.24.3.099-109.sar
40. Ravindar P, Balaji K, Saikiran KV, Srilekha A, Alekhya K (2019). Oral appliances in the management of obstructive sleep apnoea syndrome. Airway 2019;2:109-19
41. Saeed M Banabilh (2017). Orthodontic view in the diagnoses of obstructive sleep apnea. J Orthod Sci. 2017 Jul-Sep; 6(3): 81–85. doi: 10.4103/jos.JOS_135_16
42. Kirk V, Baughn J, D’Andrea, et al. American Academy of Sleep Medicine Position Paper for the Use of a Home Sleep Apnea Test for the Diagnosis of OSA in Children. J Clin Sleep Med. 2017; 13(10)1199-203.
43. Hayley AC, Williams LJ, Venugopal K, Kennedy GA, Berk M, Pasco JA (2017). The relationships between insomnia, sleep apnoea and depression: findings from the American National Health and Nutrition Examination Survey, 2005–2008. Aust N Z J Psychiatry (2015) 49(2):156–70.
44. Koretsi V, Eliades T, Papageorgiou SN (2018). Oral interventions for obstructive sleep apnea. Dtsch Arztebl Int 2018; 115: 200–7
45. Pliska BT, Tam IT, Lowe AA, Madson AM, Almeida FR (2016). Effect of orthodontic treatment on the upper airway volume in adults. Am J Orthod Dentofacial Orthop 2016;150:937-44.
46. Zhang J, Chen G, Li W, Xu T, Gao X (2015). Upper airway changes after orthodontic extraction treatment in adults: a preliminary study using cone beam computed tomography. PLoS One 2015;10:e0143233.
47. Hu Z, Yin X, Liao J, Zhou C, Yang Z, Zou S (2015). The effect of teeth extraction for orthodontic treatment on the upper airway: a systematic review. Sleep Breath 2015;19:441–51.
48. Vanderveken OM, Dieltjens M, Wouters K, De Backer WA, Van de Heyning PH, Braem MJ (2013). Objective measurement of compliance during oral appliance therapy for sleep-disordered breathing. Thorax 2013;68:91-6.
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| Files | ||
| Issue | Vol 7, No 2 (Spring 2020) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v7i2.4502 | |
| Keywords | ||
| Therapeutic tools Orthodontics Sleep apnea; Systematic review Meta-analysis | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mirhashemi AH, Arab S, Bahrami R. Orthodontics as a therapeutic tool for managing sleep apnea: A review. J Craniomaxillofac Res. 2020;7(2):47-58.
