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Results for “Occlusal Splints”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 901 records · Page 50Linked to original sources
PubMed1995

Treating obstructive sleep apnea: can an intraoral prosthesis help?

The author studied the effectiveness of an intraoral airway maintenance prosthesis in treating obstructive sleep apnea syndrome. He found that the prosthesis, which can be constructed and modified easily by a dentist, significantly reduced the number of apneas per night and the syndrome's severity in his subjects.

Adult↗
PubMed1995

Sleep apnea.

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Humans↗
PubMed1995

Increasing patient service by effective use of dental hygienists.

Dental hygienists are well-educated professionals. Their responsibilities generally have been limited to scaling and polishing. Expanding into other clinical techniques, as permitted by practice laws, provides diversity for hygienists, lower cost services for patients and more time for dentists to provide the services their extra education allows.

Dental Hygienists↗
PubMed1997

TMD.

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Humans↗
PubMed1997

Limited faith.

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Evidence-Based Medicine↗
PubMed2000

Treating obstructive sleep apnea and snoring: assessment of an anterior mandibular positioning device.

BACKGROUND: Dental devices have been used to help manage snoring and obstructive sleep apnea, or OSA. This article reports on patients' compliance with and complications of long-term use of an anterior mandibular positioning, or AMP, device. METHODS: The device used was a custom-made, two-piece, full-coverage, adjustable acrylic appliance, connected with Herbst attachments. The appliance was used nightly and advanced the mandible by 75 percent of the patient's maximum protrusive distance. Patients were telephoned to determine whether they were still using the AMP device. If not, they were asked when and why they stopped using it. The study sample included 65 consecutive patients with mild-to-moderate obstructive sleep apnea and snoring. RESULTS: Long-term use (three years or more) of the AMP device in these patients was 51 percent (27 of 53 patients). Of the 53 responding patients, 40 percent reported jaw/facial muscle pain, 40 percent had occlusal changes, 38 percent reported tooth pain, 30 percent reported jaw joint pain and 30 percent experienced xerostomia. Of the 27 long-term AMP users, 22 rated themselves as being very satisfied and four as somewhat satisfied; one was neither satisfied nor dissatisfied with the appliance. CONCLUSIONS: It was determined that with use of the AMP device, 40 percent of patients will develop some minor complications of jaw, mouth and/or tooth pain, and approximately 26 percent of long-term users might experience a painless but irreversible change in their occlusion. Annual follow-up office visits with the dentist appear necessary for early detection of these changes. CLINICAL IMPLICATIONS: Patients with mild-to-moderate OSA who receive a two-piece, adjustable AMP device should be informed that 50 percent of patients quit using the device in a three-year period and some will experience shifts in their occlusion.

Adult↗
PubMed2000

Diagnosing and comanaging patients with obstructive sleep apnea syndrome.

BACKGROUND: Obstructive sleep apnea syndrome, or OSAS, is a common, but underdiagnosed, disorder that potentially is fatal. It is characterized by repetitive episodes of complete or partial upper airway obstruction leading to absent or diminished airflow into the lungs. These episodes usually last 10 to 30 seconds and result in loud snoring, a decrease in oxygen saturation, and chronic daytime sleepiness and fatigue. The obstruction is caused by the soft palate, base of the tongue or both collapsing against the pharyngeal walls because of decreased muscle tone during sleep. Potentially fatal systemic illnesses frequently associated with this disorder include hypertension, pulmonary hypertension, heart failure, nocturnal cardiac dysrhythmias, myocardial infarction and ischemic stroke. CLINICAL IMPLICATIONS: The classic signs and symptoms of OSAS may be recognizable by dental practitioners. Common findings in the medical history include daytime sleepiness, snoring, hypertension and type 2 diabetes mellitus. Common clinical findings include obesity; a thick neck; excessive fat deposition in the palate, tongue (enlarged) and pharynx; a long soft palate; a retrognathic mandible; and calcified carotid artery atheromas on panoramic and lateral cephalometric radiographs. CONCLUSIONS: Dentists cognizant of these signs and symptoms have an opportunity to diagnose patients with occult OSAS. After confirmation of the diagnosis by a physician, dentists can participate in management of the disorder by fabricating mandibular advancement appliances and performing surgical procedures that prevent recurrent airway obstruction.

Humans↗
PubMed2001

Selecting sleep-disordered-breathing appliances. Biomechanical considerations.

BACKGROUND: Dentists who wish to provide sleep-disordered-breathing therapy have many different mandibular advancement devices, or MADs, from which to select. Documented research directly about the variations in MADs is sparse. TYPES OF STUDIES REVIEWED: The author reviewed dental and medical literature dealing with biological and mechanical principles affecting the function of MADs. RESULTS: The author found that MADs vary in four major areas: freedom of mandibular movement, amount and rigidity of dental coverage, amount of mandibular advancement and amount of bite opening. Each of these areas appears to affect the appliance's efficacy, safety or both. The main potential detrimental effect of MADs is occlusal shifting. The author presents biological and mechanical considerations in an attempt to determine the optimum parameters for each of the MAD variation areas. The MAD must be constructed in a manner and with material that secures the mandible in its optimum position. The optimum mandibular position needs to be captured and transferred to the articulator with an accurate construction bite. CLINICAL IMPLICATIONS: MAD therapy may last a lifetime. Therefore, dentists must consider the efficacy and the safety of an MAD when selecting an appliance. Since occlusal shifting appears to be the main potential detrimental effect, dentists should consider all available means to monitor and minimize these changes.

Biomechanical Phenomena↗