Skip to main content
Erschienen in: international journal of stomatology & occlusion medicine 3/2013

01.09.2013 | case study

Management of obstructive sleep apnea with a palatal lift prosthesis

verfasst von: Gaurav Bhalla, Deeksha Arya, MDS, Pooran Chand, MDS, Kamleshwar Singh, MDS, Shuchi Tripathi, MDS

Erschienen in: international journal of stomatology & occlusion medicine | Ausgabe 3/2013

Einloggen, um Zugang zu erhalten

Abstract

Background

This case report is presented to demonstrate the effects of a palatal lift prosthesis for the management of mild to moderate obstructive sleep apnea.

Materials and methods

A patient suffering from obstructive sleep apnea (apnea hypopnea index= 20.3) was fitted with a palatal lift prosthesis. The patient’s chief concern was snoring and excessive daytime sleepiness which was successfully rehabilitated using a palatal lift appliance. Changes in the upper airway dimensions were measured by taking lateral cephalograms before placement of the prosthesis and 6 weeks after treatment.

Results

Before placement of the appliance the Epworth Sleepiness Scale (ESS) score of the patient was 19 which was slightly above the borderline and 1 month after placement the ESS score was reduced to 9, i.e. within normal limits.

Conclusions

This treatment option significantly improved the upper airway passage dimensions and thus eliminated snoring and airway obstruction and also improved the overall quality of life of the patient.
Literatur
1.
Zurück zum Zitat Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328:1230–5.PubMedCrossRef Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328:1230–5.PubMedCrossRef
2.
Zurück zum Zitat He J, Kryger MH, Zorick FJ, Conway W, Roth T. Mortality and apnea index in obstructive sleep apnea patients. Experience in 385 male patients. Chest. 1988;94:9–14.PubMedCrossRef He J, Kryger MH, Zorick FJ, Conway W, Roth T. Mortality and apnea index in obstructive sleep apnea patients. Experience in 385 male patients. Chest. 1988;94:9–14.PubMedCrossRef
3.
Zurück zum Zitat Powell NB, Guilleminault C, Riley RW. Surgical treatment for obstructive sleep apnea. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. Philadelphia: Saunders, 1994. pp. 706–21. Powell NB, Guilleminault C, Riley RW. Surgical treatment for obstructive sleep apnea. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. Philadelphia: Saunders, 1994. pp. 706–21.
4.
Zurück zum Zitat Pépin J, Leger P, Veale D, Langevin B, Robert D, Lévy P. Side effects of nasal continuous positive airway pressure in sleep apnea syndrome. Study of 193 patients in two French sleep centers. Chest. 1995;107(2):375–81.PubMedCrossRef Pépin J, Leger P, Veale D, Langevin B, Robert D, Lévy P. Side effects of nasal continuous positive airway pressure in sleep apnea syndrome. Study of 193 patients in two French sleep centers. Chest. 1995;107(2):375–81.PubMedCrossRef
5.
Zurück zum Zitat Meurice JC, Dore P, Paquereau J, Neau JP, Ingrand P, Chavagnat JJ, et al. Predictive factors of long-term compliance with nasal continuous positive airway pressure treatment in sleep apnea syndrome. Chest. 1994;105(2):429–33.PubMedCrossRef Meurice JC, Dore P, Paquereau J, Neau JP, Ingrand P, Chavagnat JJ, et al. Predictive factors of long-term compliance with nasal continuous positive airway pressure treatment in sleep apnea syndrome. Chest. 1994;105(2):429–33.PubMedCrossRef
6.
Zurück zum Zitat Giles TL, Lasserson TJ, Smith B, White J, Wright JJ, Cates CJ. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev. 2006; CD001106. Giles TL, Lasserson TJ, Smith B, White J, Wright JJ, Cates CJ. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev. 2006; CD001106.
7.
Zurück zum Zitat Schmidt-Nowara W, Lowe A, Wiegand L, Cartwright R, Perez-Guerra F, Menn S. Oral appliances for the treatment of snoring and obstructive sleep apnea: a review. Sleep. 1995;18:501–10.PubMed Schmidt-Nowara W, Lowe A, Wiegand L, Cartwright R, Perez-Guerra F, Menn S. Oral appliances for the treatment of snoring and obstructive sleep apnea: a review. Sleep. 1995;18:501–10.PubMed
8.
Zurück zum Zitat Mohsenin N, Mostofi MT, Mohsenin V. The role of oral appliances in treating obstructive sleep apnea. J Am Dent Assoc. 2003;134:442–9.PubMed Mohsenin N, Mostofi MT, Mohsenin V. The role of oral appliances in treating obstructive sleep apnea. J Am Dent Assoc. 2003;134:442–9.PubMed
9.
Zurück zum Zitat Ferguson KA. The role of oral appliance therapy in the treatment of obstructive sleep apnea. Clin Chest Med. 2003;24(2):355–64.PubMedCrossRef Ferguson KA. The role of oral appliance therapy in the treatment of obstructive sleep apnea. Clin Chest Med. 2003;24(2):355–64.PubMedCrossRef
10.
Zurück zum Zitat Ryan CF, Love LL, Peat D, Fleetham JA, Lowe AA. Mandibular advancement oral appliance therapy for obstructive sleep apnoea: effect on awake calibre of the velopharynx. Thorax. 1999;54:972–7.PubMedCrossRef Ryan CF, Love LL, Peat D, Fleetham JA, Lowe AA. Mandibular advancement oral appliance therapy for obstructive sleep apnoea: effect on awake calibre of the velopharynx. Thorax. 1999;54:972–7.PubMedCrossRef
11.
Zurück zum Zitat Woodson BT, Feroah T, Connolly LA, Toohill RJ. A method to evaluate upper airway mechanics following intervention in snorers. Am J Otolaryngol. 1997;18:306–14.PubMedCrossRef Woodson BT, Feroah T, Connolly LA, Toohill RJ. A method to evaluate upper airway mechanics following intervention in snorers. Am J Otolaryngol. 1997;18:306–14.PubMedCrossRef
12.
Zurück zum Zitat Yoshida K. Effect of a prosthetic appliance for treatment of sleep apnea syndrome on masticatory and tongue muscle activity. J Prosthet Dent. 1998;79:537–44.PubMedCrossRef Yoshida K. Effect of a prosthetic appliance for treatment of sleep apnea syndrome on masticatory and tongue muscle activity. J Prosthet Dent. 1998;79:537–44.PubMedCrossRef
13.
Zurück zum Zitat Ng AT, Gotsopoulos H, Qian J, Cistulli PA. Effect of oral appliance therapy on upper airway collapsibility in obstructive sleep apnea. Am J Resp Crit Care Med. 2003;168:238–41.PubMedCrossRef Ng AT, Gotsopoulos H, Qian J, Cistulli PA. Effect of oral appliance therapy on upper airway collapsibility in obstructive sleep apnea. Am J Resp Crit Care Med. 2003;168:238–41.PubMedCrossRef
14.
Zurück zum Zitat Tsuiki S, Lowe AA, Almeida FR, Kawahata N, Fleetham JA. Effects of mandibular advancement on airway curvature and obstructive sleep apnea severity. Eur Respir J. 2004;23:263–8.PubMedCrossRef Tsuiki S, Lowe AA, Almeida FR, Kawahata N, Fleetham JA. Effects of mandibular advancement on airway curvature and obstructive sleep apnea severity. Eur Respir J. 2004;23:263–8.PubMedCrossRef
15.
Zurück zum Zitat Thornton WK, Roberts DH. Nonsurgical management of the obstructive sleep apnea patient. J Oral Maxillofac Surg. 1996;54:1103–8.PubMedCrossRef Thornton WK, Roberts DH. Nonsurgical management of the obstructive sleep apnea patient. J Oral Maxillofac Surg. 1996;54:1103–8.PubMedCrossRef
16.
Zurück zum Zitat Wagner AG, Price RR. An intraoral device to prevent snoring. Gen Dent. 1987;35:212–3.PubMed Wagner AG, Price RR. An intraoral device to prevent snoring. Gen Dent. 1987;35:212–3.PubMed
17.
Zurück zum Zitat Barthlen GM, Brown LK, Wiland MR, Sadeh JS, Patwari J, Zimmerman M. Comparison of three oral appliances for treatment of severe obstructive sleep apnea syndrome. Sleep Med. 2000;1(4):299–305.PubMedCrossRef Barthlen GM, Brown LK, Wiland MR, Sadeh JS, Patwari J, Zimmerman M. Comparison of three oral appliances for treatment of severe obstructive sleep apnea syndrome. Sleep Med. 2000;1(4):299–305.PubMedCrossRef
18.
Zurück zum Zitat Premkumar S. Clinical application of palatal lift appliance in velopharyngeal incompetence. J Indian Soc Pedod Prev Dent. 2011;29:70–3.CrossRef Premkumar S. Clinical application of palatal lift appliance in velopharyngeal incompetence. J Indian Soc Pedod Prev Dent. 2011;29:70–3.CrossRef
19.
Zurück zum Zitat Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14:540–5.PubMed Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991;14:540–5.PubMed
20.
Zurück zum Zitat Mallampati SR. Clinical sign to predict difficult tracheal intubation (hypothesis). Can Anaesth Soc J. 1983;30:316–7.PubMedCrossRef Mallampati SR. Clinical sign to predict difficult tracheal intubation (hypothesis). Can Anaesth Soc J. 1983;30:316–7.PubMedCrossRef
21.
Zurück zum Zitat Schonhofer B, Stoohs RA, Rager H, Wenzel M, Wenzel G, Kohler D. A new tongue advancement technique for sleep-disordered breathing: side effects and efficacy. Am J Respir Crit Care Med. 1997;155:732–8.PubMedCrossRef Schonhofer B, Stoohs RA, Rager H, Wenzel M, Wenzel G, Kohler D. A new tongue advancement technique for sleep-disordered breathing: side effects and efficacy. Am J Respir Crit Care Med. 1997;155:732–8.PubMedCrossRef
22.
Zurück zum Zitat Gibbons P, Bloomer H. A supportive-type prosthetic speech aid. J Prosthet Dent. 1958;8:363–9.CrossRef Gibbons P, Bloomer H. A supportive-type prosthetic speech aid. J Prosthet Dent. 1958;8:363–9.CrossRef
23.
Zurück zum Zitat Gonzalez JB, Aronson AE. Palatal lift prosthesis for treatment of anatomic and neurologic palatopharyngeal insufficiency. Cleft Palate J. 1970;7:91–104. Gonzalez JB, Aronson AE. Palatal lift prosthesis for treatment of anatomic and neurologic palatopharyngeal insufficiency. Cleft Palate J. 1970;7:91–104.
24.
Metadaten
Titel
Management of obstructive sleep apnea with a palatal lift prosthesis
verfasst von
Gaurav Bhalla
Deeksha Arya, MDS
Pooran Chand, MDS
Kamleshwar Singh, MDS
Shuchi Tripathi, MDS
Publikationsdatum
01.09.2013
Verlag
Springer Vienna
Erschienen in
international journal of stomatology & occlusion medicine / Ausgabe 3/2013
Print ISSN: 1867-2221
Elektronische ISSN: 1867-223X
DOI
https://doi.org/10.1007/s12548-013-0088-5

Weitere Artikel der Ausgabe 3/2013

international journal of stomatology & occlusion medicine 3/2013 Zur Ausgabe

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Parodontalbehandlung verbessert Prognose bei Katheterablation

19.04.2024 Vorhofflimmern Nachrichten

Werden Personen mit Vorhofflimmern in der Blanking-Periode nach einer Katheterablation gegen eine bestehende Parodontitis behandelt, verbessert dies die Erfolgsaussichten. Dafür sprechen die Resultate einer prospektiven Untersuchung.

Invasive Zahnbehandlung: Wann eine Antibiotikaprophylaxe vor infektiöser Endokarditis schützt

11.04.2024 Endokarditis Nachrichten

Bei welchen Personen eine Antibiotikaprophylaxe zur Prävention einer infektiösen Endokarditis nach invasiven zahnärztlichen Eingriffen sinnvoll ist, wird diskutiert. Neue Daten stehen im Einklang mit den europäischen Leitlinienempfehlungen.

Zell-Organisatoren unter Druck: Mechanismen des embryonalen Zahnwachstums aufgedeckt

08.04.2024 Zahnmedizin Nachrichten

Der Aufbau von Geweben und Organen während der Embryonalentwicklung wird von den Zellen bemerkenswert choreografiert. Für diesen Prozess braucht es spezielle sogenannte „Organisatoren“. In einer aktuellen Veröffentlichung im Fachjournal Nature Cell Biology berichten Forschende durch welchen Vorgang diese Organisatoren im Gewebe entstehen und wie sie dann die Bildung von Zähnen orchestrieren.

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.