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Erschienen in: Pneumo News 1/2020

05.02.2020 | Orthesen | CME Fortbildung

Behandlung der obstruktiven Schlafapnoe

Stellenwert der Unterkieferprotrusionsschiene

Erschienen in: Pneumo News | Ausgabe 1/2020

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Die Unterkieferprotrusionsschiene (UKPS) ist bei leicht- bis mittelgradiger obstruktiver Schlafapnoe (OSA) in ihrer Therapie-Effektivität der kontinuierlichen Positivdrucktherapie gleichzusetzen. Entsprechend der aktuellen Studienlage sollten UKPS nach individuellen Abdrücken angefertigt, bimaxillär verankert und vom Behandler reproduzierbar in Millimeterschritten einstellbar sein.
Literatur
1.
Zurück zum Zitat Bilici S, Yigit O, Celebi OO et al. Relations Between Hyoid-Related Cephalometric Measurements and Severity of Obstructive Sleep Apnea. J Craniofac Surg. 2018;29:1276-81PubMedCrossRef Bilici S, Yigit O, Celebi OO et al. Relations Between Hyoid-Related Cephalometric Measurements and Severity of Obstructive Sleep Apnea. J Craniofac Surg. 2018;29:1276-81PubMedCrossRef
2.
Zurück zum Zitat Chi L, Comyn F-L, Mitra N et al. Identification of Craniofacial Risk Factors for Obstructive Sleep Apnea Using Three-Dimensional MRI. Eur Respir J. 2011;38:348-58PubMedCrossRef Chi L, Comyn F-L, Mitra N et al. Identification of Craniofacial Risk Factors for Obstructive Sleep Apnea Using Three-Dimensional MRI. Eur Respir J. 2011;38:348-58PubMedCrossRef
4.
Zurück zum Zitat Schorr F, Kayamori F, Hirata RP et al. Different Craniofacial Characteristics Predict Upper Airway Collapsibility in Japanese-Brazilian and White Men. Chest. 2016;149:737-46PubMedPubMedCentralCrossRef Schorr F, Kayamori F, Hirata RP et al. Different Craniofacial Characteristics Predict Upper Airway Collapsibility in Japanese-Brazilian and White Men. Chest. 2016;149:737-46PubMedPubMedCentralCrossRef
5.
Zurück zum Zitat Herkenrath SD, Randerath WJ. Neues zur Pathophysiologie schlafbezogener Atmungsstörungen. Somnologie. 2019;23:164-71CrossRef Herkenrath SD, Randerath WJ. Neues zur Pathophysiologie schlafbezogener Atmungsstörungen. Somnologie. 2019;23:164-71CrossRef
6.
Zurück zum Zitat Xie J, Sert Kuniyoshi FH, Covassin N et al. Nocturnal Hypoxemia Due to Obstructive Sleep Apnea Is an Independent Predictor of Poor Prognosis After Myocardial Infarction. J Am Heart Assoc. 2016; https://doi.org/10.1161/JAHA.115.003162 Xie J, Sert Kuniyoshi FH, Covassin N et al. Nocturnal Hypoxemia Due to Obstructive Sleep Apnea Is an Independent Predictor of Poor Prognosis After Myocardial Infarction. J Am Heart Assoc. 2016; https://​doi.​org/​10.​1161/​JAHA.​115.​003162
7.
Zurück zum Zitat Xie J, Sert Kuniyoshi FH, Covassin N et al. Excessive Daytime Sleepiness Independently Predicts Increased Cardiovascular Risk After Myocardial Infarction. J Am Heart Assoc. 2018; https://doi.org/10.1161/JAHA.117.007221 Xie J, Sert Kuniyoshi FH, Covassin N et al. Excessive Daytime Sleepiness Independently Predicts Increased Cardiovascular Risk After Myocardial Infarction. J Am Heart Assoc. 2018; https://​doi.​org/​10.​1161/​JAHA.​117.​007221
8.
Zurück zum Zitat Arzt M, Oldenburg O, Graml A et al. Phenotyping of Sleep-Disordered Breathing in Patients With Chronic Heart Failure With Reduced Ejection Fraction—the SchlaHF Registry. J Am Heart Assoc. 2017; https://doi.org/10.1161/JAHA.116.005899 Arzt M, Oldenburg O, Graml A et al. Phenotyping of Sleep-Disordered Breathing in Patients With Chronic Heart Failure With Reduced Ejection Fraction—the SchlaHF Registry. J Am Heart Assoc. 2017; https://​doi.​org/​10.​1161/​JAHA.​116.​005899
9.
Zurück zum Zitat Saaresranta T, Hedner J, Bonsignore MR et al. Clinical Phenotypes and Comorbidity in European Sleep Apnoea Patients. PLoS ONE. 2016; https://doi.org/10.1371/journal.pone.0163439PubMedPubMedCentralCrossRef Saaresranta T, Hedner J, Bonsignore MR et al. Clinical Phenotypes and Comorbidity in European Sleep Apnoea Patients. PLoS ONE. 2016; https://​doi.​org/​10.​1371/​journal.​pone.​0163439PubMedPubMedCentralCrossRef
10.
Zurück zum Zitat Eckert DJ. Phenotypic approaches to obstructive sleep apnoea - New pathways for targeted therapy. Sleep Med Rev. 2018;37:45-59PubMedCrossRef Eckert DJ. Phenotypic approaches to obstructive sleep apnoea - New pathways for targeted therapy. Sleep Med Rev. 2018;37:45-59PubMedCrossRef
11.
Zurück zum Zitat Zinchuk AV, Gentry MJ, Concato J, Yaggi HK. Phenotypes in obstructive sleep apnea: A definition, examples and evolution of approaches. Sleep Med Rev. 2017;35:113-23PubMedCrossRef Zinchuk AV, Gentry MJ, Concato J, Yaggi HK. Phenotypes in obstructive sleep apnea: A definition, examples and evolution of approaches. Sleep Med Rev. 2017;35:113-23PubMedCrossRef
12.
Zurück zum Zitat Arias MA, García-Río F, Alonso-Fernández A et al. Obstructive sleep apnea syndrome affects left ventricular diastolic function: effects of nasal continuous positive airway pressure in men. Circulation. 2005;112:375-83 Arias MA, García-Río F, Alonso-Fernández A et al. Obstructive sleep apnea syndrome affects left ventricular diastolic function: effects of nasal continuous positive airway pressure in men. Circulation. 2005;112:375-83
13.
Zurück zum Zitat Shivalkar B, Van de Heyning C, Kerremans M et al. Obstructive sleep apnea syndrome: more insights on structural and functional cardiac alterations, and the effects of treatment with continuous positive airway pressure. J Am Coll Cardiol. 2006;47:1433-9 Shivalkar B, Van de Heyning C, Kerremans M et al. Obstructive sleep apnea syndrome: more insights on structural and functional cardiac alterations, and the effects of treatment with continuous positive airway pressure. J Am Coll Cardiol. 2006;47:1433-9
14.
Zurück zum Zitat Arzt M, Young T, Finn L et al. Association of sleep-disordered breathing and the occurrence of stroke. Am J Respir Crit Care Med. 2005;172:1447-51PubMedPubMedCentralCrossRef Arzt M, Young T, Finn L et al. Association of sleep-disordered breathing and the occurrence of stroke. Am J Respir Crit Care Med. 2005;172:1447-51PubMedPubMedCentralCrossRef
15.
Zurück zum Zitat Redline S, Yenokyan G, Gottlieb DJ et al. Obstructive Sleep Apnea-Hypopnea and Incident Stroke. Am J Respir Crit Care Med. 2010;182:269-77CrossRef Redline S, Yenokyan G, Gottlieb DJ et al. Obstructive Sleep Apnea-Hypopnea and Incident Stroke. Am J Respir Crit Care Med. 2010;182:269-77CrossRef
16.
Zurück zum Zitat Johnson KG, Johnson DC. Frequency of Sleep Apnea in Stroke and TIA Patients: A Meta-analysis. J Clin Sleep Med. 2010;6:131-7CrossRef Johnson KG, Johnson DC. Frequency of Sleep Apnea in Stroke and TIA Patients: A Meta-analysis. J Clin Sleep Med. 2010;6:131-7CrossRef
17.
18.
Zurück zum Zitat Drager LF, Polotsky VY, O'Donnell CP et al. Translational approaches to understanding metabolic dysfunction and cardiovascular consequences of obstructive sleep apnea. Am J Physiol Heart Circ Physiol. 2015;309:H1101-11PubMedPubMedCentralCrossRef Drager LF, Polotsky VY, O'Donnell CP et al. Translational approaches to understanding metabolic dysfunction and cardiovascular consequences of obstructive sleep apnea. Am J Physiol Heart Circ Physiol. 2015;309:H1101-11PubMedPubMedCentralCrossRef
19.
Zurück zum Zitat Javaheri S, Drager LF, Lorenzi-Filho G. Sleep and cardiovscular disease: present and future. In: Kryger MH, Roth T, Dement WC (eds): Principles and practice of sleep medicine, Sixth edition. Elsevier, Philadelphia; 2017. pp 1222-8 Javaheri S, Drager LF, Lorenzi-Filho G. Sleep and cardiovscular disease: present and future. In: Kryger MH, Roth T, Dement WC (eds): Principles and practice of sleep medicine, Sixth edition. Elsevier, Philadelphia; 2017. pp 1222-8
20.
Zurück zum Zitat Bauters F, Rietzschel ER, Hertegonne KBC, Chirinos JA. The Link Between Obstructive Sleep Apnea and Cardiovascular Disease. Curr Atheroscler Rep. 2016; https://doi.org/10.1007/s11883-015-0556-z Bauters F, Rietzschel ER, Hertegonne KBC, Chirinos JA. The Link Between Obstructive Sleep Apnea and Cardiovascular Disease. Curr Atheroscler Rep. 2016; https://​doi.​org/​10.​1007/​s11883-015-0556-z
21.
Zurück zum Zitat Baltzis D, Bakker JP, Patel SR, Veves A. Obstructive Sleep Apnea and Vascular Diseases. Compr Physiol. 2016;6:1519-28 Baltzis D, Bakker JP, Patel SR, Veves A. Obstructive Sleep Apnea and Vascular Diseases. Compr Physiol. 2016;6:1519-28
22.
Zurück zum Zitat Deegan PC, Nolan P, Carey M, McNicholas WT. Effects of positive airway pressure on upper airway dilator muscle activity and ventilatory timing. J Appl Physiol. 1996;81:470-9PubMedCrossRef Deegan PC, Nolan P, Carey M, McNicholas WT. Effects of positive airway pressure on upper airway dilator muscle activity and ventilatory timing. J Appl Physiol. 1996;81:470-9PubMedCrossRef
23.
Zurück zum Zitat Hoffstein V, Szalai JP. Predictive value of clinical features in diagnosing obstructive sleep apnea. Sleep. 1993;16:118-22 Hoffstein V, Szalai JP. Predictive value of clinical features in diagnosing obstructive sleep apnea. Sleep. 1993;16:118-22
24.
Zurück zum Zitat Kushida CA, Littner MR, Hirshkowitz M et al. Practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep-related breathing disorders. Sleep. 2006;29:375-80CrossRefPubMed Kushida CA, Littner MR, Hirshkowitz M et al. Practice parameters for the use of continuous and bilevel positive airway pressure devices to treat adult patients with sleep-related breathing disorders. Sleep. 2006;29:375-80CrossRefPubMed
25.
Zurück zum Zitat Lévy P, Kohler M, McNicholas WT et al. Obstructive sleep apnoea syndrome. Nat Rev Dis Primers. 2015;1:15015. https://doi.org/10.1038/nrdp.2015.15 Lévy P, Kohler M, McNicholas WT et al. Obstructive sleep apnoea syndrome. Nat Rev Dis Primers. 2015;1:15015. https://​doi.​org/​10.​1038/​nrdp.​2015.​15
26.
Zurück zum Zitat Lugaresi E, Coccagna G. [Hypersomnia with periodic apneas (author's transl)]. EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1980;11:167-72 Lugaresi E, Coccagna G. [Hypersomnia with periodic apneas (author's transl)]. EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1980;11:167-72
27.
Zurück zum Zitat Viner S, Szalai JP, Hoffstein V. Are history and physical examination a good screening test for sleep apnea? Ann Intern Med. 1991;115:356-9PubMedCrossRef Viner S, Szalai JP, Hoffstein V. Are history and physical examination a good screening test for sleep apnea? Ann Intern Med. 1991;115:356-9PubMedCrossRef
28.
Zurück zum Zitat Young T, Hutton R, Finn L et al. The gender bias in sleep apnea diagnosis. Are women missed because they have different symptoms? Arch Intern Med. 1996;156:2445-51PubMedCrossRef Young T, Hutton R, Finn L et al. The gender bias in sleep apnea diagnosis. Are women missed because they have different symptoms? Arch Intern Med. 1996;156:2445-51PubMedCrossRef
29.
Zurück zum Zitat Heinzer R, Vat S, Marques-Vidal P et al. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med. 2015;3:310-8PubMedPubMedCentralCrossRef Heinzer R, Vat S, Marques-Vidal P et al. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med. 2015;3:310-8PubMedPubMedCentralCrossRef
30.
Zurück zum Zitat Reuter H, Herkenrath S, Treml M et al. Sleep-disordered breathing in patients with cardiovascular diseases cannot be detected by ESS, STOP-BANG, and Berlin questionnaires. Clin Res Cardiol. 2018;107(11):1071-8PubMedCrossRef Reuter H, Herkenrath S, Treml M et al. Sleep-disordered breathing in patients with cardiovascular diseases cannot be detected by ESS, STOP-BANG, and Berlin questionnaires. Clin Res Cardiol. 2018;107(11):1071-8PubMedCrossRef
31.
Zurück zum Zitat Herkenrath SD, Randerath WJ. More than Heart Failure: Central Sleep Apnea and Sleep-Related Hypoventilation. Respiration. 2019;98(2):95-110CrossRefPubMed Herkenrath SD, Randerath WJ. More than Heart Failure: Central Sleep Apnea and Sleep-Related Hypoventilation. Respiration. 2019;98(2):95-110CrossRefPubMed
32.
Zurück zum Zitat Mayer G, Arzt M, Braumann B et al. German S3 Guideline Nonrestorative Sleep/Sleep Disorders, chapter "Sleep-Related Breathing Disorders in Adults," short version. Somnologie (Berl). 2017;21:290-301PubMedPubMedCentralCrossRef Mayer G, Arzt M, Braumann B et al. German S3 Guideline Nonrestorative Sleep/Sleep Disorders, chapter "Sleep-Related Breathing Disorders in Adults," short version. Somnologie (Berl). 2017;21:290-301PubMedPubMedCentralCrossRef
33.
Zurück zum Zitat Sutherland K, Chan ASL, Cistulli PA. Three-dimensional assessment of anatomical balance and oral appliance treatment outcome in obstructive sleep apnoea. Sleep Breath. 2016;20:903-10PubMedCrossRef Sutherland K, Chan ASL, Cistulli PA. Three-dimensional assessment of anatomical balance and oral appliance treatment outcome in obstructive sleep apnoea. Sleep Breath. 2016;20:903-10PubMedCrossRef
34.
Zurück zum Zitat Gakwaya S, Melo-Silva CA, Borel JC et al. Impact of stepwise mandibular advancement on upper airway mechanics in obstructive sleep apnea using phrenic nerve magnetic stimulation. Respir Physiol Neurobiol. 2014;190:131-6CrossRef Gakwaya S, Melo-Silva CA, Borel JC et al. Impact of stepwise mandibular advancement on upper airway mechanics in obstructive sleep apnea using phrenic nerve magnetic stimulation. Respir Physiol Neurobiol. 2014;190:131-6CrossRef
35.
Zurück zum Zitat Sasao Y, Nohara K, Okuno K et al. Videoendoscopic diagnosis for predicting the response to oral appliance therapy in severe obstructive sleep apnea. Sleep Breath. 2014;18:809-15PubMedCrossRef Sasao Y, Nohara K, Okuno K et al. Videoendoscopic diagnosis for predicting the response to oral appliance therapy in severe obstructive sleep apnea. Sleep Breath. 2014;18:809-15PubMedCrossRef
36.
Zurück zum Zitat Bamagoos AA, Cistulli PA, Sutherland K et al. Dose-dependent effects of mandibular advancement on upper airway collapsibility and muscle function in obstructive sleep apnea. Sleep. 2019; https://doi.org/10.1093/sleep/zsz049 Bamagoos AA, Cistulli PA, Sutherland K et al. Dose-dependent effects of mandibular advancement on upper airway collapsibility and muscle function in obstructive sleep apnea. Sleep. 2019; https://​doi.​org/​10.​1093/​sleep/​zsz049
37.
Zurück zum Zitat Edwards BA, Eckert DJ, Jordan AS. Obstructive sleep apnoea pathogenesis from mild to severe: Is it all the same? Respirology. 2017;22:33-42CrossRefPubMed Edwards BA, Eckert DJ, Jordan AS. Obstructive sleep apnoea pathogenesis from mild to severe: Is it all the same? Respirology. 2017;22:33-42CrossRefPubMed
38.
Zurück zum Zitat Edwards BA, Andara C, Landry S et al. Upper-Airway Collapsibility and Loop Gain Predict the Response to Oral Appliance Therapy in Patients with Obstructive Sleep Apnea. Am J Respir Crit Care Med. 2016;194:1413-22PubMedPubMedCentralCrossRef Edwards BA, Andara C, Landry S et al. Upper-Airway Collapsibility and Loop Gain Predict the Response to Oral Appliance Therapy in Patients with Obstructive Sleep Apnea. Am J Respir Crit Care Med. 2016;194:1413-22PubMedPubMedCentralCrossRef
39.
Zurück zum Zitat Bartolucci ML, Bortolotti F, Raffaelli E et al. The effectiveness of different mandibular advancement amounts in OSA patients: a systematic review and meta-regression analysis. Sleep Breath. 2016;20:911-9PubMedCrossRef Bartolucci ML, Bortolotti F, Raffaelli E et al. The effectiveness of different mandibular advancement amounts in OSA patients: a systematic review and meta-regression analysis. Sleep Breath. 2016;20:911-9PubMedCrossRef
40.
Zurück zum Zitat Raphaelson MA, Alpher EJ, Bakker KW, Perlstrom JR. Oral Appliance Therapy for Obstructive Sleep Apnea Syndrome: Progressive Mandibular Advancement During Polysomnography. Cranio. 1998;16:44-50CrossRef Raphaelson MA, Alpher EJ, Bakker KW, Perlstrom JR. Oral Appliance Therapy for Obstructive Sleep Apnea Syndrome: Progressive Mandibular Advancement During Polysomnography. Cranio. 1998;16:44-50CrossRef
41.
Zurück zum Zitat Tsai WH, Vazquez J-C, Oshima T et al. Remotely controlled mandibular positioner predicts efficacy of oral appliances in sleep apnea. Am J Respir Crit Care Med. 2004;170:366-70PubMedCrossRef Tsai WH, Vazquez J-C, Oshima T et al. Remotely controlled mandibular positioner predicts efficacy of oral appliances in sleep apnea. Am J Respir Crit Care Med. 2004;170:366-70PubMedCrossRef
42.
Zurück zum Zitat Gindre L, Gagnadoux F, Meslier N et al. Mandibular Advancement for Obstructive Sleep Apnea: Dose Effect on Apnea, Long-Term Use and Tolerance. Respiration. 2008;76:386-92CrossRefPubMed Gindre L, Gagnadoux F, Meslier N et al. Mandibular Advancement for Obstructive Sleep Apnea: Dose Effect on Apnea, Long-Term Use and Tolerance. Respiration. 2008;76:386-92CrossRefPubMed
43.
Zurück zum Zitat Almeida FR, Parker JA, Hodges JS et al. Effect of a titration polysomnogram on treatment success with a mandibular repositioning appliance. J Clin Sleep Med. 2009;5:198-204CrossRef Almeida FR, Parker JA, Hodges JS et al. Effect of a titration polysomnogram on treatment success with a mandibular repositioning appliance. J Clin Sleep Med. 2009;5:198-204CrossRef
44.
Zurück zum Zitat Aarab G, Lobbezoo F, Hamburger HL, Naeije M. Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea. Clin Oral Invest. 2010;14:339-45CrossRefPubMed Aarab G, Lobbezoo F, Hamburger HL, Naeije M. Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea. Clin Oral Invest. 2010;14:339-45CrossRefPubMed
45.
Zurück zum Zitat Dort L, Remmers J. A combination appliance for obstructive sleep apnea: the effectiveness of mandibular advancement and tongue retention. J Clin Sleep Med. 2012;8:265-9CrossRef Dort L, Remmers J. A combination appliance for obstructive sleep apnea: the effectiveness of mandibular advancement and tongue retention. J Clin Sleep Med. 2012;8:265-9CrossRef
46.
Zurück zum Zitat Holley AB, Lettieri CJ, Shah AA. Efficacy of an Adjustable Oral Appliance and Comparison With Continuous Positive Airway Pressure for the Treatment of Obstructive Sleep Apnea Syndrome. Chest. 2011;140:1511-6PubMedCrossRef Holley AB, Lettieri CJ, Shah AA. Efficacy of an Adjustable Oral Appliance and Comparison With Continuous Positive Airway Pressure for the Treatment of Obstructive Sleep Apnea Syndrome. Chest. 2011;140:1511-6PubMedCrossRef
47.
Zurück zum Zitat Marklund M, Stenlund H, Franklin KA. Mandibular Advancement Devices in 630 Men and Women With Obstructive Sleep Apnea and Snoring: Tolerability and Predictors of Treatment Success. Chest. 2004;125:1270-8PubMedCrossRef Marklund M, Stenlund H, Franklin KA. Mandibular Advancement Devices in 630 Men and Women With Obstructive Sleep Apnea and Snoring: Tolerability and Predictors of Treatment Success. Chest. 2004;125:1270-8PubMedCrossRef
48.
Zurück zum Zitat Lettieri CJ, Paolino N, Eliasson AH et al. Comparison of Adjustable and Fixed Oral Appliances for the Treatment of Obstructive Sleep Apnea. J Clin Sleep Med. 2011;07:439-45CrossRef Lettieri CJ, Paolino N, Eliasson AH et al. Comparison of Adjustable and Fixed Oral Appliances for the Treatment of Obstructive Sleep Apnea. J Clin Sleep Med. 2011;07:439-45CrossRef
49.
Zurück zum Zitat Okuno K, Pliska BT, Hamoda M et al. Prediction of oral appliance treatment outcomes in obstructive sleep apnea: A systematic review. Sleep Med Rev. 2016;30:25-33PubMedCrossRef Okuno K, Pliska BT, Hamoda M et al. Prediction of oral appliance treatment outcomes in obstructive sleep apnea: A systematic review. Sleep Med Rev. 2016;30:25-33PubMedCrossRef
50.
Zurück zum Zitat Vroegop AVMT, Vanderveken OM, Dieltjens M et al. Sleep endoscopy with simulation bite for prediction of oral appliance treatment outcome. J Sleep Res. 2013;22:348-55CrossRefPubMed Vroegop AVMT, Vanderveken OM, Dieltjens M et al. Sleep endoscopy with simulation bite for prediction of oral appliance treatment outcome. J Sleep Res. 2013;22:348-55CrossRefPubMed
51.
Zurück zum Zitat De Corso E, Bastanza G, Della Marca G et al. Drug-induced sleep endoscopy as a selection tool for mandibular advancement therapy by oral device in patients with mild to moderate obstructive sleep apnoea. Acta Otorhinolaryngol Ital. 2015;35:426-32 De Corso E, Bastanza G, Della Marca G et al. Drug-induced sleep endoscopy as a selection tool for mandibular advancement therapy by oral device in patients with mild to moderate obstructive sleep apnoea. Acta Otorhinolaryngol Ital. 2015;35:426-32
52.
Zurück zum Zitat Kastoer C, Dieltjens M, Oorts E et al. The Use of Remotely Controlled Mandibular Positioner as a Predictive Screening Tool for Mandibular Advancement Device Therapy in Patients with Obstructive Sleep Apnea through Single-Night Progressive Titration of the Mandible: A Systematic Review. J Clin Sleep Med. 2016;12:1411-21PubMedPubMedCentralCrossRef Kastoer C, Dieltjens M, Oorts E et al. The Use of Remotely Controlled Mandibular Positioner as a Predictive Screening Tool for Mandibular Advancement Device Therapy in Patients with Obstructive Sleep Apnea through Single-Night Progressive Titration of the Mandible: A Systematic Review. J Clin Sleep Med. 2016;12:1411-21PubMedPubMedCentralCrossRef
53.
Zurück zum Zitat Remmers J, Charkhandeh S, Grosse J et al. Remotely Controlled Mandibular Protrusion during Sleep Predicts Therapeutic Success with Oral Appliances in Patients with Obstructive Sleep Apnea. Sleep. 2013;36:1517-25PubMedPubMedCentralCrossRef Remmers J, Charkhandeh S, Grosse J et al. Remotely Controlled Mandibular Protrusion during Sleep Predicts Therapeutic Success with Oral Appliances in Patients with Obstructive Sleep Apnea. Sleep. 2013;36:1517-25PubMedPubMedCentralCrossRef
54.
Zurück zum Zitat Denolf PL, Vanderveken OM, Marklund ME, Braem MJ. The status of cephalometry in the prediction of non-CPAP treatment outcome in obstructive sleep apnea patients. Sleep Med Rev. 2016;27:56-73PubMedCrossRef Denolf PL, Vanderveken OM, Marklund ME, Braem MJ. The status of cephalometry in the prediction of non-CPAP treatment outcome in obstructive sleep apnea patients. Sleep Med Rev. 2016;27:56-73PubMedCrossRef
55.
Zurück zum Zitat Friedman M, Hamilton C, Samuelson CG et al. Compliance and Efficacy of Titratable Thermoplastic versus Custom Mandibular Advancement Devices. Otolaryngol Head Neck Surg. 2012;147:379-86PubMedCrossRef Friedman M, Hamilton C, Samuelson CG et al. Compliance and Efficacy of Titratable Thermoplastic versus Custom Mandibular Advancement Devices. Otolaryngol Head Neck Surg. 2012;147:379-86PubMedCrossRef
56.
Zurück zum Zitat Norrhem N, Marklund M. An oral appliance with or without elastic bands to control mouth opening during sleep—a randomized pilot study. Sleep Breath. 2016;20:929-38PubMedCrossRef Norrhem N, Marklund M. An oral appliance with or without elastic bands to control mouth opening during sleep—a randomized pilot study. Sleep Breath. 2016;20:929-38PubMedCrossRef
57.
Zurück zum Zitat Ramar K, Dort LC, Katz SG et al. Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015. J Clin Sleep Med. 2015;11:773-827PubMedPubMedCentralCrossRef Ramar K, Dort LC, Katz SG et al. Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015. J Clin Sleep Med. 2015;11:773-827PubMedPubMedCentralCrossRef
58.
Zurück zum Zitat Giles TL, Lasserson TJ, Smith BH et al. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev. 2006; https://doi.org/10.1002/14651858.CD001106.pub3 Giles TL, Lasserson TJ, Smith BH et al. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev. 2006; https://​doi.​org/​10.​1002/​14651858.​CD001106.​pub3
59.
Zurück zum Zitat Lim J, Lasserson TJ, Fleetham J, Wright JJ. Oral appliances for obstructive sleep apnoea. Cochrane Database Syst Rev. 2006; https://doi.org/10.1002/14651858.CD004435.pub3 Lim J, Lasserson TJ, Fleetham J, Wright JJ. Oral appliances for obstructive sleep apnoea. Cochrane Database Syst Rev. 2006; https://​doi.​org/​10.​1002/​14651858.​CD004435.​pub3
60.
Zurück zum Zitat Schwartz M, Acosta L, Hung Y-L et al. Effects of CPAP and mandibular advancement device treatment in obstructive sleep apnea patients: a systematic review and meta-analysis. Sleep Breath. 2018;22:555-68PubMedCrossRef Schwartz M, Acosta L, Hung Y-L et al. Effects of CPAP and mandibular advancement device treatment in obstructive sleep apnea patients: a systematic review and meta-analysis. Sleep Breath. 2018;22:555-68PubMedCrossRef
61.
Zurück zum Zitat Zhang M, Liu Y, Liu Y et al. Effectiveness of oral appliances versus continuous positive airway pressure in treatment of OSA patients: An updated meta-analysis. Cranio. 2019;37:347-64CrossRef Zhang M, Liu Y, Liu Y et al. Effectiveness of oral appliances versus continuous positive airway pressure in treatment of OSA patients: An updated meta-analysis. Cranio. 2019;37:347-64CrossRef
62.
Zurück zum Zitat Li W, Xiao L, Hu J. The comparison of CPAP and oral appliances in treatment of patients with OSA: a systematic review and meta-analysis. Respir Care. 2013;58:1184-95PubMedCrossRef Li W, Xiao L, Hu J. The comparison of CPAP and oral appliances in treatment of patients with OSA: a systematic review and meta-analysis. Respir Care. 2013;58:1184-95PubMedCrossRef
63.
Zurück zum Zitat Phillips CL, Grunstein RR, Darendeliler MA et al. Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: a randomized controlled trial. Am J Respir Crit Care Med. 2013;187:879-87PubMedCrossRef Phillips CL, Grunstein RR, Darendeliler MA et al. Health outcomes of continuous positive airway pressure versus oral appliance treatment for obstructive sleep apnea: a randomized controlled trial. Am J Respir Crit Care Med. 2013;187:879-87PubMedCrossRef
64.
Zurück zum Zitat Gotsopoulos H, Chen C, Qian J, Cistulli PA. Oral appliance therapy improves symptoms in obstructive sleep apnea: a randomized, controlled trial. Am J Respir Crit Care Med. 2002;166:743-8CrossRefPubMed Gotsopoulos H, Chen C, Qian J, Cistulli PA. Oral appliance therapy improves symptoms in obstructive sleep apnea: a randomized, controlled trial. Am J Respir Crit Care Med. 2002;166:743-8CrossRefPubMed
65.
Zurück zum Zitat Marklund M, Carlberg B, Forsgren L et al. Oral Appliance Therapy in Patients With Daytime Sleepiness and Snoring or Mild to Moderate Sleep Apnea: A Randomized Clinical Trial. JAMA Intern Med. 2015;175:1278-85CrossRefPubMed Marklund M, Carlberg B, Forsgren L et al. Oral Appliance Therapy in Patients With Daytime Sleepiness and Snoring or Mild to Moderate Sleep Apnea: A Randomized Clinical Trial. JAMA Intern Med. 2015;175:1278-85CrossRefPubMed
66.
Zurück zum Zitat Petri N, Svanholt P, Solow B et al. Mandibular advancement appliance for obstructive sleep apnoea: results of a randomised placebo controlled trial using parallel group design. J Sleep Res. 2008;17:221-9CrossRefPubMed Petri N, Svanholt P, Solow B et al. Mandibular advancement appliance for obstructive sleep apnoea: results of a randomised placebo controlled trial using parallel group design. J Sleep Res. 2008;17:221-9CrossRefPubMed
67.
Zurück zum Zitat Aarab G, Lobbezoo F, Hamburger HL, Naeije M. Oral Appliance Therapy versus Nasal Continuous Positive Airway Pressure in Obstructive Sleep Apnea: A Randomized, Placebo-Controlled Trial. Respiration. 2011;81:411-9PubMedCrossRef Aarab G, Lobbezoo F, Hamburger HL, Naeije M. Oral Appliance Therapy versus Nasal Continuous Positive Airway Pressure in Obstructive Sleep Apnea: A Randomized, Placebo-Controlled Trial. Respiration. 2011;81:411-9PubMedCrossRef
68.
Zurück zum Zitat Blanco J, Zamarrón C, Abeleira Pazos MT et al. Prospective evaluation of an oral appliance in the treatment of obstructive sleep apnea syndrome. Sleep Breath. 2005;9:20-5 Blanco J, Zamarrón C, Abeleira Pazos MT et al. Prospective evaluation of an oral appliance in the treatment of obstructive sleep apnea syndrome. Sleep Breath. 2005;9:20-5
69.
Zurück zum Zitat Durán-Cantolla J, Crovetto-Martínez R, Alkhraisat M-H et al. Efficacy of mandibular advancement device in the treatment of obstructive sleep apnea syndrome: A randomized controlled crossover clinical trial. Med Oral Patol Oral Cir Bucal. 2015;20:e605-15 Durán-Cantolla J, Crovetto-Martínez R, Alkhraisat M-H et al. Efficacy of mandibular advancement device in the treatment of obstructive sleep apnea syndrome: A randomized controlled crossover clinical trial. Med Oral Patol Oral Cir Bucal. 2015;20:e605-15
70.
Zurück zum Zitat Hans MG, Nelson S, Luks VG et al. Comparison of two dental devices for treatment of obstructive sleep apnea syndrome (OSAS). Am J Orthod Dentofacial Orthop. 1997;111:562-70PubMedCrossRef Hans MG, Nelson S, Luks VG et al. Comparison of two dental devices for treatment of obstructive sleep apnea syndrome (OSAS). Am J Orthod Dentofacial Orthop. 1997;111:562-70PubMedCrossRef
71.
Zurück zum Zitat Johnston CD, Gleadhill IC, Cinnamond MJ et al. Mandibular advancement appliances and obstructive sleep apnoea: a randomized clinical trial. Eur J Orthod. 2002;24:251-62PubMedCrossRef Johnston CD, Gleadhill IC, Cinnamond MJ et al. Mandibular advancement appliances and obstructive sleep apnoea: a randomized clinical trial. Eur J Orthod. 2002;24:251-62PubMedCrossRef
72.
Zurück zum Zitat Mehta A, Qian J, Petocz P et al. A randomized, controlled study of a mandibular advancement splint for obstructive sleep apnea. Am J Respir Crit Care Med. 2001;163:1457-61PubMedCrossRef Mehta A, Qian J, Petocz P et al. A randomized, controlled study of a mandibular advancement splint for obstructive sleep apnea. Am J Respir Crit Care Med. 2001;163:1457-61PubMedCrossRef
73.
Zurück zum Zitat Bratton DJ, Gaisl T, Wons AM, Kohler M. CPAP vs Mandibular Advancement Devices and Blood Pressure in Patients With Obstructive Sleep Apnea: A Systematic Review and Meta-analysis. JAMA. 2015;314:2280-93PubMedCrossRef Bratton DJ, Gaisl T, Wons AM, Kohler M. CPAP vs Mandibular Advancement Devices and Blood Pressure in Patients With Obstructive Sleep Apnea: A Systematic Review and Meta-analysis. JAMA. 2015;314:2280-93PubMedCrossRef
74.
Zurück zum Zitat Galic T, Bozic J, Ivkovic N et al. Effects of mandibular advancement device treatment on arterial stiffness and glucose metabolism in patients with mild to moderate obstructive sleep apnea: a prospective 1 year study. Sleep Breath. 2016;20:69-77PubMedCrossRef Galic T, Bozic J, Ivkovic N et al. Effects of mandibular advancement device treatment on arterial stiffness and glucose metabolism in patients with mild to moderate obstructive sleep apnea: a prospective 1 year study. Sleep Breath. 2016;20:69-77PubMedCrossRef
75.
Zurück zum Zitat Lin CC, Wang HY, Chiu CH, Liaw SF. Effect of oral appliance on endothelial function in sleep apnea. 2015;19(2):437-44 Lin CC, Wang HY, Chiu CH, Liaw SF. Effect of oral appliance on endothelial function in sleep apnea. 2015;19(2):437-44
76.
Zurück zum Zitat Hoekema A, Voors AA, Wijkstra PJ et al. Effects of oral appliances and CPAP on the left ventricle and natriuretic peptides. Int J Cardiol. 2008;128:232-9CrossRefPubMed Hoekema A, Voors AA, Wijkstra PJ et al. Effects of oral appliances and CPAP on the left ventricle and natriuretic peptides. Int J Cardiol. 2008;128:232-9CrossRefPubMed
77.
Zurück zum Zitat Pliska BT, Nam H, Chen H et al. Obstructive Sleep Apnea and Mandibular Advancement Splints: Occlusal Effects and Progression of Changes Associated with a Decade of Treatment. J Clin Sleep Med. 2014;10:1285-91PubMedPubMedCentralCrossRef Pliska BT, Nam H, Chen H et al. Obstructive Sleep Apnea and Mandibular Advancement Splints: Occlusal Effects and Progression of Changes Associated with a Decade of Treatment. J Clin Sleep Med. 2014;10:1285-91PubMedPubMedCentralCrossRef
78.
Zurück zum Zitat Marklund M. Predictors of long-term orthodontic side effects from mandibular advancement devices in patients with snoring and obstructive sleep apnea. Am J Orthod Dentofacial Orthop. 2006;129:214-21PubMedCrossRef Marklund M. Predictors of long-term orthodontic side effects from mandibular advancement devices in patients with snoring and obstructive sleep apnea. Am J Orthod Dentofacial Orthop. 2006;129:214-21PubMedCrossRef
79.
Zurück zum Zitat Cohen-Levy J, Pételle B, Pinguet J et al. Forces created by mandibular advancement devices in OSAS patients. Sleep Breath. 2013;17:781-9PubMedCrossRef Cohen-Levy J, Pételle B, Pinguet J et al. Forces created by mandibular advancement devices in OSAS patients. Sleep Breath. 2013;17:781-9PubMedCrossRef
80.
Zurück zum Zitat Doff MHJ, Finnema KJ, Hoekema A et al. Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental side effects. Clin Oral Invest. 2013;17:475-82PubMedPubMedCentralCrossRef Doff MHJ, Finnema KJ, Hoekema A et al. Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental side effects. Clin Oral Invest. 2013;17:475-82PubMedPubMedCentralCrossRef
81.
Zurück zum Zitat Perez CV, de Leeuw R, Okeson JP et al. The incidence and prevalence of temporomandibular disorders and posterior open bite in patients receiving mandibular advancement device therapy for obstructive sleep apnea. Sleep Breath. 2013;17:323-32PubMedCrossRef Perez CV, de Leeuw R, Okeson JP et al. The incidence and prevalence of temporomandibular disorders and posterior open bite in patients receiving mandibular advancement device therapy for obstructive sleep apnea. Sleep Breath. 2013;17:323-32PubMedCrossRef
82.
Zurück zum Zitat Marklund M. Long-term efficacy of an oral appliance in early treated patients with obstructive sleep apnea. Sleep Breath. 2016;20:689-94CrossRefPubMed Marklund M. Long-term efficacy of an oral appliance in early treated patients with obstructive sleep apnea. Sleep Breath. 2016;20:689-94CrossRefPubMed
83.
Zurück zum Zitat Marklund M, Franklin KA, Persson M. Orthodontic side-effects of mandibular advancement devices during treatment of snoring and sleep apnoea. Eur J Orthod. 2001;23:135-44CrossRefPubMed Marklund M, Franklin KA, Persson M. Orthodontic side-effects of mandibular advancement devices during treatment of snoring and sleep apnoea. Eur J Orthod. 2001;23:135-44CrossRefPubMed
84.
Zurück zum Zitat Pantin CC, Hillman DR, Tennant M. Dental side effects of an oral device to treat snoring and obstructive sleep apnea. Sleep. 1999;22:237-40CrossRefPubMed Pantin CC, Hillman DR, Tennant M. Dental side effects of an oral device to treat snoring and obstructive sleep apnea. Sleep. 1999;22:237-40CrossRefPubMed
85.
Zurück zum Zitat Almeida FR, Henrich N, Marra C et al. Patient preferences and experiences of CPAP and oral appliances for the treatment of obstructive sleep apnea: a qualitative analysis. Sleep Breath. 2013;17:659-66PubMedCrossRef Almeida FR, Henrich N, Marra C et al. Patient preferences and experiences of CPAP and oral appliances for the treatment of obstructive sleep apnea: a qualitative analysis. Sleep Breath. 2013;17:659-66PubMedCrossRef
86.
Zurück zum Zitat El-Solh AA, Moitheennazima B, Akinnusi ME et al. Combined oral appliance and positive airway pressure therapy for obstructive sleep apnea: a pilot study. Sleep Breath. 2011;15:203-8PubMedCrossRef El-Solh AA, Moitheennazima B, Akinnusi ME et al. Combined oral appliance and positive airway pressure therapy for obstructive sleep apnea: a pilot study. Sleep Breath. 2011;15:203-8PubMedCrossRef
87.
Zurück zum Zitat Dieltjens M, Vroegop AV, Verbruggen AE et al. A promising concept of combination therapy for positional obstructive sleep apnea. Sleep Breath. 2015;19:637-44PubMedCrossRef Dieltjens M, Vroegop AV, Verbruggen AE et al. A promising concept of combination therapy for positional obstructive sleep apnea. Sleep Breath. 2015;19:637-44PubMedCrossRef
88.
Zurück zum Zitat Borel JC, Gakwaya S, Masse JF et al. Impact of CPAP interface and mandibular advancement device on upper airway mechanical properties assessed with phrenic nerve stimulation in sleep apnea patients. Respir Physiol Neurobiol. 2012;183:170-76CrossRef Borel JC, Gakwaya S, Masse JF et al. Impact of CPAP interface and mandibular advancement device on upper airway mechanical properties assessed with phrenic nerve stimulation in sleep apnea patients. Respir Physiol Neurobiol. 2012;183:170-76CrossRef
89.
Zurück zum Zitat Kaminska M, Montpetit A, Mathieu A et al. Higher effective oronasal versus nasal continuous positive airway pressure in obstructive sleep apnea: effect of mandibular stabilization. Can Respir J. 2014;21:234-8PubMedPubMedCentralCrossRef Kaminska M, Montpetit A, Mathieu A et al. Higher effective oronasal versus nasal continuous positive airway pressure in obstructive sleep apnea: effect of mandibular stabilization. Can Respir J. 2014;21:234-8PubMedPubMedCentralCrossRef
90.
Zurück zum Zitat Esser E et al. Die Unterkieferprotrusionsschiene in der interdiszipli-nären OSAS-Therapie. wissen kompakt. 2016;10:13-24CrossRef Esser E et al. Die Unterkieferprotrusionsschiene in der interdiszipli-nären OSAS-Therapie. wissen kompakt. 2016;10:13-24CrossRef
Metadaten
Titel
Behandlung der obstruktiven Schlafapnoe
Stellenwert der Unterkieferprotrusionsschiene
Publikationsdatum
05.02.2020
Verlag
Springer Medizin
Schlagwörter
Orthesen
Somnologie
Erschienen in
Pneumo News / Ausgabe 1/2020
Print ISSN: 1865-5467
Elektronische ISSN: 2199-3866
DOI
https://doi.org/10.1007/s15033-019-0003-x

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