Zusammenfassung
Die Verlagerung des Unterkiefers mittels einer Protrusionsschiene führt zu einer Erweiterung der extrathorakalen Luftwege und senkt den Atemwegswiderstand im Schlaf. Beim Schnarchen und umschriebenen Formen der schlafbezogenen Atmungsstörungen werden diese Schienen, die sich von kieferorthopädischen Geräten abgeleitet haben, angewandt. Mittlerweile jedoch stellen sie eine eigenständige Gerätegruppe dar. Die Übersichtsarbeit fasst den gegenwärtigen wissenschaftlichen Stand dieser Therapieform bezüglich der Effektivität, der Patientenmitarbeit und der dentalen Nebenwirkungen zusammen.
Abstract
Mandibular advancement carried out with protrusion appliances enlarges the pharyngeal airway and reduces airway resistance during sleep. Special protrusion appliances used for snoring and definite obstructive sleep apnoea syndrome have been developed on the basis of orthodontic appliances. In the meantime they represent a unique group of appliances. The review provides an overview of the mandibular protrusion efficacy, compliance and dental side effects in the treatment of sleep breathing disorders.
Schlüsselwörter
Unterkiefervorverlagerung - obstruktives Schlafapnoe-Syndrom - Schnarchen - dentale Nebenwirkungen
Key words
mandibular advancement - obstructive sleep apnoea syndrome - snoring - dental side effects
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PD Dr. Dr. E. Rose
Abteilung für Kieferorthopädie · Universitätsklinikum Freiburg im Breisgau
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