Dental considerations in obstructive sleep apnea – Retrieving current status
Obstructive sleep apnea (OSA) is a sleep disorder caused by partial or complete upper airway collapse with hallmark features of repetitive breathing cessation resulting in reduced oxygen saturation. India ranks third among countries worst hit by OSA. OSA is linked with elevated morbidity and mortali...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | The Saint's International Dental Journal |
| Subjects: | |
| Online Access: | http://www.sidj.org/article.asp?issn=2454-3160;year=2021;volume=5;issue=1;spage=4;epage=10;aulast=Shaukari |
| _version_ | 1819082532558209024 |
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| author | Sarita Shaukari Raghu K Nandan Meghana Gajavalli Subi George |
| author_facet | Sarita Shaukari Raghu K Nandan Meghana Gajavalli Subi George |
| author_sort | Sarita Shaukari |
| collection | DOAJ |
| description | Obstructive sleep apnea (OSA) is a sleep disorder caused by partial or complete upper airway collapse with hallmark features of repetitive breathing cessation resulting in reduced oxygen saturation. India ranks third among countries worst hit by OSA. OSA is linked with elevated morbidity and mortality with various modifiable/nonmodifiable predisposing factors. Different medical approaches such as polysomnography, home sleep testing, dynamic magnetic resonance imaging, drug-induced sleep endoscopy, and neutrophil-to-lymphocyte ratio assist in diagnosis. Depending on disease severity, various treatment lines have been advocated, including behavioral modifications, continuous positive airway pressure, oral appliances (OAs), and surgical intervention. The role of pharmacotherapy in OSA remains controversial and demands extensive study. OA case selection and titration need to be done with utmost care. Definite protocols for the selection of suitable candidates for OA therapy need to be established. Various invasive and non-invasive surgical interventions such as bariatric surgeries, uvulopalatopharyngoplasty and Mandibular advancement appliances (MAA) have been advocated for OSA treatment. However, MMA requires a detailed diagnosis, including hard and soft tissue examination and an adequate recovery strategy to avoid any resulting adverse facial aesthetics. Implantable upper airway neurostimulators serve as a hope for newer therapeutic approaches. The need for the hour is a multidisciplinary solution to OSA. |
| first_indexed | 2024-12-21T20:18:10Z |
| format | Article |
| id | doaj.art-154adf5b9fac41cebfc8d16aa6737d5c |
| institution | Directory Open Access Journal |
| issn | 2454-3160 2589-7373 |
| language | English |
| last_indexed | 2024-12-21T20:18:10Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Saint's International Dental Journal |
| spelling | doaj.art-154adf5b9fac41cebfc8d16aa6737d5c2022-12-21T18:51:33ZengWolters Kluwer Medknow PublicationsThe Saint's International Dental Journal2454-31602589-73732021-01-015141010.4103/sidj.sidj_53_20Dental considerations in obstructive sleep apnea – Retrieving current statusSarita ShaukariRaghu K NandanMeghana GajavalliSubi GeorgeObstructive sleep apnea (OSA) is a sleep disorder caused by partial or complete upper airway collapse with hallmark features of repetitive breathing cessation resulting in reduced oxygen saturation. India ranks third among countries worst hit by OSA. OSA is linked with elevated morbidity and mortality with various modifiable/nonmodifiable predisposing factors. Different medical approaches such as polysomnography, home sleep testing, dynamic magnetic resonance imaging, drug-induced sleep endoscopy, and neutrophil-to-lymphocyte ratio assist in diagnosis. Depending on disease severity, various treatment lines have been advocated, including behavioral modifications, continuous positive airway pressure, oral appliances (OAs), and surgical intervention. The role of pharmacotherapy in OSA remains controversial and demands extensive study. OA case selection and titration need to be done with utmost care. Definite protocols for the selection of suitable candidates for OA therapy need to be established. Various invasive and non-invasive surgical interventions such as bariatric surgeries, uvulopalatopharyngoplasty and Mandibular advancement appliances (MAA) have been advocated for OSA treatment. However, MMA requires a detailed diagnosis, including hard and soft tissue examination and an adequate recovery strategy to avoid any resulting adverse facial aesthetics. Implantable upper airway neurostimulators serve as a hope for newer therapeutic approaches. The need for the hour is a multidisciplinary solution to OSA.http://www.sidj.org/article.asp?issn=2454-3160;year=2021;volume=5;issue=1;spage=4;epage=10;aulast=Shaukarimanagementobstructive sleep apneaoral appliances |
| spellingShingle | Sarita Shaukari Raghu K Nandan Meghana Gajavalli Subi George Dental considerations in obstructive sleep apnea – Retrieving current status The Saint's International Dental Journal management obstructive sleep apnea oral appliances |
| title | Dental considerations in obstructive sleep apnea – Retrieving current status |
| title_full | Dental considerations in obstructive sleep apnea – Retrieving current status |
| title_fullStr | Dental considerations in obstructive sleep apnea – Retrieving current status |
| title_full_unstemmed | Dental considerations in obstructive sleep apnea – Retrieving current status |
| title_short | Dental considerations in obstructive sleep apnea – Retrieving current status |
| title_sort | dental considerations in obstructive sleep apnea retrieving current status |
| topic | management obstructive sleep apnea oral appliances |
| url | http://www.sidj.org/article.asp?issn=2454-3160;year=2021;volume=5;issue=1;spage=4;epage=10;aulast=Shaukari |
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