Publication: Evaluación clínica del efecto de los dispositivos de avance mandibular utilizados en el tratamiento del SAHS sobre la oclusión dental y la incidencia de trastornos temporomandibulares
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2020-03-30
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Universidad Complutense de Madrid
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Abstract
El tratamiento del SAHS (síndrome de Apnea Hipopnea del sueño) se divide en cuatro pilares básicos; medidas higiénico-dietéticas, tratamiento farmacológico, tratamiento quirúrgico y tratamiento no quirúrgico dentro del cual se encuentra la Presión Positiva de la vía aérea, PAP, gold standard en el tratamiento del SAHS, y los Dispositivos de Avance Mandibular, DAM, indicados en ronquido simple, SAHS leve-moderado y, en los últimos años, en SAHS severo cuando otras alternativas terapéuticas han fracasado y existe intolerancia a la PAP. Pese a que muchos artículos se centran en describir la eficacia de los DAM, pocos evalúan la aparición de cambios oclusales y trastornos temporomandibulares, y de estos, muy pocos utilizan criterios diagnósticos reproducibles. Comparar la aparición de cambios oclusales, así como signos y síntomas de trastornos temporomandibulares en pacientes con SAHS tratados mediante DAM y pacientes tratados mediante PAP.
The OSAS treatment is divided into four basic pillars; hygienic-dietary measures, pharmacological treatment, surgical treatment and non-surgical treatment within which is the POsitive Airway Pressure, PAP, which is the gold standard in OSAS treatment, and the Mandibular Advanced Devices, MADs , which are indicated for simple snoring, mild-moderate OSASand, in recent years, for severe OSAS when other therapeutic alternatives have failed and intolerance to PAP exists. Although many articles focus on describing the effectiveness of the MADs, few evaluate the appearance of occlusal changes and temporomandibular disorders, and of these, very few use reproducible diagnostic criteria. To compare the incidence of occlusal changes, as wells as signs and symptoms of temporomandibular disorders among patients with SAOS treated with MAD and patients treated with PAP.
The OSAS treatment is divided into four basic pillars; hygienic-dietary measures, pharmacological treatment, surgical treatment and non-surgical treatment within which is the POsitive Airway Pressure, PAP, which is the gold standard in OSAS treatment, and the Mandibular Advanced Devices, MADs , which are indicated for simple snoring, mild-moderate OSASand, in recent years, for severe OSAS when other therapeutic alternatives have failed and intolerance to PAP exists. Although many articles focus on describing the effectiveness of the MADs, few evaluate the appearance of occlusal changes and temporomandibular disorders, and of these, very few use reproducible diagnostic criteria. To compare the incidence of occlusal changes, as wells as signs and symptoms of temporomandibular disorders among patients with SAOS treated with MAD and patients treated with PAP.
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Odontología, Departamento de Odontología Conservadora y Prótesis Bucofacial, leída el 7-11-2019