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논문 기본 정보

자료유형
학술저널
저자정보
Jin-Seok Byun (Kyungpook National University) Jae-Kwang Jung (Kyungpook National University)
저널정보
대한안면통증구강내과학회 Journal of Oral Medicine and Pain Journal of Oral Medicine and Pain Vol.39 No.2
발행연도
2014.6
수록면
35 - 45 (11page)

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초록· 키워드

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Many therapeutic modalities including continuous positive airway pressure, surgery, and oral appliances are used to treat patients with sleep-disordered breathing. However, there are no definitive treatment modalities for individual patients due to various causes of sleep-disordered breathing. Clinicians should have select best options for individual patients and it is quite challenging process. Oral appliances attracted clinical attention for its convenience and safety. Several designs of oral appliances are introduces such as soft palate lifter, tongue retaining device, and various appliances which aimed to mandibular advancement. Among these oral appliances, mandibular advancement devices (MADs) are considered the most excellent based on their effectiveness and patient tolerance. Although MADs are not guarantee dramatic outcome and less consistent than continuous positive airway pressure, they offer several advantages over continuous positive airway pressure and surgical methods, including non-invasiveness, silence, portability, and tolerability, simplicity. Therefore, general dental practitioner who had passed sleep dental curriculum or coursework can treat the patients with sleep problems. This article reviews the history, clinical indications, suggested mechanism of actions, various positive effects and several side effects, factors predicting a favorable outcome, determining amounts of mandibular advancement, compliance and long-term efficacy of MADs use.

목차

INTRODUCTION
HISTORY OF MADS AND OTHER ORAL APPLIANCES
CLINICAL INDICATIONS
MECHANISM OF ACTION
CLINICAL EFFECTS
CONSIDERATION OF PREVIOUS SUCCESS CRITERIA
FACTORS PREDICTING A FAVORABLE OUTCOME
SIDE EFFECTS
DETERMINING THE THERAPEUTIC POSITION OF THE MANDIBLE
COMPARISON BETWEEN DIFFERENT TYPES OF MADS
PREFERENCE AND COMPLIANCE
LONG-TERM EFFICACY
CONCLUSIONS
REFERENCES

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