Ronco e apneia do sono - a utilização de dispositivos intraorais na odontologia

Abstract

Obstructive sleep apnea syndrome (OSAS) is a respiratory disorder characterized by obstruction of the upper airways, mainly due to anatomical features such as mandibular and/or maxillary retrognomatry, lingual hypotonia, macroglossia, micrognathia, ogival palate, atresic arcades and cross bite, among other etiological factors. The main non-surgical forms of treatment for OSA are the use of Continuous Airway Pressure, which although it is effective in treating all degrees of the syndrome, has resistance or not tolerability by several patients, and the use of intraoral devices that can be of the type tongue or mandibular advance devices. The present work is a literature review about the use of mandibular advance devices in the treatment of OSAS, a method that has been shown to be effective in improving the clinical condition of these patients, can be seen as a form of treatment for mild and moderate SAOS forms or even as an alternative form of treatment in severe cases of the syndrome. It is also important to note that the great adherence to treatment with mandibular advancement devices has highlighted the importance of dental surgeons in the patient’s approval for this treatment based on the presence of dental elements, in the condition of periodontium and its temporomandibular joint, in the personalization of the devices and in the conduction of the proposed treatment.