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首页> 外文期刊>The Journal of Prosthetic Dentistry >Elastic retracted oral appliance to treat sleep apnea in mentally impaired patients and patients with neuromuscular disabilities.
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Elastic retracted oral appliance to treat sleep apnea in mentally impaired patients and patients with neuromuscular disabilities.

机译：弹性伸缩式口腔矫治器可治疗精神障碍患者和神经肌肉残疾患者的睡眠呼吸暂停。

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STATEMENT OF PROBLEM: Various oral appliances have been successfully used in the treatment of sleep apnea. However, it is difficult for mentally impaired patients and patients with neuromuscular disabilities to insert and remove the appliance and to maintain it intraorally through the night.PURPOSE: This study described the fabrication of an elastic retracted-type oral appliance to treat sleep apnea in mentally impaired patients and patients with neuromuscular disabilities and to evaluate its efficiency.MATERIAL AND METHODS: Five patients, 3 with cerebral palsy and 2 with Down's syndrome, with sleep apnea were included in this study. Maxillary and mandibular splints were molded individually on casts by using copolyester foils. The splints were retracted forward by elastics, attached to wire hooks in the maxillary and mandibular incisal areas. The effect of the appliance was examined polysomnographically. RESULTS: The apnea index was decreased significantly (P <.03) by the appliance. The appliance was easily inserted and removed, and the elastic force and mandibular position could be adjusted. The appliance, as used in this study, allowed free mandibular movement and maintained its correct position during sleep despite involuntary or voluntary mandibular movements.CONCLUSIONS: The oral appliance was useful as an alternative to relieve the sleep apnea of patients with mental deficiencies and neuromuscular disabilities.
机译：问题陈述：各种口服器具已成功用于治疗睡眠呼吸暂停。然而，对于精神障碍患者和神经肌肉残疾患者而言，很难将其插入和拔出并在夜间进行口内维护。目的：本研究描述了一种弹性回缩式口腔矫治器的制造方法，用于治疗精神性睡眠呼吸暂停材料和方法：本研究包括5例患者，其中3例患有脑瘫，2例患有唐氏综合症，伴有睡眠呼吸暂停。上颌骨和下颌骨夹板通过使用共聚酯箔单独模制在铸模上。夹板通过松紧带向前缩回，并固定在上颌和下颌切牙区域的钢丝钩上。通过多导睡眠图检查了该器具的效果。结果：该设备使呼吸暂停指数显着降低（P <.03）。该器具易于插入和卸下，并且可以调节弹力和下颌位置。在这项研究中使用的矫治器允许下颌自由运动，尽管有非自愿或自愿的下颌运动，但在睡眠过程中仍可保持其正确的位置。 。

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