Unterkieferprotrusionsschiene

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• 作者：Prof. Dr. Dr. E. Esser ; A. Röers ; L. Schenk
• 关键词：Schlafapnoesyndrom ; Polysomnographie ; Unterkiefervorverlagerung ; „Positioner“
„Continuous positive airway pressure“ Sleep apnea syndrome ; Polysomnography ; Mandibular advancement ; Positioner ; Continuous positive airway pressure
• 刊名：Der MKG-Chirurg
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：9
• 期：1
• 页码：51-64
• 全文大小：1,126 KB
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  18.Esser E, van Dijk C, Roers A, Schenk C (2015) Diese Literaturstelle wird gestrichen. da deren Inhalt sich auf die Publikation unter Nr.5 bezieht-Daraus ergeben sich zwangläufig Verschiebungen der Numerrierungen, die im Text entsprechend berücksichtigt wurden öffentlicht
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• 作者单位：Prof. Dr. Dr. E. Esser (1)
  A. Röers (2)
  L. Schenk (3)
  
  1. ICOS Implantat Centrum Osnabrück, Hans-Wunderlich-Str. 5, 49078, Osnabrück, Deutschland
  2. Kieferorthopädisches Fachlabor KOFL Röers, Everswinkel, Deutschland
  3. Ambulantes Schlafzentrum Osnabrück, Osnabrück, Deutschland
  
• 刊物主题：Oral and Maxillofacial Surgery; Plastic Surgery; Otorhinolaryngology; Head and Neck Surgery; Dentistry;
• 出版者：Springer Berlin Heidelberg
• ISSN：1865-9667

文摘

Treatment with a mandibular advancement splint (MAS) is preceded by staging diagnostics in sleep medicine and an interdisciplinary cooperation. Determination of the diagnosis of obstructive sleep apnea syndrome (OSAS) and the degree of severity give rise to the indications for therapy and the available options. Adjustable two-splint systems are evidence-based therapeutic procedures with a high compliance. Their application must take local and general circumstances into consideration and necessitate imaging examinations as well as adherence to the manufacturers’ technical principles. A temporary test splint and accompanying polygraphic screening can help to classify the MAS to the therapy options and if necessary open up the options for mandibulomaxillary advancement in younger patients. Adjustability, compliance and the side effect profile of splint treatment necessitate continuous monitoring. Under socioeconomic aspects the MAS is more cost-effective than continuous positive airway pressure (CPAP) therapy. Keywords Sleep apnea syndrome Polysomnography Mandibular advancement Positioner Continuous positive airway pressure