Samenvatting
Slaapgerelateerde ademhalingsstoornissen worden gekarakteriseerd door een gestoorde ademhaling tijdens de slaap. Patiënten met slaapgerelateerde ademhalingsstoornissen klagen vaak over de kwaliteit van de slaap en over het functioneren overdag als gevolg van de verstoorde slaapconditie. Dit hoofdstuk behandelt het obstructieve slaapapneusyndroom (OSAS) en de rol van de tandarts in de herkenning en de behandeling van deze slaapgerelateerde ademhalingsstoornis. OSAS wordt gekenmerkt door het herhaald optreden van obstructies van de hogere luchtweg. Het opheffen van deze obstructies gaat vaak gepaard met een luid snurkgeluid en ontwaken. Tegenwoordig worden mandibulair repositieapparaten (MRA’s) voorgeschreven voor milde en matige OSAS-patiënten. Het doel van het MRA is het vergroten van de luchtweg en/of het reduceren van de neiging tot dichtvallen. De primaire taken van een tandarts zijn onder andere het uitgebreid tandheelkundig screenen van de patiënt voorafgaand aan de MRA-behandeling, de selectie van het MRA, en het vervaardigen en de aanpassing ervan.
Dit hoofdstuk is een bewerking van: Aarab G, Naeije M. Lobbezoo F. De tandheelkundige aspecten van obstructieve slaapapneu. In: JKM Aps, RHB Allard, J Duyck, et al., red. Het tandheelkundig jaar 2012. Houten: Bohn Stafleu van Loghum, 2011, p. 258-271.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatuur
Walker MP, Brakefield T, Seidman J, et al. Sleep and the time course of motor skill learning. Learn Mem. 2003;10:275–84.
International Classification of Sleep Disorders: Diagnostic and Coding Manual, ed 2. Westchester, IL: American Academy of Sleep Medicine; 2005.
American Academy of Sleep Medicine Task Force. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep. 1999;22:667–89.
Chervin RD, Guilleminault C. Obstructive sleep apnea and related disorders. Neurol Clin. 1996;14:583–609.
Finn L, Young T, Palta M, Fryback DG. Sleep-disordered breathing and self-reported general health status in the Wisconsin Sleep Cohort Study. Sleep. 1998;21:701–6.
Engleman HM, Douglas NJ. Sleep. 4: Sleepiness, cognitive function, and quality of life in obstructive sleep apnoea/hypopnoea syndrome. Thorax. 2004;59:618–22.
Terán-Santos J, Jiménez-Gómez A, Cordero-Guevara J. The association between sleep apnea and the risk of traffic accidents. Cooperative Group Burgos-Santander. N Engl J Med. 1999;340:847–51.
McNicholas WT, Bonsigore MR; Management Committee of EU COST ACTION B26. Sleep apnoea as an independent risk factor for cardiovascular disease: current evidence, basic mechanisms and research priorities. Eur Respir J. 2007;29:156–78.
Udwadia ZF, Doshi AV, Lonkar SG, Singh CI. Prevalence of sleep-disordered breathing and sleep apnea in middle-aged urban Indian men. Am J Respir Crit Care Med. 2004;169:168–73.
Kim J, In K, Kim J, et al. Prevalence of sleep-disordered breathing in middle-aged Korean men and women. Am J Respir Crit Care Med. 2004;170:1108–13.
Ip MS, Lam B, Lauder IJ, et al. A community study of sleep-disordered breathing in middle-aged Chinese men in Hong Kong. Chest. 2001;119:62–9.
Ip MS, Lam B, Tang LC, et al. A community study of sleep-disordered breathing in middle-aged Chinese women in Hong Kong: prevalence and gender differences. Chest. 2004;125:127–34.
Bixler EO, Vgontzas AN, Lin HM, et al. Prevalence of sleep-disordered breathing in women: effects of gender. Am J Respir Crit Care Med. 2001;163:608–13.
Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med. 1993;328:1230–5.
Ryan CM, Bradley TD. Pathogenesis of obstructive sleep apnea. J Appl Physiol. 2005;99:2440–50.
Eckert DJ, Malhotra A. Pathophysiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008;5:144–53.
Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165:1217–39.
Jamieson A, Guilleminault C, Partinen M, Quera-Salva MA. Obstructive sleep apneic patients have craniomandibular abnormalities. Sleep 1986;9:469–77.
Schwab RJ, Pasirstein M, Pierson R, et al. Identification of upper airway anatomic risk factors for obstructive sleep apnea with volumetric magnetic resonance imaging. Am J Respir Crit Care Med. 2003;168:522–30.
Guilleminault C, Partinen M, Hollman K, et al. Familial aggregates in obstructive sleep apnea syndrome. Chest. 1995;107:1545–51.
Punjabi NM. The epidemiology of adult obstructive sleep apnea. Proc Am Thorac Soc. 2008;5:136–43.
Malhotra A, Huang Y, Fogel R, et al. Aging influences on pharyngeal anatomy and physiology: the predisposition to pharyngeal collapse. Am J Med. 2006;119:72.e9–14.
Lin CM, Davidson TM, Ancoli-Israel S. Gender differences in obstructive sleep apnea and treatment implications. Sleep Med Rev. 2008;12:481–96.
Iber C, Ancoli-Israel S, Chesson A, Quan S; for the American Academy of Sleep Medicine. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications. 1e druk. Westchester, IL: American Academy of Sleep Medicine, 2007.
Sánchez AI, Martínez P, Miró E, et al. CPAP and behavioral therapies in patients with obstructive sleep apnea: effects on daytime sleepiness, mood, and cognitive function. Sleep Med Rev. 2009;13:223–33.
Epstein LJ, Kristo D, Strollo PJ Jr, et al.; Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009;5:263–76.
Ferguson KA, Cartwright R, Rogers R, Schmidt-Nowara W. Oral appliances for snoring and obstructive sleep apnea: a review. Sleep. 2006;29:244–62.
Randerath WJ, Verbraecken J, Andreas S, et al. I; European Respiratory Society task force on non-CPAP therapies in sleep apnoea. Non-CPAP therapies in obstructive sleep apnoea. Eur Respir J. 2011;37(5):1000–28.
Lavigne GJ, Cistulli P, Smith M, red. Sleep Medicine for Dentists: A Practical Overview. Chicago, IL: Quintessence Publishing Co, Inc.; 2009, p. 95–100.
Caples SM, Rowley JA, Prinsell JR, et al. Surgical modifications of the upper airway for obstructive sleep apnea in adults: a systematic review and meta-analysis. Sleep. 2010;33:1396–407.
Giles T, Lasserson T, Smith B, et al. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst. Rev. 2006;Issue 3:CD001106.
Gay P, Weaver T, Loube D, Iber C; Positive Airway Pressure Task Force; Standards of Practice Committee; American Academy of Sleep Medicine. Evaluation of positive airway pressure treatment for sleep related breathing disorders in adults. Sleep. 2006;29:381–401.
Marin JM, Carrizo SJ, Vicente E, Agusti AG. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet. 2005;365:1046–53.
Weaver TE, Grunstein RR. Adherence to continuous positive airway pressure therapy: the challenge to effective treatment. Proc Am Thorac Soc. 2008;5:173–8.
Aarab G, Lobbezoo F, Hamburger HL, Naeije M. Oral appliance therapy versus nasal continuous positive airway pressure in obstructive sleep apnea: A randomized, placebo-controlled trial. Respiration. 2011;81:411–9.
Marklund M, Verbraecken J, Randerath W. Non-CPAP therapies in obstructive sleep apnoea: mandibular advancement device therapy. Eur Respir J. 2012;39:1241–7.
Chan AS, Cistulli PA. Oral appliance treatment of obstructive sleep apnea: an update. Curr Opin Pulm Med. 2009;15:591–6.
Aarab G, Lobbezoo F, Hamburger HL, Naeije M. Effects of an oral appliance with different mandibular protrusion positions at a constant vertical dimension on obstructive sleep apnea. Clin Oral Investig. 2010;14:339–45.
Fransson AM, Tegelberg A, Svenson BA, et al. Validation of measurements of mandibular protrusion in the treatment of obstructive sleep apnoea and snoring with a mandibular protruding device. Eur J Orthod. 2003;25:377–83.
Nikolopoulou M, Naeije M, Aarab G, et al. The effect of raising the bite without mandibular protrusion on obstructive sleep apnoea. J Oral Rehabil. 2011;38:643–7.
Pitsis AJ, Darendeliler MA, Gotsopoulos H, et al. Effect of vertical dimension on efficacy of oral appliance therapy in obstructive sleep apnea. Curr Opin Pulm Med. 2009;15:591–6.
Aarab G, Lobbezoo F, Hamburger HL, Naeije M. Variability in the apnea-hypopnea index and its consequences for diagnosis and therapy evaluation. Respiration. 2009;77:32–7.
Chan AS, Lee RW, Cistulli PA. Dental appliance treatment for obstructive sleep apnea. Chest. 2007;132:693–9.
Hoekema A, Stegenga B, Wijkstra PJ, et al. Obstructive sleep apnea therapy. J Dent Res 2008;87:882–7.
Aarab G, Lobbezoo F, Heymans MW, et al. Long-term follow-up of a randomized controlled trial of oral appliance therapy in obstructive sleep apnea. Respiration. 2011;82:162–8.
Doff MH, Hoekema A, Wijkstra PJ, et al. Oral appliance versus continuous positive airway pressure in obstructive sleep apnea syndrome: a 2-year follow-up. Sleep. 2013;36:1289–96.
Lowe AA, Sjöholm TT, Ryan CF, Fleetham JA, Ferguson KA, Remmers JE. Treatment, airway and compliance effects of a titratable oral appliance. Sleep. 2000;23 Suppl 4:S172–8.
Vanderveken OM, Dieltjens M, Wouters K, et al. Objective measurement of compliance during oral appliance therapy for sleep-disordered breathing. Thorax. 2013;68:91–6.
Landry ML, Rompré PH, Manzini C, et al. Reduction of sleep bruxism using a mandibular advancement device: an experimental controlled study. Int J Prosthodont. 2006;19:549–56.
Landry-Schönbeck A, Grandmont P de, Rompré PH, Lavigne GJ. Effect of an adjustable mandibular advancement appliance on sleep bruxism: a crossover sleep laboratory study. Int J Prosthodont. 2009;22:251–9.
Doff MH, Finnema KJ, Hoekema A, et al. Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental side effects. Clin Oral Invest. 2013;17:475–82.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Copyright information
© 2015 Bohn Stafleu van Loghum
About this chapter
Cite this chapter
Aarab, G., Lobbezoo, F. (2015). Slaapgerelateerde ademhalingsstoornissen. In: Naeije, M., Lobbezoo, F., Visscher, C. (eds) Orale kinesiologie. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-0433-2_14
Download citation
DOI: https://doi.org/10.1007/978-90-368-0433-2_14
Published:
Publisher Name: Bohn Stafleu van Loghum, Houten
Print ISBN: 978-90-368-0432-5
Online ISBN: 978-90-368-0433-2
eBook Packages: Dutch language eBook collection