RESUMEN
INTRODUCTION: Mandibular appliances are a treatment option for obstructive sleep apnea. There are many designs, but in the literature they tend to be grouped into a single entity without considering that efficiency, tolerance, compliance, or side effects are inherent in the design of each of them. A more detailed literature review is therefore warranted for the reader who wants to understand the relative effectiveness of each appliance. STATE OF KNOWLEDGE: We conducted a literature search using the "oral appliance" and "obstructive sleep apnea" criteria on Pubmed, Embase and Cochrane. This allowed us to compare outcome parameters by appliance class and to highlight the rare studies comparing different appliances. CONCLUSIONS: Mandibular appliances are not a homogeneous entity. Common use includes only appliances designed for propulsion (with rods and jacks) and retention. However, the few comparative studies available do not identify which are the most effective types or the types with an optimal efficacy/tolerance ratio. PERSPECTIVES: Further appliance comparison studies are needed to determine the most effective type or with an optimal efficacy/tolerance ratio.
Asunto(s)
Avance Mandibular/instrumentación , Apnea Obstructiva del Sueño/terapia , Presión de las Vías Aéreas Positiva Contínua/efectos adversos , Presión de las Vías Aéreas Positiva Contínua/métodos , Presión de las Vías Aéreas Positiva Contínua/normas , Presión de las Vías Aéreas Positiva Contínua/estadística & datos numéricos , Humanos , Avance Mandibular/efectos adversos , Avance Mandibular/estadística & datos numéricos , Prótesis Mandibular/efectos adversos , Prótesis Mandibular/normas , Prótesis Mandibular/estadística & datos numéricos , Prótesis Mandibular/tendencias , Pronóstico , Apnea Obstructiva del Sueño/diagnóstico , Apnea Obstructiva del Sueño/epidemiología , Resultado del TratamientoRESUMEN
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Asunto(s)
Humanos , Síndromes de la Apnea del Sueño/terapia , Trastornos Respiratorios/epidemiología , Prótesis Mandibular/tendencias , Medicina del Sueño/educación , Medicina del Sueño/tendenciasRESUMEN
Immediate and late results of reconstruction of the temporomandibular joint with endoprostheses of the condylar processes are analyzed. Types of condylar process endoprostheses are described. The most characteristic complications of the immediate and late postoperative periods are described.