USE OF PREFABRICATED MANDIBULAR ADVANCEMENT DEVICE FOR TREATMENT OF SLEEP APNEA SYNDROME IN INTERCITY TRANSPORT DRIVER: CASE REPORT

Autores/as

DOI:

https://doi.org/10.17058/rips.v7i2.18557

Palabras clave:

Obstructive sleep apnea, Quality of life, Sleepiness, Dental research

Resumen

ABSTRACT

 

Introduction: In obstructive sleep apnea syndrome (OSAS) there are obstructions in the upper airway that cause desaturations, sleep disorders and an increased risk of involvement in car accidents due to poor sleep quality. The Mandibular Advancement Device (MAD) is one of the therapeutic alternatives for this syndrome. Objective: To evaluate the effects of MAD in an intercity public transport driver with OSAS. Methods: This is a case report of an individual submitted to MAD for a period of eight weeks. The Epworth Sleepiness Scale, the Apnea-Hypopnea Index (AHI) were evaluated using the polysomnographic profile and the quality of life (QoL) using the SF-36 questionnaire. The severity of OSAS was defined by the (AHI in which ≥ 5 and ≤ 15 are classified as mild; moderate when ≥ 15 and < 29; and AHI ≥ 30, severe). Results: There was a reduction in the AHI from moderate to normal (16.0 → 1.8 ev/h), a reduction in the Epworth Sleepiness Scale (5 → 3), an increase in the domains of the QOL questionnaire in the domains of functional capacity (65 → 90), physical limitations (75 → 100), general condition (30 → 35), vitality (50 → 55), emotional aspects (33.33 → 100) and mental health (52 → 76). Conclusion: There was a reduction in the apnea and hypopnea index and sleepiness and increase in quality of life after using a mandibular advancement device in an intercity public transport driver.

Keywords: Sleep Apnea, Obstructive; Quality of life; Sleepiness; Dental Research.

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Biografía del autor/a

Antônio Luiz Rocha Fernandes, Universidade de Santa Cruz do Sul, Mestre.

Mestre; Programa de Pós-Graduação Stricto Sensu em Promoção da Saúde, Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Tiago da Rosa Rambo, Universidade de Santa Cruz do Sul, Acadêmico do Curso de Fisioterapia.

Acadêmico; Curso de Fisioterapia, Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Bruna Eduarda Diehl, Universidade de Santa Cruz do Sul, Acadêmica do Curso de Fisioterapia.

Acadêmica; Curso de Fisioterapia, Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Rafik Ali Juma Hamid, Universidade de Santa Cruz do Sul (UNISC)

Acadêmico; Curso de Medicina, Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Litiele Evelin Wagner, Universidade Federal do Rio Grande do Sul, Doutoranda do Programa de Pós-Graduação Stricto Sensu em Ciências Pneumológicas.

Doutoranda; Programa de Pós-Graduação Stricto Sensu em Ciências Pneumológicas, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.

Alexander Romão Vieira Morinélli, Universidade de Santa Cruz do Sul, Mestrando do Programa de Pós-Graduação Stricto Sensu em Promoção da Saúde.

Mestrando; Programa de Pós-Graduação Stricto Sensu em Promoção da Saúde, Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Kamila Mohammad Kamal Mansour, Universidade de Santa Cruz do Sul, Mestranda do Programa de Pós-Graduação Stricto Sensu em Promoção da Saúde.

Mestranda; Programa de Pós-Graduação Stricto Sensu em Promoção da Saúde, Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Dulciane Nunes Paiva, Universidade de Santa Cruz do Sul, Docente do Programa de Pós-Graduação Stricto Sensu em Promoção da Saúde.

Docente; Programa de Pós-Graduação Stricto Sensu em Promoção da Saúde, Universidade de Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brasil.

Citas

Karhu T, Myllymaa S, Nikkonen S, Mazzotti DR, Kulkas A, Töyräs J, et al. Diabetes and cardiovascular diseases are associated with the worsening of intermittent hypoxaemia. Journal of Sleep Research. 2021;31(1):e13441. doi: https://doi.org/10.1111/jsr.13441

Bahammam AS, Alkhunizam MA, Lesloum RH, Alshanqiti AM, Aldakhil AM, Pandi-perumal SR, Sharif MM. Prevalence of sleep-related accidents among drivers in Saudi Arabia. Ann Thorac Med. 2014;9(4):236-41. doi: https://doi.org/10.4103/1817-1737.140138

Benoist L, de Ruiter M, de Lange J, de Vries N. A randomized, controlled trial of positional therapy versus oral appliance therapy for position-dependent sleep apnea. Sleep Med. 2017;34(1):109-17. doi: https://doi.org/10.1016/j.sleep.2017.01.024

Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Barreto SSM. Validação da escala de sonolência de Epworth em português para uso no Brasil. J Bras Pneumol. 2009;35(9):877-83. doi: https://doi.org/10.1590/S1806-37132009000900009

Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol. 1999;39(1):143-50.

Parthasarathy S, Zhang J, Hyman D, Doherty J, Saad R, Fox B, et al. Comorbidities and presenting symptoms in a real-world population with obstructive sleep apnea. CNS Spectrums. 2023;28(2):230-231. doi: https://doi.org/10.1017/S1092852923001554

Vries GE, Hoekema A, Vermeulen KM, Claessen JQPJ, Jacobs W, Maten J, Hoeven JH, Stegenga B, Kertjens HAM, Wijkstra PJ. Clinical and cost-effectiveness of a mandibular advancement device versus continuous positive airway pressure in moderate obstructive sleep apnea. J Clin Sleep Med. 2019;15(10):1477-85. doi: https://doi.org/10.5664/jcsm.7980

Dieltjens M, Vanderveken O. Oral appliances in obstructive sleep apnea. Healthcare. 2019;7(4):1-12. doi: https://doi.org/10.3390/healthcare7040141

Feltner C, Wallace IF, Aymes S, Middleton JC, Hicks KL, Schwimmer M, Baker C, Balio CP, Moore D, Voisin CE, Jonas DE. Screening for obstructive sleep apnea in adults: updated evidence report and systematic review for the US preventive services task force. JAMA. 2022;328(19):1951-71. doi: https://doi.org/10.1001/jama.2022.18357

Gottlieb DJ, Punjabi NM. Diagnosis and management of obstructive sleep apnea: a review. JAMA. 2020;323(14):1389-400. doi: https://doi.org/10.1001/jama.2020.3514

World Health Organization (WHO). Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organization Technical Report Series. 1995;854:1-452.

Haddad FLM, Vidigal TA, Mello-Fujita L. The influence of nasal abnormalities in adherence to continuous positive airway pressure device therapy in obstructive sleep apnea patients. Sleep Breath. 2013;17(4):1201-07. doi: https://doi.org/10.1007/s11325-013-0824-5

Ibrahimi ME, Laabouri M. Pilot study of a new adjustable thermoplastic mandibular advancement device for the management of obstructive sleep apnoea-hypopnoea syndrome: a brief research letter. Open Respir Med J. 2016;10(1):46-59. doi: https://doi.org/10.2174%2F1874306401610010046

Chaves Junior CM, Dal-Fabbro C, Bruin VMS, Tufik S, Bittencourt LRA. Consenso brasileiro de ronco e apneia do sono – aspectos de interesse aos ortodontistas. Dental Press J Orthod. 2011;16(1):1-10 doi: https://doi.org/10.1590/S2176-94512011000100007

Putra DGAE, Wiranadha M, Winata FY, Kusuma IBGH. Correlation between type 2 diabetes mellitus with the risk of obstructive sleep apnea in Prof. Dr. I.G.N.G. Ngoerah Hospital Denpasar. Eur J Clin Med. 2023;4(4):13-17. doi: https://doi.org/10.24018/clinicmed.2023.4.4.277

Karkoulias K, Lykouras D, Sampsonas F, Karaivazoglou K, Sargianou M, Drakatos P, Spiropoulos K, Assimakopoulos K. The impact of obstructive sleep apnea syndrome severity on physical performance and mental health. The use of SF-36 questionnaire in sleep apnea. Eur Rev Med Pharmacol Sci. 2013;17(1):531-36.

Kostrzewa-Janicka J, Śliwiński P, Wojda M, Rolski D, Mierzwińska-Nastalska E. Mandibular advancement appliance for obstructive sleep apnea treatment. Adv Exp Med Biol. 2017;944(1):63-71. doi: https://doi.org/10.1007/5584_2016_61

May JF, Porter BE, Ware C. The deterioration of driving performance over time in drivers with untreated sleep apnea. Accid Anal Prev. 2016;89(1):95-102. doi: https://doi.org/10.1016/j.aap.2016.01.002

Oksenberg A, Goizman V, Eitan E, Nasser K, Dagoth N, Leppänen T. Obstructive sleep apnea: do positional patients become nonpositional patients with time? Laryngoscope. 2020;130(9):2263-68. doi: https://doi.org/10.1002/lary.28387

Schwartz M, Acosta L, Hung YL, Padilla M, Enciso R. Effects of CPAP and mandibular advancement device treatment in obstructive sleep apnea patients: a systematic review and meta-analysis. Sleep Breath. 2018;22(3):1-14. doi: https://doi.org/10.1007/s11325-017-1590-6

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Publicado

2024-06-14

Cómo citar

Rocha Fernandes, A. L. ., da Rosa Rambo, T. ., Diehl, B. E., Ali Juma Hamid, R., Wagner, L. E., Romão Vieira Morinélli, A., Mohammad Kamal Mansour, . K., & Paiva, D. N. . (2024). USE OF PREFABRICATED MANDIBULAR ADVANCEMENT DEVICE FOR TREATMENT OF SLEEP APNEA SYNDROME IN INTERCITY TRANSPORT DRIVER: CASE REPORT. Revista Interdisciplinar De Promoção Da Saúde, 7(2), 42-48. https://doi.org/10.17058/rips.v7i2.18557

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