USE OF PREFABRICATED MANDIBULAR ADVANCEMENT DEVICE FOR TREATMENT OF SLEEP APNEA SYNDROME IN INTERCITY TRANSPORT DRIVER: CASE REPORT
DOI :
https://doi.org/10.17058/rips.v7i2.18557Mots-clés :
Obstructive sleep apnea, Quality of life, Sleepiness, Dental researchRésumé
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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