Scientific article by Prof. Dr. Dr. Edmund Clemens Rose obstructive sleep respiratory disorders in adults and children can be treated due to orthodontic measures in circumscribed indications. The displacement of the mandible by means of a Protrusionsschiene or the extension of extrathoracic airway by means of orthodontic therapy for the treatment of obstructive sleep-related breathing disorders are becoming recognized procedures in sleep medicine and of pneumology. An extension of the treatment spectrum arises for the sleep-medically interested orthodontists. Obstructive sleep breathing disorders in children should be treated separately. There are special diagnostic criteria and therapeutic approaches.
Polygraphisch proven sleep breathing disturbances in children with Cranio facial anomalies, orthodontic measures can be displayed. The orthodontic treatment concept is to adjust the sequence of the underlying disease. The present two review articles include the current scientific As of this form of therapy concerning the effectiveness, patient cooperation, and the dental side effects together. Introduction to the international classification of sleep disorders (ICSD-2) of the American Academy of sleep medicine (AASM) lists three sleeping troubles for the orthodontist. (These are the obstructive sleep apnea syndrome (II) in a) adults and b) children and sleep-related movement disorders (VI). The sleep bruxism is counted among the latter.
Unterkieferprotrusionsschienen have become as circumscribed indicated as a possible method of treatment of the obstructive Schlafapnoesyndroms (OSAS). Essentially, a movement of the mandible in the sleep prevents falling along the respiratory tract in the different phases of sleep, by is stretched the pharynx and so the airway resistance is reduced. Less turbulence occur at the inspiration, which reduces the frequency of snoring and snoring frequency; at the same time, the respiratory way obstructions are removed.