REVIEW PAPER
Advances in diagnosis and treatment of obstructive sleep apnea
 
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1
Division of Dental Materials, Wroclaw Medical University, Poland
 
2
Department of Dental Prosthetics, Wroclaw Medical University, Poland
 
3
Department of Conservative Dentistry and Pedodontics, Wroclaw Medical University, Poland
 
 
Submission date: 2017-09-25
 
 
Acceptance date: 2017-05-15
 
 
Online publication date: 2018-02-26
 
 
Publication date: 2019-11-18
 
 
Corresponding author
Maciej Dobrzyński   

Krakowska 26, 50-425 Wrocław, Poland. Tel.: +48 604 795 947.
 
 
Pol. Ann. Med. 2018;25(1):162-165
 
KEYWORDS
ABSTRACT
Introduction:
Obstructive sleep apnea (OSA) is a sleep disorder which is very common among obese patients, and which is mostly observed in highly developed societies.

Aim:
The purpose of this article is to present the methods of OSA treatment.

Material and methods:
Medline searches were conducted in context of OSA, basing on literature from 2014 and 2015.

Results and discussion:
We can divide OSA treatment methods into three groups. There are methods based on positive airway pressure (PAP), which are proved to be the most efficient, but are often hardly accepted by patients due to the need of wearing an uncomfortable mask during sleep. The second group are methods based on the use of the mandibular repositioning devices, which are less efficient than positive airway pressure, but more willingly accepted by patients; these methods have proven quite successful in treating mild to moderate OSA. The third group are surgical methods which can be very efficient, but at the same time, can cause danger to the patient’s life.

Conclusions:
Using intraoral devices is recommended to patients with mild to moderate OSA symptoms and to patients with a severe form of the disorder who cannot cope with the PAP treatment. The surgical treatments of OSA are not recommended despite being efficient, since they produce many dangerous side effects.

CONFLICT OF INTEREST
None declared.
 
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