Abordagem odontológica dos distúrbios do sono

Abstract

The sleep is characterized by the temporary suspension of activity sensory-perceptual and motor voluntary. During sleep disturbances may occur as snoring and periods of apnea that may establish obstructive sleep apnea (OSA). OSA is defined as the closure of 30% at least of the nasal / oral for 10 seconds or more, although there is difficulty breathing, accompanied by oxygen desaturation of 4% or more. There are several forms of treatment. One is the use of mandibular advancement splints during sleep, in order to prevent the collapse of the tissues of the oropharynx and tongue base, or obstruction of the upper airway. Treatment with these splints are indicated for patients with primary snoring, mild and moderate OSA, also in cases of severe OSA when CPAP intolerance. Side effects, such as changing occlusal and temporomandibular discomfort can happen, but should not restrict its use.