Abstract
4/2018
vol. 14
Case report
Patient with obstructive sleep apnoea at the orthodontics practise – case report
- Katedra i Zakład Ortopedii Szczękowej, Uniwersytet Medyczny w Lublinie Chair and Department of Jaw Orthopedics, Medical University of Lublin
Forum Ortod 2018; 14: 309-320
Online publish date: 2019/07/16
Obstructive Sleep Apnoea (OSA) is characterised by at least
five 10-second episodes of apnoea or significant shallow
breathing (hypopnoea), accompanied by a decrease in
oxygen saturation of arterial blood by 2–4% per hour of
sleep, with preserved or intensified respiratory muscle
movements. In men OSA is most often diagnosed after the
age of 40 years, in women – usually after the age of 50
years. The risk group includes patients diagnosed with
being overweight or obese, cardiovascular diseases,
hypertension, hypothyroidism, diabetes, asthma, allergies
or congenital anomalies. Aim. The aim of the work was to
present changes in the anatomy of structures of the facial
skeleton in a 31-year-old orthodontic male patient with
a mild form of sleep apnoea. Material. Material included:
orthodontic records, EPWORTH sleepiness scale filled in
by the patient, gypsum models, photographs (intra- and extraoral photographs) and radiological records (panoramic
radiograph, lateral cephalogram) and results of
polysomnography. Case report. The paper presents a case
of a 31-year-old male patient without systemic diseases
who reported for an orthodontic consultation due to tooth
crowding. The analysis of the orthodontic documentation
revealed a suspicion of sleep apnoea. A polysomnographic
examination confirmed the presence of mild OSA.
Conclusions. The analysis of a lateral cephalogram revealed
changes in the length of the soft palate, width of the upper
respiratory tract and a position of the hyoid bone. The
EPWORTH sleepiness scale indicated the presence of
excessive sleepiness, and the polysomnographic examination
confirmed the occurrence of mild OSA. Sleep apnoea may
affect relatively young people, with a normal body weight
and without any systemic diseases. Therefore orthodontists’
awareness about risk factors and sleep apnoea symptoms
should be used in everyday practice. (Matuszkiewicz A,
Lasota A, Kiernicka K, Dunin-Wilczyńska I. Patient with
obstructive sleep apnoea at the orthodontist’s – case
report. Orthod Forum 2018; 14: 309-20).
five 10-second episodes of apnoea or significant shallow
breathing (hypopnoea), accompanied by a decrease in
oxygen saturation of arterial blood by 2–4% per hour of
sleep, with preserved or intensified respiratory muscle
movements. In men OSA is most often diagnosed after the
age of 40 years, in women – usually after the age of 50
years. The risk group includes patients diagnosed with
being overweight or obese, cardiovascular diseases,
hypertension, hypothyroidism, diabetes, asthma, allergies
or congenital anomalies. Aim. The aim of the work was to
present changes in the anatomy of structures of the facial
skeleton in a 31-year-old orthodontic male patient with
a mild form of sleep apnoea. Material. Material included:
orthodontic records, EPWORTH sleepiness scale filled in
by the patient, gypsum models, photographs (intra- and extraoral photographs) and radiological records (panoramic
radiograph, lateral cephalogram) and results of
polysomnography. Case report. The paper presents a case
of a 31-year-old male patient without systemic diseases
who reported for an orthodontic consultation due to tooth
crowding. The analysis of the orthodontic documentation
revealed a suspicion of sleep apnoea. A polysomnographic
examination confirmed the presence of mild OSA.
Conclusions. The analysis of a lateral cephalogram revealed
changes in the length of the soft palate, width of the upper
respiratory tract and a position of the hyoid bone. The
EPWORTH sleepiness scale indicated the presence of
excessive sleepiness, and the polysomnographic examination
confirmed the occurrence of mild OSA. Sleep apnoea may
affect relatively young people, with a normal body weight
and without any systemic diseases. Therefore orthodontists’
awareness about risk factors and sleep apnoea symptoms
should be used in everyday practice. (Matuszkiewicz A,
Lasota A, Kiernicka K, Dunin-Wilczyńska I. Patient with
obstructive sleep apnoea at the orthodontist’s – case
report. Orthod Forum 2018; 14: 309-20).
Keywords
sleep apnoea, bruxism, orthodontics
Integrated with
