Obstructive Sleep ApneaImpactful Consequences for Children and Adults Sleep disorders that effect morbidity and mortality have been studied extensively and have been getting more and more attention in academia, in general and in specialty dental practices. Studies show that Mandibular Advancement therapy, when monitored by a trained and qualified dentist, has been effective both in prevention and treatment of Obstructive Sleep Apnea. Obstructive Sleep Apnea is correlated with phisiometabolic dysfunctions, genetic and syndromic order problems. OSA studies show a predisposition to hypertension, blood pressure levels in hypertensive patients supported of the Sleep Disorders (reference). Passeri, in 2014, conducted a study that described an association of Diabetes Mellitus, Tooth Loss in Class III and Hypertension (reference). Patients with Metabolic Syndrome (MetS), decreased functional capacity and OSA are commonly fond associated in this syndrome and could worsen the prognosis in these patients (reference). In childhood, the Cognitive and Behaviour Changes in the presence of OSAS, increase the Risk of Cardiovascular and Cerebrovascular Diseases (reference). OSAS also is associated with tonsil and adenoid hypertrophy, obesity, allergic rhinitis, craniofacial malformations, neuromuscular diseases, genetic and metabolic syndromes, from the neonatal period to adolescence, being more common among preschoolers (reference). The need for an accurate diagnosis of OSAS led to the development of equipment and devices for measuring the characteristics of the airway (Pharyngometer and Rhinometer) and oxygen saturation in blood. Overnight studies, like the Home Sleep Test and oximetry monitors are used to record data in patients admited with Acute
Dr. Quintella Dr. Claudia Quintella is a member of the Brazilian Society of Orthodontics and a Founding Member of the Brazilian Association of Dentistry. She is a member of the World Federation of Orthodontics. For 11 years Dr. Quintella has been Editor Board Reviewer of American Journal Orthodontics and Dentofacial Orthopedics.
Coronary Disease of OSA. Overnight oximetry in this study had a sensitivity of 88.9% and a specifity of 100% of OSA in 43% of 37 Coronary Disease Patients (reference). All this data must be measured and evaluated. A definitive diagnosis of the obstructive sleep apnea disorder (OSA) requires comprehensive testing. Insufficient knowledge of the details of the patient’s condition will influence both the diagnosis and the prognosis of the case. The consequences of misdiagnosed OSA are too serious to not utilize all existing testing technique.
As a University Postgraduate Professor she is recognized worldwide for her contributions to Science, Research in Orthodontics and Oral Biology in Zurich and at Hadassah University. She is the author of many publications on evidence based studies of Orthodontic research. Dr. Quintella is the founder of quintellaodontologia and is highly respected both in Dental Academia and for her social media commentary. in the treatment of OSAS was selected by to this edition of dental sleep medicine.
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