Point of View column: Can the orthodontic-surgical approach assist in the treatment of Obstructive Sleep Apnea and Hypopnea Syndrome?

Vol. 13 – Number 50 – 2020 Point of View Column Page 36-38 Can the orthodontic-surgical approach help in the treatment of Apnea Syndrome and Obstructive Sleep Hypopnea? Davani Latarullo Costa¹ Mauricio Brunetto² Gerson Luiz Ulema Ribeiro³ Leandro Eduardo Kluppel4 Itamar Antonio Taffarel5 Tatiana Banzatto Kreia6 Orlando Tanaka7 Introduction Sleep Apnea/Hypopnea Obstructive Syndrome (OSHOS) is a disease that affects about one in four men and one in ten women, and has significant negative impacts on people’s lives¹. It is often associated with reduced oxygen saturation in the blood and repeated airway crashes during sleep². Excessive daytime sleepiness, cognitive impairment, learning deficit and mental disorders such as depression and anxiety may also be associated with consequences of OSAS, mainly due to the interruption of sleep cycles, which are interrupted at each apnea event³. Snoring is one of the most common predictive signs of OSAS and its complete diagnosis can be made through polysomnography. The most frequent dental therapies for OSAS are removable mandibular advancement devices that aim to keep the mandible in an advanced position during sleep, promoting a transient increase in the oropharyngeal space during the use of the device. 4 However, for the solution of OSAS in severe cases, maxillomandibular advancement surgery can be a cure for individuals. 5,6 Furthermore, patients with medium or moderate apnea-hypopnea index (AIH) can also be satisfactorily treated with maxillomandibular advancement.7 1 PhD in Surgery and Traumatology – BMF. 2 Specialist and Master in Orthodontics – UFSC. 3 MSc and PhD in Orthodontics – UFSC, Titular Professor in Orthodontics – Dentistry – UFSC, Professor of undergraduate and graduate studies in Dentistry – UFSC, Graduated by the Brazilian Board of Orthodontics. 4 Adjunct Professor in the anatomy department – UFPR. 5 Postgraduate Student in Dentistry-Orthodontics – PUCPR – School of Life Sciences. 6 Master in Dentistry-Orthodontics – PUCPR, PhD in Dental Sciences-Orthodontics – UNESP / Araraquara. 7 Full Professor – PPGO-PUCPR – School of Life Sciences.