A Case Report on Treatment of Obstructive Sleep Apnea Patient Using Intraoral Removable Appliance

Kang, K H; Oh, K S; Lee, S H

Abstract

OSA(Obstructive Sleep Apnea) is a condition with repeated obstruction of the upper airway while sleeping. This obstruction of the upper airway may result if sleep-induced physiologic change in muscle activity is superimposed on various structural defects of the upper airway. Macroglossia, micrognathia, retrognathia, and decreased airway lumen have all been implicated in OSA.? There are a variety of surgical and nonsurgical treatment modalities currently available for OSA. Recently the uvulopalatopharyngoplasty has achieved widespread use, but success rates vary and long-term effects are still unknown. Current nonsurgical treatment methods can be cumbersome and uncomfortable with variable responses.? For this case, we diagnosed as OSA by using polysomnographic analysis and cephalometric analysis, and delivered intraoral removable appliance which is more conservative, reversible and easy to use for patient. And we got results that Apna Index(AI) decreased from 14.4 to 3.1, Total Respiratory Disturbance Index (Total RDI) decreased from 18.1 to 7.0 and removal of chronic headache in daytime.