Protrusion splint

Mandibular protrusion splint

In mandibular advancement (of lat. Protrusio "advancing, push away") is individually after impression of the teeth of the laboratory prepared adjustable rail systems for the treatment of certain "sleep disordered breathing", a form of sleep disorders .

use

The splints are used in patients with mild to moderate obstructive sleep apnea syndrome (OSAS) and upper airway resistance syndrome (UARS). The procedure is one of several alternatives. It is also used in severe cases instead of " nasal continuous positive pressure ventilation " (nCPAP) in the case of intolerance or insufficient therapy compliance.

The mandibular protrusion splints (UPS) to be worn intra-orally position the mandible, tongue and other structures forwards and open the bite. This reduces the constriction of the pharynx, the airways are mechanically kept open during sleep and the airway resistance decreases.

Before this method can be used, it must be examined whether the dental prerequisites for permanent use are met. After the impression of the teeth, the individual protrusion splint is made on the basis of the patient's jaw models.

Protrusion splints are also used against snoring . In this context, the term "snore splint" is used. In many cases this will eliminate or significantly reduce snoring.

In the German statutory health insurance , therapy using a protrusion splint is evaluated as a new treatment method according to the rulings of various regional social courts , which has not yet been positively evaluated by the Federal Joint Committee . In this respect, costs cannot be covered by the health insurance company .

history

The first descriptions of such splints come from the early 1980s when protrusion splints were developed from orthodontic models. Since then, the models have been significantly improved.

There are a number of different models of protrusion splints on the market. The dentist's selection is based on the patient's anatomical circumstances.

Individual evidence

1. ↑ S3 guideline for non-restful sleep / sleep disorders of the German Society for Sleep Research and Sleep Medicine (DGSM). In: AWMF online (as of 2009).
2. ↑ Riccardo A. Stoohs: Resistance Syndrome of the Upper Airways . In: Deutsches Ärzteblatt . Vol. 104, No. 12 , 2007, p. A784–789 ( online [PDF; 336 kB ; accessed on February 4, 2013]).
3. ↑ Susanne Schwarting, Ulrich Huebers, Markus Heise, Joerg Schlieper, Andreas Hauschild: Position paper on the use of mandibular advancement devices in adults with sleep-related breathing disorders . In: Sleep and Breathing . Vol. 11, No. 2 , 2007, p. 125–126 , doi : 10.1007 / s11325-007-0116-z , PMID 17464519 , PMC 2211364 (free full text) - (English).
4. ↑ seemed. Retrieved September 4, 2019 . 
5. ↑ https://dejure.org/ext/54b5876eab6ec662495deb8dd341fbf6
6. ↑ https://dejure.org/ext/52bbc0d505b9aa789d1f6d58dbf9c531

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !