Prosthodontic treatment for difficulty in mastication caused by an oral appliance for obstructive sleep apnea

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  • Suzuki Yoshitaka
    Department of Stomatognathic Function and Occlusal Reconstruction, Graduate School of Biomedical Sciences, Tokushima University

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  • 咀嚼困難を訴える閉塞性睡眠時無呼吸症患者に対する補綴症例
  • 専門医症例報告 咀嚼困難を訴える閉塞性睡眠時無呼吸症患者に対する補綴症例
  • センモンイ ショウレイ ホウコク ソシャク コンナン オ ウッタエル ヘイソクセイ スイミンジ ムコキュウショウ カンジャ ニ タイスル ホテツ ショウレイ

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<p>Patient: A 54-year-old female visited our hospital complaining of difficulty in mastication due to malocclusion, after using an oral appliance (OA) for obstructive sleep apnea. After restoring her appropriate occlusion using temporary crowns and a bridge, final prostheses made with a semi-adjustable articulator were inserted. A new OA was fabricated with 1 mm mandibular advancement. Her occlusion and sleep quality remained good for 3 years after completion of the treatment.</p><p>Discussion: It is considered that providing as much occlusal contact and guidance on premolars and molars as possible, and a small titration of OA, may help improve mastication and maintain dentition form.</p><p>Conclusion: After occlusal treatment of this patient using OA, the design of the OA was considered to minimize occlusal change.</p>

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