Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Oral Pain Final > OSA: Management > Flashcards

OSA: Management Flashcards

1
Q

Treatment Options

A
  • Conservative Tx
  • Positive Airway Pressure (PAP)
  • Surgery
  • Oral Appliances
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Conserative Tx:

A
  • Lose Weight
  • Nasal Dilator Strips
  • Nasal Decongestants/Topical Corticosteroids
  • Sleep on Side
  • Avoid Alcohol, Sedatives, Muscle relaxers
  • Stop Smoking
    *
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Positive Airway Pressure (PAP)

A
  • Gold Standard
  • Maintains Patent Upper Airway during sleep
  • Prevents soft tissue collapse

Types:
* Continuous Positive Airway Pressure (CPAP)
* Automatic Positive Airway Pressure (APAP)
* Bi-level Positive Airway Pressure (Bi-PAP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CPAP: Adverse Effects

A
  • Suffocation or Claustrophobia sensation
  • Can’t Sleep
  • Dry Mouth and Nose
  • Sore throat
  • Mask issues: Skin abrasions, rash, nasal congestion
  • Ear Pain, TMD
  • Alot when traveling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Surgery for OSA: indications

A
  • Conservative tx not effective/tolerable
  • Abnormal tissue structure causes OSA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Surgery Types for OSA

A
  • Tracheostomy
  • Tonsillectomy
  • Adenoidectomy
  • Nasal Septoplasty
  • Turbinate Reduction
  • UPPP
  • LAUP
  • GAHMS
  • Tongue base reduction
  • MMO (maxillary & mandibular osteotomy)
  • Bariatric surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Oral Appliances

A
  • 70 commercially avaible; only 30 FDA approved

Two types:
1. Mandibular Advancement Devices (MAD):
* reposition/maintain mandible and tongue in forward position
2. Tongue Retainers
* hold tongue in forward position by suction
* do not affect mandible or teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Oral Appliance: Indications

A
  1. Primary Snoring
  2. Mild (AHI: 5-15) to Moderate (AHI: 15-30) OSA who:
    * Prefer OAs to CPAP
    * Do not respond to CPAP
    * Not a candidate for CPAP

3.. Severe OSA (AHI>30) who failed w/CPAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are some of the common oral appliances?

A

Adjustable
* PM positioner
* Herbst
* Klearway
Non Adjustable
* Elastomeric
* Clasp retained
* OSAP
Tongue Retainers
* Snorex
* aveoTRD
* MpoweRx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mandibular Advancement Devices (MAD)

A
  • Custome made or Prefabricate(off the shelf boil and bite type)
  • Silicone
  • Acrylic Resin

upper and lower splints
* cover dental arch
* rigid, non-adjustable (monoblock)
* attached by rod, wire, strap, hook or screw assembly-> can adjust device

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Combination Apppliances

A

PAP + MAD
* Tap Pap
* OPAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Tongue Retainers

A
  • Soft, medical grade silicone
  • bulb or sleeve shape
  • Tongue inserted into bulb; bulb squeezed and release to create suction->hold tongue in place
  • Stays in place by guids, extensions, or frame that is outside the lip
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Management of OSA: How is success defined?

A

Improved Symptoms:
* reduce snoring
* wake up more rested
* Less sleepy during day
Reduce AHI 50% from baseline
Normal Oxygen saturaiton

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Efficacy of oral appliances: Success rates

A

Success Rates:
* uncontrolled studies: Mild OSA=75%, Severe=40%
* 1 year success rate: 54%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Compliance w/MADs

A

64% still use device
Stop using bc:
* Uncomfortable
* no benefit
* switched to CPAP
* side effects: dry mouth, tooth/jaw pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

OAs Compared to CPAP

A

CPAP: More effective in severe OSA
* correcting AHI (Severe cases)
* improve oxyhemoglobin
OAs:
* preferred over CPAP
* more effect in Mild-Moderate OSA

BOTH have beneficial effects on BP and O2 saturation

17
Q

Effects of OAs on Blood Pressure

A

*

18
Q

Side Effects of MADs

A
  • TMJ pain or soreness
  • TMJ sounds
  • Masticatory m. pain or soreness
  • Tooth pain or soreness
  • Tooth mobility
  • Xs saliva
  • Dry Mouth
  • gingival, tongue, or mucosal irritation
  • Occlusal changes (posterior open bite)
19
Q

Managing Posterior Open Bite when caused by OA

A
  • Early identification
  • Shim stock to verify occlusal contacts
  • Stop wearin appliance until normal
  • Jaw exeries 4-5 times/day
    –Forceful retrusion-clench using anterior bite tab
    –chewing gum
  • Regular follow
20
Q

Contraindications for MADs

A

Severe:
* Perio disease
* Gag reflex
* TMDs
Inadequate:
* # of teeth
* crown height
* protrusive movement (<5mm)
Claustrophobia
No coordination or dexterity

Oral Pain Final (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions