{"id":9433,"date":"2022-02-18T09:35:51","date_gmt":"2022-02-18T09:35:51","guid":{"rendered":"https:\/\/velezylozano.com\/?p=9433"},"modified":"2022-02-21T10:14:39","modified_gmt":"2022-02-21T10:14:39","slug":"apnoea-hypoapnoea-syndrome-sahs-and-orthodontics","status":"publish","type":"post","link":"https:\/\/velezylozano.com\/en\/apnoea-hypoapnoea-syndrome-sahs-and-orthodontics\/","title":{"rendered":"Apnoea-hypopnoea syndrome (SAHS) and orthodontics"},"content":{"rendered":"<h2>What is sleep apnoea-hypopnoea syndrome?<\/h2>\n<p>The <strong>sleep apnoea-hypopnoea syndrome (SAHS)<\/strong> is a fairly common condition in the general population that consists of a complete (apnoea) or partial (hypoapnoea) interruption of airflow during sleep due to upper airway obstruction. It can cause transient micro-awakenings accompanied by snoring, leading to other symptoms and consequences such as drowsiness, insomnia, headaches and irritability or urinary incontinence in younger sufferers, among others.<\/p>\n<p>One of the problems with SAHS is the difficulty associated with early detection, which would - as with many other diseases - improve the success of treatment. Relying on a medical history and a clinical and physical examination in a consultation room is a rather poor method of diagnosing sleep apnoea-hypopnoea syndrome, even for specialists in the field. In reality, the ideal method of detecting whether a patient is suffering from a severe case of the syndrome would be through a very specific test known as the <em>polysomnography<\/em>.<\/p>\n<p>A polysomnography is a test indicated for the study of different sleep disorders that is performed during the night, when the patient sleeps, and which consists of recording brain activity, breathing, heart rate, muscle activity and blood oxygen levels while sleeping. Obviously the time, effort and cost of such a procedure make it difficult for the general population to perform.<\/p>\n<figure id=\"attachment_9440\" aria-describedby=\"caption-attachment-9440\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-9440 size-medium\" src=\"https:\/\/i0.wp.com\/velezylozano.com\/wp-content\/uploads\/2022\/02\/polisomnografia.jpeg?resize=300%2C169&#038;ssl=1\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/i0.wp.com\/velezylozano.com\/wp-content\/uploads\/2022\/02\/polisomnografia.jpeg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/velezylozano.com\/wp-content\/uploads\/2022\/02\/polisomnografia.jpeg?resize=768%2C433&amp;ssl=1 768w, https:\/\/i0.wp.com\/velezylozano.com\/wp-content\/uploads\/2022\/02\/polisomnografia.jpeg?w=958&amp;ssl=1 958w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-9440\" class=\"wp-caption-text\">Example of polysomnography.<\/figcaption><\/figure>\n<h2>The role of the orthodontist in SAHS<\/h2>\n<p>The role of the orthodontist plays a very relevant role in the early detection of SAHS, because through anamnesis, clinical examination and cephalometric analysis it is possible to evaluate, compare and detect the anatomical characteristics and symptoms that are associated with the syndrome and that can be accompanied by <em>mandibular retrognathism<\/em> or Class II malocclusion with mandibular protraction, which sometimes makes it possible for patients seeking orthodontic treatment to end up in the orthodontist's office and thus detect SAHS.<\/p>\n<p>If detected, the professional can improve the patient's situation and will also refer the patient to an ear, nose and throat specialist for a multidisciplinary treatment plan.<\/p>\n<p>If the patient is a growing child, orthodontists can act by means of orthopaedic treatment, using a series of intraoral appliances that will help us to solve the problem of upper airway obstruction.<\/p>\n<p>For example, in children with mandibular retrognathism, we can use <em>jaw advancement devices<\/em> to move the mandible into a more forward position, thereby increasing the size of the upper airway and relieving its obstruction. These appliances come in fixed or removable versions, the use of which will depend on the diagnosis and treatment plan considered indicated for the patient's specific case. At V\u00e9lez y Lozano we have both options available.<\/p>\n<p>In other cases we may find maxillary compression, with a prevalence of mouth breathing as opposed to nasal breathing, which is quite typical in patients with SASH. In these cases, what we carry out is a disjuncture treatment of the palatal suture, thus increasing the width of the maxilla, which favours the recovery of nasal breathing.<\/p>\n<figure id=\"attachment_9439\" aria-describedby=\"caption-attachment-9439\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\"wp-image-9439 size-medium\" src=\"https:\/\/i0.wp.com\/velezylozano.com\/wp-content\/uploads\/2022\/02\/39.jpeg?resize=300%2C282&#038;ssl=1\" alt=\"\" width=\"300\" height=\"282\" srcset=\"https:\/\/i0.wp.com\/velezylozano.com\/wp-content\/uploads\/2022\/02\/39.jpeg?resize=300%2C282&amp;ssl=1 300w, https:\/\/i0.wp.com\/velezylozano.com\/wp-content\/uploads\/2022\/02\/39.jpeg?w=317&amp;ssl=1 317w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-9439\" class=\"wp-caption-text\">Palatal circuit breaker.<\/figcaption><\/figure>\n<p>It is of vital importance to further improve diagnostic criteria in order to be able to act earlier and more effectively in the affected paediatric population.<\/p>","protected":false},"excerpt":{"rendered":"<p>What is sleep apnoea-hypopnoea syndrome? Sleep apnoea-hypopnoea syndrome (SAHS) is a fairly common condition in the general population that consists of a complete (apnoea) or partial (hypoapnoea) interruption of airflow during sleep due to an obstruction of the upper airway. It can lead to transient micro-awakenings accompanied by [...]<\/p>","protected":false},"author":9,"featured_media":9438,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[32],"tags":[36,51],"class_list":["post-9433","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-32","tag-ortodoncia","tag-ortopedia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>El s\u00edndrome de apnea-hipoapnea (SAHS) y la ortodoncia - V\u00e9lez &amp; Lozano<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/velezylozano.com\/en\/apnoea-hypoapnoea-syndrome-sahs-and-orthodontics\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El s\u00edndrome de apnea-hipoapnea (SAHS) y la ortodoncia - V\u00e9lez &amp; Lozano\" \/>\n<meta property=\"og:description\" content=\"\u00bfQu\u00e9 es el s\u00edndrome de apnea-hipoapnea del sue\u00f1o? El s\u00edndrome de apnea-hipoapnea del sue\u00f1o (SAHS) es una enfermedad bastante com\u00fan en la poblaci\u00f3n general que consiste en una interrupci\u00f3n completa (apnea) o parcial (hipoapnea) del flujo a\u00e9reo durante el sue\u00f1o debido a una obstrucci\u00f3n de la v\u00eda a\u00e9rea superior. 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Qu\u00e9date con nosotros, y analizaremos algunas de las claves \u00bfApnea del Sue\u00f1o? Hace poco, en otro art\u00edculo habl\u00e1bamos de S\u00edndrome de Apnea del Sue\u00f1o. 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