@Article{Matuszkiewicz2018,
journal="Forum Ortodontyczne / Orthodontic Forum",
issn="1734-1558",
volume="14",
number="4",
year="2018",
title="Patient with obstructive sleep
apnoea at the orthodontics
practise – case report",
abstract="Obstructive Sleep Apnoea (OSA) is characterised by at least  five 10-second episodes of apnoea or significant shallow  breathing (hypopnoea), accompanied by a decrease in  oxygen saturation of arterial blood by 2–4% per hour of  sleep, with preserved or intensified respiratory muscle  movements. In men OSA is most often diagnosed after the  age of 40 years, in women – usually after the age of 50  years. The risk group includes patients diagnosed with  being overweight or obese, cardiovascular diseases,  hypertension, hypothyroidism, diabetes, asthma, allergies  or congenital anomalies. Aim. The aim of the work was to  present changes in the anatomy of structures of the facial  skeleton in a 31-year-old orthodontic male patient with  a mild form of sleep apnoea. Material. Material included:  orthodontic records, EPWORTH sleepiness scale filled in  by the patient, gypsum models, photographs (intra- and extraoral photographs) and radiological records (panoramic  radiograph, lateral cephalogram) and results of  polysomnography. Case report. The paper presents a case  of a 31-year-old male patient without systemic diseases  who reported for an orthodontic consultation due to tooth  crowding. The analysis of the orthodontic documentation  revealed a suspicion of sleep apnoea. A polysomnographic  examination confirmed the presence of mild OSA.  Conclusions. The analysis of a lateral cephalogram revealed  changes in the length of the soft palate, width of the upper  respiratory tract and a position of the hyoid bone. The  EPWORTH sleepiness scale indicated the presence of  excessive sleepiness, and the polysomnographic examination  confirmed the occurrence of mild OSA. Sleep apnoea may  affect relatively young people, with a normal body weight  and without any systemic diseases. Therefore orthodontists’  awareness about risk factors and sleep apnoea symptoms  should be used in everyday practice. (Matuszkiewicz A,  Lasota A, Kiernicka K, Dunin-Wilczyńska I. Patient with  obstructive sleep apnoea at the orthodontist’s – case  report. Orthod Forum 2018; 14: 309-20).",
author="Matuszkiewicz, Anna
and Lasota, Agnieszka
and Kiernicka, Katarzyna
and Dunin-Wilczyńska, Izabella",
pages="309--320",
url="https://www.termedia.pl/Patient-with-obstructive-sleep-r-napnoea-at-the-orthodontics-r-npractise-case-report,143,37188,1,1.html"
}