Review Article
Volume 21 Issue 5 - 2022
Sleep Apnea Treatment with Rapid Maxillary Expansion in Adults and Children - Review of Literature
Benoît Carrier DMD, M.Sc Dental*

Doctor in Dental Medicine, University of Montréal, and Master in Dental Sciences, McGill University, Montréal, Canada
*Corresponding Author: Benoît Carrier, Doctor in Dental Medicine, University of Montréal, and Master in Dental Sciences, McGill University, Montréal, Canada.
Received: March 15, 2022; Published: April 13, 2022




Abstract

Sleep apnea treatment with rapid maxillary expansion in adults and children take different approaches to achieve positive outcomes. Obstructive sleep apnea (OSA) is one of the six sleep-related disorders classified in the ICSD-3 by the American Academy of Sleep Medicine (AASM). Its prevalence has been on a steady increase in the past decade, making it a key health concern in a global scale. China, the United States, and Brazil are among the countries with the highest number of people suffering from OSA. There are numerous treatment options for OSA, with CPAP being the preferred option. However, some patients have tolerability issues with CPAP, which reduces its efficacy in correcting OSA hence the need to use alternative treatment methods that use oral appliances, such as Mini-Implant Assisted Rapid Palatal Expansion (MARPE) and mandibular advancement device (MAD), which have gained widespread popularity. MARPE, facilitated with mid-palatal suture cardiopuncture, provides the most effective bone-anchored procedure for lateral osteotomy in the maxillary expansion, and the procedure effectual in adults than other RPE options, such as the toothborne in children. Because the narrow maxilla blocks facial development, promote nasal obstruction, nasopharyngeal airways collapse and leads to crowding of teeth because of limited space, MARPE is preferred in young adult with fused suture. The periodontal and oral nature of the treatment options makes the inclusion of dentists in the OSA treatment plans critical.

Keywords: Obstructive Sleep Apnea (OSA), Dental Sleep Medicine, Obstructive Apneas, Repetitive Hypopneas, Sleep-Disordered Breathing, MARPE, And CPAP

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Citation: Benoît Carrier. “Sleep Apnea Treatment with Rapid Maxillary Expansion in Adults and Children - Review of Literature”. EC Dental Science 21.5 (2022): 03-24.

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