{"id":1574,"date":"2026-09-18T09:28:59","date_gmt":"2026-09-18T07:28:59","guid":{"rendered":"https:\/\/dr-holger-hein.de\/reloaded\/?p=1574"},"modified":"2026-09-18T09:28:59","modified_gmt":"2026-09-18T07:28:59","slug":"unterkiefer-protrusionsschienen-im-vergleich-zu-cpap","status":"publish","type":"post","link":"https:\/\/dr-holger-hein.de\/reloaded\/2026\/09\/18\/unterkiefer-protrusionsschienen-im-vergleich-zu-cpap\/","title":{"rendered":"Unterkiefer-Protrusionsschienen im Vergleich zu CPAP"},"content":{"rendered":"Diese systematische \u00dcbersichtsarbeit bewertet die vergleichende Wirksamkeit und die Therapietreue der Patienten bei zwei prim\u00e4ren Behandlungsmethoden:kontinuierlicher positiver Atemwegsdruck (CPAP) und Unterkiefer-Protrusionsschienen. Die \u00dcbersichtsarbeit umfasst randomisiertekontrollierte Studien aus den Jahren 2004 bis 2024. Der kontinuierliche positive Atemwegsdruck gilt weithin als Goldstandard f\u00fcr die Behandlung mittelschwerer bis schwerer obstruktiver Schlafapnoe, da er den Apnoe-Hypopnoe-Index wirksam senkt und die Sauerstoffversorgung verbessert. Allerdings sind die Therapietreue-Raten aufgrund von Unbehagen durch die Maske und Ger\u00e4usche des Ger\u00e4ts vermindert. Im Gegensatz dazu bietet die Therapie mit Unterkiefer-Protrusionsschienen eine weniger invasive Alternative mit besserer Therapietreue, insbesondere f\u00fcr Patienten mit leichter bis mittelschwerer obstruktiver Schlafapnoe. Obwohl sie bei der Senkung des Apnoe-Hypopnoe-Index weniger wirksam sind als die kontinuierliche positive Atemwegsdrucktherapie, zeigen Unterkiefer-Protrusionsschienen signifikante Verbesserungen der Schlafqualit\u00e4t, der kognitiven Funktionen und der Patientencompliance. Die CPAP-Therapie und Unterkiefer-Protrusionsschienen verbessern die Behandlungsergebnisse der Patienten erheblich, doch die Therapietreue spielt eine entscheidende Rolle f\u00fcr den langfristigen Erfolg. (Dipalma G, Inchingolo AM, Avantario P, Mancini A, Campanelli M, Di Venere D, Palermo A, Inchingolo F, Corsalini M, Inchingolo AD. Comparative Efficacy of Continuous Positive Airway Pressure and Mandibular Advancement Devices in the Treatment of Obstructive Sleep Apnea: A Systematic Review. J Sleep Res. 2026 Jun;35(3):e70192. doi: 10.1111\/jsr.70192. Epub 2025 Sep 8. PMID: 40921722; PMCID: PMC13193437.)","protected":false},"excerpt":{"rendered":"<p>Diese systematische \u00dcbersichtsarbeit bewertet die vergleichende Wirksamkeit und die Therapietreue der Patienten bei zwei prim\u00e4ren Behandlungsmethoden:kontinuierlicher positiver Atemwegsdruck (CPAP) und Unterkiefer-Protrusionsschienen. Die \u00dcbersichtsarbeit umfasst randomisiertekontrollierte Studien aus den Jahren 2004 bis 2024. Der kontinuierliche positive Atemwegsdruck gilt weithin als Goldstandard f\u00fcr die Behandlung mittelschwerer bis schwerer obstruktiver Schlafapnoe, da er den Apnoe-Hypopnoe-Index wirksam senkt und [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1574","post","type-post","status-publish","format-standard","hentry","category-allgemein"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"hein","author_link":"https:\/\/dr-holger-hein.de\/reloaded\/author\/hein\/"},"uagb_comment_info":0,"uagb_excerpt":"Diese systematische \u00dcbersichtsarbeit bewertet die vergleichende Wirksamkeit und die Therapietreue der Patienten bei zwei prim\u00e4ren Behandlungsmethoden:kontinuierlicher positiver Atemwegsdruck (CPAP) und Unterkiefer-Protrusionsschienen. Die \u00dcbersichtsarbeit umfasst randomisiertekontrollierte Studien aus den Jahren 2004 bis 2024. Der kontinuierliche positive Atemwegsdruck gilt weithin als Goldstandard f\u00fcr die Behandlung mittelschwerer bis schwerer obstruktiver Schlafapnoe, da er den Apnoe-Hypopnoe-Index wirksam senkt und&hellip;","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/comments?post=1574"}],"version-history":[{"count":2,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1574\/revisions"}],"predecessor-version":[{"id":1581,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1574\/revisions\/1581"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=1574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=1574"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=1574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}