Unterkieferprotrusionsschienen verlagern den Unterkiefer nach vorn und vergr\u00c3\u00b6\u00c3\u0178ern dadurch den Nasen-Rachenraum. Auch CPAP vergr\u00c3\u00b6\u00c3\u0178ert durch den \u00c3\u0153berdruck den Nasen-Rachenraum, um so mehr, je h\u00c3\u00b6her der Druck ist. Daher wurde in zwei Studien die Wirkung von CPAP und zweiteiligen verstellbaren Unterkieferprotrusionsschienen verglichen. Bei japanischen Patienten war CPAP deutlich besser wirksam ab Druckwerten von 10,5mbar (Tsuiki S et al. Eur Resp J 2010;35:1098-1105). In Australien wurden 67 Personen untersucht. Diejenigen, die mit Nutzung der Unterkieferprotrusionsschiene mindestens 50% weniger Apnoen und Hypopnoen als ohne die Vorrichtung hatten (Anmerkung: dies reicht oft aber f\u00c3\u00bcr eine gute Therapie nicht aus, der AHI sollte mindestens unter 10\/h liegen), hatten CPAP-Werte unter 10 mbar, waren j\u00c3\u00bcnger (im Mittel 46 vs. 54 Jahre) und schlanker (Body-Mass-Index unter 30 kg\/m\u00c2\u00b2). Sutherland K et al. J Clin Sleep Med 2014;10: 943-949)<\/p>\n","protected":false},"excerpt":{"rendered":"
Unterkieferprotrusionsschienen verlagern den Unterkiefer nach vorn und vergr\u00c3\u00b6\u00c3\u0178ern dadurch den Nasen-Rachenraum. Auch CPAP vergr\u00c3\u00b6\u00c3\u0178ert durch den \u00c3\u0153berdruck den Nasen-Rachenraum, um so mehr, je h\u00c3\u00b6her der Druck ist. Daher wurde in zwei Studien die Wirkung von CPAP und zweiteiligen verstellbaren Unterkieferprotrusionsschienen verglichen. Bei japanischen Patienten war CPAP deutlich besser wirksam ab Druckwerten von 10,5mbar (Tsuiki S […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","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":"default","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-199","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":"Unterkieferprotrusionsschienen verlagern den Unterkiefer nach vorn und vergr\u00c3\u00b6\u00c3\u0178ern dadurch den Nasen-Rachenraum. Auch CPAP vergr\u00c3\u00b6\u00c3\u0178ert durch den \u00c3\u0153berdruck den Nasen-Rachenraum, um so mehr, je h\u00c3\u00b6her der Druck ist. Daher wurde in zwei Studien die Wirkung von CPAP und zweiteiligen verstellbaren Unterkieferprotrusionsschienen verglichen. Bei japanischen Patienten war CPAP deutlich besser wirksam ab Druckwerten von 10,5mbar (Tsuiki S…","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/199","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=199"}],"version-history":[{"count":0,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/199\/revisions"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=199"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=199"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}