Bislang werden Unterkieferprotrusionsschienen entsprechend den Empfehlungen der Fachgesellschaften nach Ma\u00c3\u0178 angefertigt. In einer Arbeitsgruppe in Frankreich wurde untersucht, ob es Unterschiede in der Wirksamkeit zwischen nach Ma\u00c3\u0178 angefertigten Schienen und denen aus hei\u00c3\u0178 verformbaren Material hergestellten gibt. 198 Patienten (Alter 51+\/- 12 Jahre, Body-Mass-Index 26+\/-3 kg\/m\u00c2\u00b2, Apnoe-Hypopnoe-Index 27+\/-10\/h) erhielten entweder (n=100) eine hei\u00c3\u0178-geformte Schiene oder eine nach Ma\u00c3\u0178abruck (n=98). Beide Schienen waren2-teilig, und in 1 mm Schritten verstellbar. Nur der eigentliche auf den Z\u00c3\u00a4hnen sitzende Teil war erkennbar unterschiedlich. In beiden Gruppen war nach 2 Monaten Nutzung bei etwa der H\u00c3\u00a4lfte der Patientin ein positives Ansprechen (AHI<10\/h, oder AHI halbiert) zu verzeichnen. Anzumerken ist, dass vor einem generellen Wechsel der bisherigen Therapieempfehlungen diese Daten erst durch weitere Untersuchungen best\u00c3\u00a4tigt werden m\u00c3\u00bcssen. (Pepin JL et al. Heat-moulded versus custom-made mandibular advancement devices for obstructive sleep apnoea: a randomised non-inferiority trial. Thorax 2019;74:667\u00e2\u20ac\u201c674. doi:10.1136\/thoraxjnl-2018-212726) custom-made acrylic MAD.<\/p>\n","protected":false},"excerpt":{"rendered":"
Bislang werden Unterkieferprotrusionsschienen entsprechend den Empfehlungen der Fachgesellschaften nach Ma\u00c3\u0178 angefertigt. In einer Arbeitsgruppe in Frankreich wurde untersucht, ob es Unterschiede in der Wirksamkeit zwischen nach Ma\u00c3\u0178 angefertigten Schienen und denen aus hei\u00c3\u0178 verformbaren Material hergestellten gibt. 198 Patienten (Alter 51+\/- 12 Jahre, Body-Mass-Index 26+\/-3 kg\/m\u00c2\u00b2, Apnoe-Hypopnoe-Index 27+\/-10\/h) erhielten entweder (n=100) eine hei\u00c3\u0178-geformte Schiene oder […]<\/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-478","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":"Bislang werden Unterkieferprotrusionsschienen entsprechend den Empfehlungen der Fachgesellschaften nach Ma\u00c3\u0178 angefertigt. In einer Arbeitsgruppe in Frankreich wurde untersucht, ob es Unterschiede in der Wirksamkeit zwischen nach Ma\u00c3\u0178 angefertigten Schienen und denen aus hei\u00c3\u0178 verformbaren Material hergestellten gibt. 198 Patienten (Alter 51+\/- 12 Jahre, Body-Mass-Index 26+\/-3 kg\/m\u00c2\u00b2, Apnoe-Hypopnoe-Index 27+\/-10\/h) erhielten entweder (n=100) eine hei\u00c3\u0178-geformte Schiene oder…","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/478","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=478"}],"version-history":[{"count":0,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/478\/revisions"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=478"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=478"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=478"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}