[논문]수면호흡장애 어린이의 근기능 장치 효과 증례 보고

심호진; 정태성; 김신; 김지연

doi:10.5933/jkapd.2019.46.1.119

[국내논문] 수면호흡장애 어린이의 근기능 장치 효과 증례 보고
Effects of Myofunctional Appliance in Children with Sleep-Disordered Breathing: Two Case Reports 원문보기

大韓小兒齒科學會誌 = Journal of the Korean academy of pediatric dentistry, v.46 no.1, 2019년, pp.119 - 126

심호진 (부산대학교 치과대학 소아치과학교실) , 정태성 (부산대학교 치과대학 소아치과학교실) , 김신 (부산대학교 치과대학 소아치과학교실) , 김지연 (부산대학교 치과대학 소아치과학교실)

초록
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수면호흡장애는 구강악안면 근육 기능부전을 유발하여 안모의 형태이상 및 부정교합을 유발할 수 있다. 소아치과 영역에서 수면호흡장애의 조기 진단과 치료는 이러한 합병증을 차단하여 정상적인 안모 성장을 유지할 수 있다는 점에서 중요하다. 수면호흡장애의 치료법 중에 하나로 근기능요법이 있으며 기성 근기능 장치가 보조적으로 사용될 수 있다. 본 증례들에서는 수면호흡장애가 있는 부정교합 환자들에게 기성 근기능 장치를 사용하여 수면호흡장애를 해소하는 결과를 얻었기에 보고하는 바이다. 하지만 총생의 개선 효과는 그 정도에 따라 차이가 발생할 수 있으므로 이에 대한 한계점은 고려할 필요가 있다.

Abstract ▼ AI-Helper

Sleep-disordered breathing (SDB) induces dysfunction of the orofacial muscles, leading to morphologic alteration of the face and dental malalignment. Early diagnosis and treatment of SDB is required in pediatric patients to ensure normal facial growth. Myofunctional therapy (MFT) is a modality for the treatment of SDB and prefabricated appliances can be used. Herein 2 cases of malocclusion with SDB, in which MFT with a prefabricated appliance was used for orthodontic treatment, have been described. SDB was diagnosed based on clinical symptoms taken by interview and home respiratory polygraphy. In both cases, SDB was improved using prefabricated appliance for MFT. However, resolution of crowding depended on the degree of crowding.

Keyword

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제안 방법

In the cases described herein, the primary aims were to improve myofunctional disharmony, SDB, and malocclusion. In such cases, continuous motivation is required during the treatment process because a high level of compliance is key to the success of MFT.

대상 데이터

A 7-year-old girl visited the pediatric dentistry department with the chief complaint of anterior teeth crowding. Body mass index (BMI) was in the 10th percentile, corresponding to normal obesity, with a calculated BMI of 14.
A 7-year-old girl presented at the pediatric dentistry department for the treatment of upper incisor crowding, bruxism, and chewing problem. BMI was in the 50th percentile, corresponding to normal obesity, with a calculated BMI of 15.

성능/효과

After 6 months of treatment, U1 to SN reduced from 110.2° to 101.1° and an IMPA increased from 94.4° to 96.8° (Fig. 2, Table 1).
After 6 months of treatment, there was an increase in the APDI from 73.3° to 77.5°, which is within the normal range (Fig. 5, Table 2).
1 mm in the mandible. AHI had decreased from 1.8 to 1.0 after 6 months of treatment, and average SpO₂ had increased from 96.2% to 97.3%. Mouth breathing reverted to nasal breathing, and nocturnal bruxism had disappeared according to an interview with the patient’s mother.

후속연구

However, the treatment period was relatively short in both cases. Further research is required to determine the longterm cephalometric results of such treatment.

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