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Diagnosis and treatment for obstructive sleep apnea: Fundamental and clinical knowledge in obstructive sleep apnea  Shuji Shigemoto, DDS, PhD, Yuko Shigeta,

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Presentation on theme: "Diagnosis and treatment for obstructive sleep apnea: Fundamental and clinical knowledge in obstructive sleep apnea  Shuji Shigemoto, DDS, PhD, Yuko Shigeta,"— Presentation transcript:

1 Diagnosis and treatment for obstructive sleep apnea: Fundamental and clinical knowledge in obstructive sleep apnea  Shuji Shigemoto, DDS, PhD, Yuko Shigeta, DDS, PhD, Jun Nejima, MD, PhD, Takumi Ogawa, DDS, PhD, Yoshizo Matsuka, DDS, PhD, Glenn T. Clark, DDS, MS  Journal of Prosthodontic Research  Volume 59, Issue 3, Pages (July 2015) DOI: /j.jpor Copyright © Terms and Conditions

2 Fig. 1 Stop-Bang Questionnaire (Left) and the Berlin Questionnaire (Right). Journal of Prosthodontic Research  , DOI: ( /j.jpor ) Copyright © Terms and Conditions

3 Fig. 2 An example of jaw movement and masseter muscle activity during sleep bruxism. (A) The upper two tracings show RMS EMG signals of the left and right masseter muscles (Mass), and the three lower tracings show the jaw positions at the incisal point in antero-posterior, left-right, and supero-inferior directions. The baselines in the jaw position represent the intercuspal position. (B) Three dimensional jaw movement trajectories during sleep bruxism. The bold jaw movement trajectories represent jaw positions during sleep bruxism with above 5% MVC. The strong masseter muscle activities are observed not only in the centric but also in the eccentric, unstable, jaw positions during sleep bruxism. Journal of Prosthodontic Research  , DOI: ( /j.jpor ) Copyright © Terms and Conditions

4 Fig. 3 An example of hypnogram and jaw positions during a full night's sleep. The upper tracing shows the sleep stage, and the three lower tracings show the jaw positions in antero-posterior, left-right, and supero-inferior directions. The baselines in the jaw position represent the intercuspal position. A common pattern of jaw movement during sleep was observed in all participants, which was characterized by a gradual opening and a quick closure of the jaw. Journal of Prosthodontic Research  , DOI: ( /j.jpor ) Copyright © Terms and Conditions

5 Fig. 4 Cephalometric image in a patient with OSA.
Journal of Prosthodontic Research  , DOI: ( /j.jpor ) Copyright © Terms and Conditions

6 Fig. 5 Points and lines of reference on the cephalometric image.
Journal of Prosthodontic Research  , DOI: ( /j.jpor ) Copyright © Terms and Conditions

7 Fig. 6 Relationship between cervical inclination, curvature and airway width. Journal of Prosthodontic Research  , DOI: ( /j.jpor ) Copyright © Terms and Conditions


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