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Immune function in Japanese schoolchildren with sleep-disordered breathing: a preliminary study with analyses of salivary markers

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Open Journal of Stomatology 2011年第4期1卷 150-157页

作者： Hiroshi Ueda atsushi horihata Eka Matsumoto Genki Watanabe Myongsun Koh Kotaro Tanimoto Kazuo Tanne 不详

The aim of this study was to assess the prevalence of sleep-disordered breathing (SDB) symptoms among primary schoolchildren, and to objectively determine the influence of SDB on the intra-oral environment through the analysis of saliva. A questionnaire survey was conducted among approximately 400 children from a primary school in Hiroshima. Parents were asked to complete the questionnaire and provide their contact information if they allowed the collection of saliva samples from their children. Thirty-eight chil- dren agreed to participate in the saliva study. Habit- ual snoring and cessation of breathing during sleep were found in approximately 8% and 1% of children, respectively. The present results showed significant correlations between snoring and mouth breathing. A significant association between excessive daytime sle- epiness (EDS) and learning problems was found. Fur- thermore, among children between the ages of 7 and 12 years, those with EDS and learning problems tended to be older. SDB symptom scores were statisti- cally significant only in relation to EDS. The present study also demonstrated significantly higher levels of salivary IgA and cortisol in children with sleep-re- lated disorders. The present study determined the pre- valence and characteristics of SDB among Japanese primary schoolchildren and their effects on the oral environment. Approximately 8% of primary school- children with habitual snoring might need to be care- fully monitored for SDB symptoms and immune sta- tus to ensure proper psychological and physical deve- lopment.

关键词： Schoolchildren Sleep-Disordered Breathing Symptoms Immune Function Salivary Markers

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A simplified two-piece mandibular advancement appliance for obstructive sleep apnea

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Open Journal of Stomatology 2011年第4期1卷 165-167页

作者： Hiroshi Ueda Masato Ueno Genki Watanabe atsushi horihata Teruaki Seo Kazuo Tanne 不详

Nowadays mandibular advancement appliances (MA- As) are available and distributed widely in the field of dentistry for the treatment of snoring and ob- structtive sleep apnea (OSA). However, a few stud- ies discussed temporomandibular joint (TMJ) discom- fort and masticatory muscle stiffness during wearing MAAs are found. A new appliance that we introduced in this pilot study has shown significant jaw move- ment and could diminish TMJ and masticatory side effects.

关键词： Obstructive Sleep Apnea Snoring Mandi- bular Advancement Appliances Jaw Movement Masticatory Muscle Stiffness

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