MULTIDISCIPLINARY ENT-ORTHODONTIC TREATMENT IN A HYPERTENSIVE PATIENT AFFECTED BY SEVERE OSAS

Abstract

A 54-year-old man affected by hypertension and severe Obstructive Sleep Apnea (OSAS), 31.2 AHI, 78% nadir, came for an orthodontic evaluation after inferior turbinate surgery and Drug Induced Sleep Endoscopy (DISE) that evaluated a III degree anterior-posterior collapse in the oropharynx and IV degree in the hypopharynx. Orthodontic treatment consisted in a mandibular advancement device (Somnodent Flex) and vertical elastics (3/16’’, 2oz). The post-treatment polysomnography revealed a 0.9 AHI and no episodes of oxygen desaturation lower than 90%.