The Unterkieferprotrusionsschienen

The CPAP application is currently the treatment of choice for the treatment of moderate to severe OSAS. The time that the patient CPAP is used in the CPAP equipment registered. Unfortunately, the requisite of a CPAP application is greatly reduced and many patients looking for an alternative method of treatment (6). Almost parallel to the CPAP development an intraoral adapted Zungenretainer was presented by Mrs Cartwright. This shifted the tongue in his sleep to the anterior and opened the pharyngeal airspace. The tongue is held through a vacuum bellows anterior in the night. A year later, Meyer-Ewert examined the effect a mandibular protrusion to the treatment of OSAS.

This was only a mono-block, the so-called Esmarch orthosis, Methymethacrylat without any dental retention. Meyer-Ewert demonstrated that patients with OSAS by a mandibular movement experienced a subjective and clinically verifiable improvement of the overall situation (7). He revived the applied practice with this track, to deal with the snoring through a manipulation of the jaw (8). The Unterkieferprotrusionsschienen have been modified since then varied. There were earlier Mono block apparatus made of hard plastic or modified function orthodontic appliances, such as modified activators, Bionators or Frankel appliances, modern home consist of two tracks, each spanning the entire arch and ensure the necessary lower feed with a Protrusionsvorrichtung. The rails are made of continuous stable rigid soft composite materials.

New information about the adjustment of the Rails, the dental side effects, the Therapiecompliance and the effectiveness the dental resource of for respiratory and cardiovascular control parameters were collected. In addition to the non-invasive therapies, invasive procedures have established themselves, carried pages of ENT doctors (9) and (10) Jaw surgery. The indications were specified for the individual therapies, these modelled according to the severity of the disease, Comorbidities, the psychological strain, the anatomical conditions and various individual parameters which are specifically required by the individual operational forms of therapy.