Objective. Prolonged use of oral devices as a substitute for traditional treatments has been studied in relation to the dental and skeletal changes associated with obstructive sleep apnea syndrome (OSA), which is a sleep-breathing disorder. Materials and Methods. A review of articles indexed in PubMed, Google Scholar, Cochrane Library, Scopus, Web of Sciences, and CINHAL databases in September 2022 based on MeSH-based keywords with “dental and skeletal” and “oral appliance” and “obstructive sleep apnea” was examined to ensure that the keywords alone or cross-linked, depending on which base of the searched data, were used. 16 articles out of 289 articles were included in the research, and 273 articles were excluded due to lack of study. Conclusions. CPAP treatment has limited dental or skeletal effects in short-term or long-term use. OAs and MADs show significant dental changes with prolonged use. MAS and TSD are more effective in short-term goals than CPAP. OAs’ increase may cause dental and skeletal changes. MPD shows notable cephalometric alterations.

中文翻译：

---

阻塞性睡眠呼吸暂停 (OSA) 患者长期使用持续气道正压通气 (CPAP) 和口内矫治器引起的口腔改变的系统评价

客观的。长期使用口腔装置作为传统治疗的替代品已经被研究与阻塞性睡眠呼吸暂停综合征（OSA）（一种睡眠呼吸障碍）相关的牙齿和骨骼变化的关系。材料和方法。对 2022 年 9 月 PubMed、Google Scholar、Cochrane Library、Scopus、Web of Sciences 和 CINHAL 数据库中索引的文章进行了审查，基于基于 MeSH 的关键词“牙科和骨骼”、“口腔矫治器”和“阻塞性睡眠呼吸暂停”检查以确保使用单独的关键字或交叉链接的关键字，具体取决于搜索数据的基础。289 篇文章中有 16 篇纳入研究，273 篇文章因缺乏研究而被排除。结论。短期或长期使用 CPAP 治疗对牙齿或骨骼的影响有限。OA 和 MAD 会随着长期使用而出现显着的牙齿变化。MAS 和 TSD 在实现短期目标方面比 CPAP 更有效。骨关节炎的增加可能会导致牙齿和骨骼的变化。MPD 显示显着的头影测量改变。