Dr Masateru Miyoshi

ICCMO 22nd International Congress in India Abstract for oral presentation

Masateru Miyoshi,D.D.S.,MICCMO

Fukuoka Dental College, Fukuoka,Japan 1991-1997

Worked at a general dental office in Fukuoka,Japan 1997-2000

Director of Miyoshi Dental Office,Kumamoto,Japan since 2000

Member of ICCMO in 2009

Fellow of ICCMO in 2013

Instructor of MORITA neuromuscular occlusion seminar in Japan since 2015 Master of ICCMO in 2019

Lecturer on MORITA neuromuscular occlusion seminar in Japan since 2019

Poster presentation at the ICCMO 15th International Congress in Fukuoka, Japan, 2009

Poster presentation at the ICCMO 16th International Congress in Vancouver, Canada, 2011 Oral presentation at the ICCMO

17th International Congress in Munich, Germany, 2013

Poster presentation at the ICCMO 18th International Congress in Kyoto, Japan, 2015

Oral presentation at the ICCMO 19th International Congress in Buenos Aires , Argentina, 2017 Oral presentation at the ICCMO 20th International Congress in Moscow, Russia, 2019

Oral presentation at the ICCMO 21th International Congress web held in NY, United States, 2021

Member of The Institute for Oral Reconstruction

Member of The Academy of Clinical Dentistry

Member of The Japan Academy of Esthetic Dentistry

Member of The Japanese Society of Oral Implantology

Member of The Japan Society for Dental Anti-Aging

Abstract-

A Case Report Of Obstructive Sleep Apnea Patient With Severe Bruxism Treated With Orthosis Airway obstruction is one of the causes of sleep disordered breathing. Clinically, many patients who grind their teeth due to sleep disordered breathing have adverse effects on their teeth and temporomandibular joints. There are various types of oral appliances used to treat sleep disordered breathing ,obstructive sleep apnea, bruxism, and temporomandibular disorders. If the patient has a deviation of the mandible and symptoms of the temporomandibular joint, treat it with an orthosis made with a Neuromuscular Position. As a result, the mandibular position is stabilized, a stable position with less load on the temporomandibular joint is maintained, and the airway is expanded, which is expected to improve sleep disordered breathing. Therefore, this time, I will report that I have treated patients with sleep apnea syndrome (obstructive sleep apnea )using Orthosis and obtained good results. When a patient with teeth and temporomandibular joint symptoms was tested bruxism during sleep using an electromyograph, the frequency of clenching or grinding was found to be five times that of normal patients. I suspected sleep disordered breathing, and a 3D analysis of the upper airway of 3D X-ray revealed airway stenosis. Simplified polysomnography examination resulted in the diagnosis of moderate sleep apnea. Using K7 and Myomonitor to find the Neuromuscular Position and making Orthosis, we measured bruxism during sleep, and examined simplified polysomnography. Sleeping with orthosis enlarging airways resulted in a reduction in bruxism and decrease in Apnea Hypopnea Index.