Craniofacial morphologic predictors of oral appliance outcomes in patients with obstructive sleep apnea

Shen, Hsin-Lan; Wen, Yu-Wen; Chen, Ning‐Hung; Liao, Yu‐Fang

doi:10.14219/jada.archive.2012.0066

Cited by 38 publications

(47 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Of the 13 studies included in the review, all except one 16 had a retrospective design with a single observation point to assess treatment effectiveness. The study duration was specified in only 3 papers, adopting a 6-months, 6-to 12-week, and 6-to 8-week follow-up, respectively.…”

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

“…The study duration was specified in only 3 papers, adopting a 6-months, 6-to 12-week, and 6-to 8-week follow-up, respectively. [17][18][19] Three of the studies 16,20,21 specified that participants underwent an accommodation period of 6-8 weeks to adapt to the device. The sample sizes varied considerably from 9 to 89 subjects, with an average of 39 participants per study.…”

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

“…In accordance with the criteria for inclusion in the review, the diagnosis of OSA was based on baseline PSG recordings, even if the diagnostic cutoffs were set at different thresholds: for example, 2 studies 22,23 recruited patients with an apnea-hypopnea index (AHI) > 15/h, while 5 other studies recruited patients with an AHI > 10/h. 13,16,[19][20][21] In another study, 17 OSA was diagnosed based on a respiratory disturbance index (RDI) > 10/h plus an apnea index (AI) > 5/h. Patients taking part in another study 26 had a supine AHI/h ≥ 10 and a lateral AHI/h < 10.…”

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

“…The 3 studies classifying the severity of OSA based on AHI adopted different thresholds to identify mild, moderate, and severe OSA patients. 16,19,24 As for cephalometric analysis, it was performed at baseline, based on latero-lateral teleradiography, in all 13 studies, with the addition of dental impressions in one article. 20 Importantly, the parameters that were measured with cephalometry as well as the software that was used to identify the reference points for cephalometry varied widely among studies.…”

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

“…All the studies described results in terms of the average AHI/AI/RDI values, except for one study 26 reporting the median values. Based on treatment outcome, patients were classified as complete responders, partial responders, or non-responders in 2 studies, 20,22 while in 5 studies 13,16,21,23,25 the participants were simply divided in responders and non-responders.…”

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

See 4 more Smart Citations

Anatomically Based Outcome Predictors of Treatment for Obstructive Sleep Apnea with Intraoral Splint Devices: A Systematic Review of Cephalometric Studies

Guarda-Nardini

Manfredini

Mion

et al. 2015

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

Aims:The aim of this review is to summarize data from the literature on the predictive value of anatomy-based parameters, as identifi ed by cephalometry, for the effi cacy of mandibular advancement devices (MAD) for the treatment of obstructive sleep apnea (OSA). Methods: Articles were initially selected based on their titles or abstracts. Full articles were then retrieved and further scrutinized according to predetermined criteria. Reference lists of selected articles were searched for any missed publications. The selected articles were methodologically evaluated. Results: Of an initial 311 references, 13 were selected that assessed correlations between polysomnographic and cephalometric variables. The majority of studies demonstrated a correlation between treatment effectiveness and features as determined by cephalometric analysis, such as the mandibular plane angle, hyoid bone distance to mandible, antero-posterior diameter of the maxilla, tongue area, cranial base, and soft palate. Conclusions:The mandibular plane angle and the distance between hyoid bone and mandibular plane was found to have a predictive value for MAD effectiveness in OSA patients. However, the relative weak and somewhat inconsistent cephalometric data suggest that decisions based solely on these factors cannot be recommended, especially because an integrated analysis of other risk factors (e.g., age, sex, BMI) should also be taken into account.

show abstract

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

Section: Overview Of Study Design Diagnosis Of Osa and Outcome Measmentioning

confidence: 99%

See 3 more Smart Citations

Anatomically Based Outcome Predictors of Treatment for Obstructive Sleep Apnea with Intraoral Splint Devices: A Systematic Review of Cephalometric Studies

Guarda-Nardini

Manfredini

Mion

et al. 2015

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

show abstract

Obstructive sleep apnea treatment in adults

Chang

Chen

2019

The Kaohsiung J of Med Scie

View full text Add to dashboard Cite

Sleep‐related breathing disorders are complex problems that decrease quality of life and increase morbidity and mortality in patients. Comprehensive evaluation is essential for selecting and planning obstructive sleep apnea (OSA) treatments. However, the many proposed OSA treatments are rarely compared in the literature. The literature on OSA consists largely of case series studies, and the paucity of controlled studies makes comparisons of OSA treatments difficult. This article provides a brief overview of the most common OSA interventions. Because of the controversies and unanswered questions about OSA treatments, further studies are needed to define what treatments are best for specific OSA patients.

show abstract