Efficacy and safety of temperature data loggers in measuring compliance with the use of oral appliances

Inoko, Yoshimi; Yoshimura, Ken; Kato, Chikage; Morita, Osami; Kohno, Masaki

doi:10.1111/j.1479-8425.2009.00402.x

Cited by 21 publications

(19 citation statements)

References 19 publications

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“…Inoko et al reported on the assessment of the cytotoxicity of a temperature data logger in six OSA patients during 1 month 26. In this study, the surface of the temperature data logger was coated with a temporary sealing material to prevent contact with oral mucosa 26.…”

Section: Discussionmentioning

confidence: 99%

Objective measurement of compliance during oral appliance therapy for sleep-disordered breathing

Vanderveken¹,

Dieltjens²,

Wouters³

et al. 2012

Thorax

216

174

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BackgroundOral appliance (OA) therapy is increasingly prescribed as a non-continuous positive airway pressure treatment modality for sleep-disordered breathing (SDB). Although OA therapy is reported to be efficacious for the treatment of SDB, data on compliance remain limited to self-report.MethodsIn this 3-month prospective clinical trial, the main outcome was to assess the safety and feasibility of an objective measurement of compliance during OA therapy using an embedded microsensor thermometer with on-chip integrated readout electronics in 51 consecutive patients with an established diagnosis of SDB (AHI 18.0±11.9/h; age 47±10 y; BMI 26.6±4.0 kg/m2; men/women: 31/20). Patients were unaware of the purpose of the study.ResultsNo microsensor-related adverse events were recorded. In addition, no problems were encountered during the readout of the compliance data. Out of 51 microsensors, one had a technical defect and was lost to follow-up. In this study, the overall objective mean rate of OA use was 6.6±1.3 h per day with a regular OA users’ rate of 82% at the 3-month follow-up. Statistical analysis revealed no significant differences between objective and self-reported OA compliance data in this study.Measurement of the objective OA compliance allowed us to calculate the mean disease alleviation (MDA) as the product of objective compliance and therapeutic efficacy. MDA serves as a measure of the overall therapeutic effectiveness, and turned out to be 51.1%.ConclusionsThe results illustrate the safety and feasibility of objective measurement of OA compliance. The objective measurement of OA compliance allows for calculation of the MDA.

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Section: Discussionmentioning

confidence: 99%

Objective measurement of compliance during oral appliance therapy for sleep-disordered breathing

Vanderveken¹,

Dieltjens²,

Wouters³

et al. 2012

Thorax

216

174

View full text Add to dashboard Cite

show abstract

“…Most of these depend on intraoral temperature sensors, and technology has advanced to reduce sensor dimensions and increase storage capacity. 70,71 Recently, thermal microsensors with good storage and readout capability have become commercially available. [72][73][74] The thermal microsensor chip is embedded into MAS, and the temperature readings are used to obtain an objective measure of hours of MAS usage.…”

Section: Preference and Adherence To Mandibular Advancement Splintsmentioning

confidence: 99%

Mandibular Advancement Splints

Bamagoos

Sutherland

Cistulli

2016

Sleep Medicine Clinics

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“…Lowe and colleagues assessed an intra-oral temperature sensor for objective measurement of OA m adherence in a study of 8 OSA patients 104 ; however, this device was never commercially available. Subsequently, a commercially available temperature data logger was reported in terms of safety 105 and used to obtain objective data on OA m treatment adherence in 7 patients. 106 However the dimensions and storage capacity of this particular temperature data logger were found to be problematic.…”

Section: Adherence Monitoring Technologymentioning

confidence: 99%

Oral appliance treatment of obstructive sleep apnea: an update

Chan

Cistulli

2009

Current Opinion in Pulmonary Medicine

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Oral appliances (OA) have emerged as an alternative to continuous positive airway pressure (CPAP) for obstructive sleep apnea (OSA) treatment. The most commonly used OA reduces upper airway collapse by advancing the mandible (OA m ). There is a strong evidence base demonstrating OA m improve OSA in the majority of patients, including some with more severe disease. However OA m are not effi cacious for all, with approximately one-third of patients experiencing no therapeutic benefi t. OA m are generally well tolerated, although short-term adverse effects during acclimatization are common. Long-term dental changes do occur, but these are for the most part subclinical and do not preclude continued use. Patients often prefer OA m to gold-standard CPAP treatment. Head-to-head trials confi rm CPAP is superior in reducing OSA parameters on polysomnography; however, this greater effi cacy does not necessarily translate into better health outcomes in clinical practice. O bstructive sleep apnea (OSA) is a common sleep disorder characterized by recurring collapse of the upper airway during sleep, resulting in sleep fragmentation and oxygen desaturation. OSA is defi ned as the occurrence of 5 or more episodes of complete (apnea) or partial (hypopnea) upper airway obstruction per hour of sleep (apnea-hypopnea index [AHI]) and is estimated to occur in around 24% of middleaged men and 9% of women.1 Daytime symptoms such as sleepiness, cognitive impairment, and effects on quality of life require appropriate treatment. Furthermore the association of OSA with increased risk of motor vehicle accidents, cardiovascular morbidity, and all-cause mortality emphasize the need for effective long-term treatment. 2,3The gold standard treatment for OSA is to pneumatically splint open the upper airway during sleep using continuous positive airway pressure (CPAP). Although CPAP is highly effi cacious in preventing upper airway collapse, patient acceptance, tolerance, and adherence is often low, thereby reducing effectiveness. 4 Hence, there is a major need for effective alternative treatments.

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Efficacy and safety of temperature data loggers in measuring compliance with the use of oral appliances

Cited by 21 publications

References 19 publications

Objective measurement of compliance during oral appliance therapy for sleep-disordered breathing

Objective measurement of compliance during oral appliance therapy for sleep-disordered breathing

Mandibular Advancement Splints

Oral appliance treatment of obstructive sleep apnea: an update

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