Long-term therapeutic efficacy of oral appliances in treatment of obstructive sleep apnea-hypopnea syndrome

Xu, Gaoqiang; Zhang, Jingjing; Zhao, Ying; Gao, Xuemei

doi:10.2319/060412-463.1

Cited by 34 publications

(25 citation statements)

References 21 publications

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“…Some previous studies have reported that subjective feelings of bite changes decrease over time [6,9], while the degree of objectively assessed bite changes increases [1][2][3][4][5][6][7][8][9][10][11][12]16]. The patients included in the present study had used oral appliances for at least 3 years.…”

Section: Discussionmentioning

confidence: 98%

“…Previous studies have used questionnaires where patients respond directly on paper [3][4][5][6][7][8][9][10][11][12] or in telephone interviews. It is not known whether the responses to the paper questionnaire were made totally beforehand, without any involvement on the part of the researchers, or were in some way influenced by the professional team.…”

Section: Discussionmentioning

confidence: 99%

“…Occlusal changes are common during long-term treatment with oral appliances (OAs) for sleep apnea [1,2], but patients more seldom complain of any dental side effects [3][4][5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…Patients less frequently report occlusal changes than objective findings reveal according to studies that have included both objective and subjective assessments [3][4][5][6][7][8][9][10][11][12]. Between 2% and 45% of patients report occlusal changes after 1 to 6 years, despite the fact that all the studies have found significant reductions in overjet and overbite [3][4][5][6][7][8][9][10][11][12]. Up to 86% of the patients have been seen to develop objectively measured occlusal changes after 5 years' treatment, according to another study [14].…”

Section: Introductionmentioning

confidence: 99%

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Subjective versus objective dental side effects from oral sleep apnea appliances

Marklund

2019

Sleep Breath

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Purpose Occlusal changes are common during long-term treatment with oral appliances (OAs) for sleep apnea. The aim of the present study was to compare subjectively reported bite changes with objective findings. Methods Consecutive adherent treated patients were asked to participate in this study. The patients responded to two questionnaires using numeric visual analogue scales (VAS), ranging from 0 (not at all) to 10 (very much). The first questionnaire included open questions and the second questionnaire comprised specific questions about side effects. Measurements of overjet, overbite, and space for the teeth were made on plaster casts taken before treatment start and at follow-up. Results Thirty-eight (12 women) patients with a median age of 64 years (interquartile range (IQR) 57 to 69 years) and a median treatment time of 9.5 years (IQR 5.8 to 14.3 years) were included. Overjet, overbite, the molar relationship, and the irregularity of the lower front teeth had changed significantly during treatment. There were no associations between any of the patients' responses and the objectively measured bite changes. Younger patients, those with a small baseline overjet or overbite and those who developed an anterior crossbite were more likely to report bite changes. Conclusions Patients who choose to continue long-term treatment with oral appliances for sleep apnea are unaware of various types of bite changes. Such changes will, however, progressively increase in magnitude and be more difficult to take care of, if needed. It is therefore important continuously to follow up patients in regard to bite changes.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Subjective versus objective dental side effects from oral sleep apnea appliances

Marklund

2019

Sleep Breath

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“…Palatal length decreases and pharyngeal area increases in time. These changes can be due to the loss of edema caused by snoring and repetitive apneas [10,[32][33][34][35][36][37][38].…”

mentioning

confidence: 99%

Contemporary Treatment Approaches to Obstructive Sleep Apnea Syndrome

Oğuz¹

2019

Current Approaches in Orthodontics

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Upper airway diseases decrease sleep time and/or quality, which leads to excessive day time sleepiness, fatigue, and lack of concentration. Upper airway diseases can be classified into two groups: upper airway resistance syndrome and sleep apnea syndrome. Sleep apnea syndrome is a disease, which occurs during sleeping, characterized by apneic and hypopneic events, low oxygen levels in lungs, blood oxygen desaturation, sleep arousal, and/or awakening. It increases morbidity and mortality of the patients. Sleep apnea syndrome has three types: central, mixed, and obstructive. Central and mixed apnea can be treated only by medical practitioners. But in the treatment of obstructive sleep apnea, orthodontists and maxillofacial surgeons have an important role. The aim of this chapter is to present current information about etiology, diagnostic tools, and treatment alternatives of obstructive sleep apnea and to introduce dental sleep medicine to orthodontists.

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Oral Appliance Therapy

Marklund

2021

Management of Obstructive Sleep Apnea

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Long-term therapeutic efficacy of oral appliances in treatment of obstructive sleep apnea-hypopnea syndrome

Abstract: OAs provided effective and safe long-term therapy for patients with OSAHS. Follow-up supervision is recommended since long-term alterations take place, although these appear to be minimal.

Cited by 34 publications

References 21 publications

Subjective versus objective dental side effects from oral sleep apnea appliances

Subjective versus objective dental side effects from oral sleep apnea appliances

Contemporary Treatment Approaches to Obstructive Sleep Apnea Syndrome

Oral Appliance Therapy

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