Patients' and sleeping partners' experience of treatment for sleep-related breathing disorders with a mandibular repositioning splint

Bates, Claire; McDonald, James

doi:10.1038/sj.bdj.4813149

Cited by 15 publications

(12 citation statements)

References 17 publications

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“…Recently, appliances which allow the patient to control the advancement themselves have been used. 10,11 Previous research by Johnston 6 and Bates 8 has shown success rates of 76-84% and 70% respectively, using a monobloc design in non-apnoeic snorers. Recently, research in this area has taken into account the effects of the snoring on the patient's sleeping partner.…”

Section: N B R I E F Researchmentioning

confidence: 99%

“…It has previously been shown that the use of these appliances provide a signifi cant improvement on the partner's sleep pattern. 6,8,12,13 Assessment of success utilising partners' views is a relatively new, but an important aspect in the provision of care. Bates and McDonald 8 have previously assessed sleeping partners with a specifi cally designed questionnaire.…”

Section: N B R I E F Researchmentioning

confidence: 99%

“…6,8,12,13 Assessment of success utilising partners' views is a relatively new, but an important aspect in the provision of care. Bates and McDonald 8 have previously assessed sleeping partners with a specifi cally designed questionnaire. They assessed 121 patients and their partners with a range of sleep-related breathing disorders, three months after provision of a MAA.…”

Section: N B R I E F Researchmentioning

confidence: 99%

“…Studies have shown a good response to the reduction in snoring with such appliances. [6][7][8] Various designs of appliance have been used in previous studies. These include vacuum formed monobloc bilaminate appliances and two piece interlocking appliances, for example the Herbst appliance.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Are general dental practitioners effective in the management of non-apnoeic snoring using mandibular advancement appliances?

et al. 2009

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Section: N B R I E F Researchmentioning

confidence: 99%

Section: N B R I E F Researchmentioning

confidence: 99%

Section: N B R I E F Researchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Are general dental practitioners effective in the management of non-apnoeic snoring using mandibular advancement appliances?

et al. 2009

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“…Another study of OA treatment among 121 patients with OSA found 64% of partners to report improvement in their sleep after 3 mo of treatment. 29 Among 62 partners who share a bedroom with patients with OSA treated with an OA, more than half reported improvements in their general well-being, mental energy, and sleep quality and less daytime sleepiness and disturbed sleep after 1 y of treatment. 30 In a comparative study of two OAs, 94% of partners (n = 16) reported improved sleep quality, quality of life, and personal relationship with the patient at 3-mo followup and these improvements were maintained at 2.5-to 4.5-y follow-up (n = 14).…”

Section: Oral Appliancesmentioning

confidence: 99%

Impact of Obstructive Sleep Apnea and Its Treatments on Partners: A Literature Review

Luyster

2017

Journal of Clinical Sleep Medicine

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Study Objectives: Many adults sleep with a significant other; thus, sleep disorder symptoms and treatments of one partner are likely to impact the other partner's health. A literature review was conducted to examine the impact of obstructive sleep apnea (OSA) and OSA treatments on partner-assessed sleep and daytime functioning and partner involvement in OSA treatment. Methods: MEDLINE, EMBASE, and CINAHL searches yielded 38 pertinent quantitative and qualitative studies that described sleep and/or daytime functioning assessed in partners of patients with untreated OSA, sleep and/or daytime functioning assessed in partners who were referred for OSA treatment, including continuous positive airway pressure (CPAP) therapy, oral appliance (OA), or surgery, and/or associations between partner involvement and OSA treatment use. Results:The majority of studies found untreated OSA to have a negative impact on partners' objective and subjective sleep and daytime functioning, in particular mood, quality of life, and relationship quality. Improvements in partner-assessed sleep quality were reported for CPAP, OA, and surgery. Conflicting results were reported for partners' mood, quality of life, daytime sleepiness, and relationship quality. Perceived partner support was associated with greater CPAP use. Conclusions: Symptoms associated with OSA can negatively impact partners' sleep and daytime functioning. Treatment of OSA with CPAP, OA, or surgery can have health benefits for not only patients but also partners. Collaborative partner involvement may be a useful strategy for interventions promoting CPAP adherence. Keywords: continuous positive airway pressure, obstructive sleep apnea, oral appliance, partner, spouse Citation: Luyster FS. Impact of obstructive sleep apnea and its treatments on partners: a literature review.

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Review of oral appliances for treatment of sleep-disordered breathing

2006

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Between 1982 and 2006, there were 89 distinct publications dealing with oral appliance therapy involving a total of 3,027 patients, which reported results of sleep studies performed with and without the appliance. These studies, which constitute a very heterogeneous group in terms of methodology and patient population, are reviewed and the results summarized. This review focused on the following outcomes: sleep apnea (i.e. reduction in the apnea/hypopnea index or respiratory disturbance index), ability of oral appliances to reduce snoring, effect of oral appliances on daytime function, comparison of oral appliances with other treatments (continuous positive airway pressure and surgery), side effects, dental changes (overbite and overjet), and long-term compliance. We found that the success rate, defined as the ability of the oral appliances to reduce apnea/hypopnea index to less than 10, is 54%. The response rate, defined as at least 50% reduction in the initial apnea/ hypopnea index (although it still remained above 10), is 21%. When only the results of randomized, crossover, placebo-controlled studies are considered, the success and response rates are 50% and 14%, respectively. Snoring was reduced by 45%. In the studies comparing oral appliances to continuous positive airway pressure (CPAP) or to uvulopalatopharyngoplasty (UPPP), an appliance reduced initial AHI by 42%, CPAP reduced it by 75%, and UPPP by 30%. The majority of patients prefer using oral appliance than CPAP. Use of oral appliances improves daytime function somewhat; the Epworth sleepiness score (ESS) dropped from 11.2 to 7.8 in 854 patients. A summary of the follow-up compliance data shows that at 30 months, 56-68% of patients continue to use oral appliance. Side effects are relatively minor but frequent. The most common ones are excessive salivation and teeth discomfort. Efficacy and side effects depend on the type of appliance, degree of protrusion, vertical opening, and other settings. We conclude that oral appliances, although not as effective as CPAP in reducing sleep apnea, snoring, and improving daytime function, have a definite role in the treatment of snoring and sleep apnea.

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Patients' and sleeping partners' experience of treatment for sleep-related breathing disorders with a mandibular repositioning splint

Cited by 15 publications

References 17 publications

Are general dental practitioners effective in the management of non-apnoeic snoring using mandibular advancement appliances?

Are general dental practitioners effective in the management of non-apnoeic snoring using mandibular advancement appliances?

Impact of Obstructive Sleep Apnea and Its Treatments on Partners: A Literature Review

Review of oral appliances for treatment of sleep-disordered breathing

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