The challenges of advancing the evidence for the long-term effectiveness of oral appliance therapy for sleep apnea

Vanderveken, Olivier M.

doi:10.1016/j.sleep.2015.08.011

Sleep Medicine

2016

DOI: 10.1016/j.sleep.2015.08.011

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The challenges of advancing the evidence for the long-term effectiveness of oral appliance therapy for sleep apnea

Olivier M. Vanderveken

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Cited by 3 publications

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References 30 publications

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“…[9][10][11] Nonetheless, such studies would require robust selection protocols to increase effectiveness in predicting treatment response of OAT. 12,13 Newer OAT devices are designed with more than control of disease in mind. Issues of materials, engineering, cost and COMMENTARY More Than the Trajectory of the Teeth, We Need to Know About the Treatment Trajectory of Patients work-flow come into play.…”

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confidence: 99%

More Than the Trajectory of the Teeth, We Need to Know About the Treatment Trajectory of Patients

Baltzan

Rizzo

2018

Journal of Clinical Sleep Medicine

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confidence: 99%

More Than the Trajectory of the Teeth, We Need to Know About the Treatment Trajectory of Patients

Baltzan

Rizzo

2018

Journal of Clinical Sleep Medicine

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Research Progress on Risk Factors and Different Treatment Methods of OSAHS in Adults

张

2023

ACM

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Temporomandibular Disorders in Patients Undergoing Mandibular Advancement Device Therapy for Obstructive Sleep Apnea: A Systematic Review

Nguyen¹,

Balasubramaniam²

2016

AJOM

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Background: Mandibular advancement device (MAD) therapy is a popular and effective treatment for snoring and obstructive sleep apnea (OSA). However, there have been several reports in the literature of patients developing temporomandibular disorders (TMDs). Objective: The objective of this review is to evaluate the prevalence of TMD, both in the initial phase of therapy and at follow up appointments, amongst patients wearing a MAD for OSA. Methods: The authors conducted a systematic review of published articles in which the presence of TMDs in patients undergoing MAD therapy for OSA was investigated. Eligible studies met the following criteria: a diagnosis of TMD following mandibular advancement using a custom-made and titratable MAD using either the Diagnostic Criteria for TMD (DC/TMD), Helkimo Anamnestic Dysfunction Index or reproducible clinical signs/symptoms. Results: The average prevalence of TMD during the initial phase of MAD therapy was found to be 25%. The prevalence of TMD reduced in the follow up periods. The adherence to MAD, especially long term, appears to be variable and from our results, it appears an average of 20% of patients discontinue MAD therapy over six to one hundred and twenty months, and this number has been reported to be as high as 62.5%. Conclusions: There was some difficulty in comparing the studies due to the differences in follow up time, methodology, sample size and diagnostic criteria. Longer clinical follow-up studies, with an objective method of monitoring patient adherence and with a larger sample size are needed to evaluate the long-term effects of MADs

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The challenges of advancing the evidence for the long-term effectiveness of oral appliance therapy for sleep apnea

Cited by 3 publications

References 30 publications

More Than the Trajectory of the Teeth, We Need to Know About the Treatment Trajectory of Patients

More Than the Trajectory of the Teeth, We Need to Know About the Treatment Trajectory of Patients

Research Progress on Risk Factors and Different Treatment Methods of OSAHS in Adults

Temporomandibular Disorders in Patients Undergoing Mandibular Advancement Device Therapy for Obstructive Sleep Apnea: A Systematic Review

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