Oral Appliance Treatment for Obstructive Sleep Apnea: An Update
Identifieur interne : 003660 ( Main/Exploration ); précédent : 003659; suivant : 003661Oral Appliance Treatment for Obstructive Sleep Apnea: An Update
Auteurs : Kate Sutherland [Australie] ; Olivier M. Vanderveken [Belgique] ; Hiroko Tsuda [Japon] ; Marie Marklund ; Frederic Gagnadoux [France] ; Clete A. Kushida [États-Unis] ; Peter A. Cistulli [Australie]Source :
- Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine [ 1550-9389 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- Continuous Positive Airway Pressure (methods), Continuous Positive Airway Pressure (statistics & numerical data), Humans, Mandibular Advancement (methods), Mandibular Advancement (statistics & numerical data), Patient Compliance (statistics & numerical data), Polysomnography (methods), Polysomnography (statistics & numerical data), Sleep Apnea, Obstructive (therapy), Treatment Outcome.
- MESH :
- methods : Continuous Positive Airway Pressure, Mandibular Advancement, Polysomnography.
- statistics & numerical data : Continuous Positive Airway Pressure, Mandibular Advancement, Patient Compliance, Polysomnography.
- therapy : Sleep Apnea, Obstructive.
- Humans, Treatment Outcome.
Abstract
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 (OAm). There is a strong evidence base demonstrating OAm improve OSA in the majority of patients, including some with more severe disease. However OAm are not efficacious for all, with approximately one-third of patients experiencing no therapeutic benefit. OAm 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 OAm to gold-standard CPAP treatment. Head-to-head trials confirm CPAP is superior in reducing OSA parameters on polysomnography; however, this greater efficacy does not necessarily translate into better health outcomes in clinical practice. Comparable effectiveness of OAm and CPAP has been attributed to higher reported nightly use of OAm, suggesting that inferiority in reducing apneic events may be counteracted by greater treatment adherence. Recently, significant advances in commercially available OAm technologies have been made. Remotely controlled mandibular positioners have the potential to identify treatment responders and the level of therapeutic advancement required in single night titration polysomnography. Objective monitoring of OAm adherence using small embedded temperature sensing data loggers is now available and will enhance clinical practice and research. These technologies will further enhance efficacy and effectiveness of OAm treatment for OSA.
Sutherland K; Vanderveken OM; Tsuda H; Marklund M; Gagnadoux F; Kushida CA; Cistulli PA; on behalf of the ORANGE-Registry. Oral appliance treatment for obstructive sleep apnea: an update.
Url:
DOI: 10.5664/jcsm.3460
PubMed: 24533007
PubMed Central: 3899326
Affiliations:
- Australie, Belgique, France, Japon, États-Unis
- Californie, Nouvelle-Galles du Sud, Pays de la Loire, Province d'Anvers, Région flamande
- Angers, Anvers, Sydney
- Université d'Anvers
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Le document en format XML
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Vanderveken</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Otolaryngology and Head and Neck Surgery, Antwerp University Hospital, Antwerp, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Otolaryngology and Head and Neck Surgery, Antwerp University Hospital, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="aff4">Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region>Région flamande</region><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation></author><author><name sortKey="Tsuda, Hiroko" sort="Tsuda, Hiroko" uniqKey="Tsuda H" first="Hiroko" last="Tsuda">Hiroko Tsuda</name><affiliation wicri:level="1"><nlm:aff id="aff5">General Oral Care, Kyushu University Hospital, Fukuoka, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>General Oral Care, Kyushu University Hospital, Fukuoka</wicri:regionArea><wicri:noRegion>Fukuoka</wicri:noRegion></affiliation></author><author><name sortKey="Marklund, Marie" sort="Marklund, Marie" uniqKey="Marklund M" first="Marie" last="Marklund">Marie Marklund</name><affiliation><nlm:aff id="aff6">Department of Orthodontics, Faculty of Medicine, Umea University, Umea Sweden</nlm:aff><wicri:noCountry code="subfield">Umea Sweden</wicri:noCountry></affiliation></author><author><name sortKey="Gagnadoux, Frederic" sort="Gagnadoux, Frederic" uniqKey="Gagnadoux F" first="Frederic" last="Gagnadoux">Frederic Gagnadoux</name><affiliation wicri:level="3"><nlm:aff id="aff7">LUNAM University, Angers, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>LUNAM University, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff8">Department of Respiratory Diseases, Angers University Hospital, Angers, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Respiratory Diseases, Angers University Hospital, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="aff9">INSERM U1063, Angers, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>INSERM U1063, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation></author><author><name sortKey="Kushida, Clete A" sort="Kushida, Clete A" uniqKey="Kushida C" first="Clete A." last="Kushida">Clete A. Kushida</name><affiliation wicri:level="2"><nlm:aff id="aff10">Stanford University, Stanford, CA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Stanford University, Stanford</wicri:cityArea></affiliation></author><author><name sortKey="Cistulli, Peter A" sort="Cistulli, Peter A" uniqKey="Cistulli P" first="Peter A." last="Cistulli">Peter A. Cistulli</name><affiliation wicri:level="1"><nlm:aff id="aff1">Centre for Sleep Health and Research, Department of Respiratory Medicine, Royal North Shore Hospital, St Leonards, Sydney, NSW, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Sleep Health and Research, Department of Respiratory Medicine, Royal North Shore Hospital, St Leonards, Sydney, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="aff2">NHMRC Centre for Integrated Research and Understanding of Sleep (CIRUS), University of Sydney and Woolcock Institute of Medical Research, Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>NHMRC Centre for Integrated Research and Understanding of Sleep (CIRUS), University of Sydney and Woolcock Institute of Medical Research, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine</title><idno type="ISSN">1550-9389</idno><idno type="eISSN">1550-9397</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Continuous Positive Airway Pressure (methods)</term><term>Continuous Positive Airway Pressure (statistics & numerical data)</term><term>Humans</term><term>Mandibular Advancement (methods)</term><term>Mandibular Advancement (statistics & numerical data)</term><term>Patient Compliance (statistics & numerical data)</term><term>Polysomnography (methods)</term><term>Polysomnography (statistics & numerical data)</term><term>Sleep Apnea, Obstructive (therapy)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Avancement mandibulaire ()</term><term>Humains</term><term>Observance thérapeutique ()</term><term>Polysomnographie ()</term><term>Résultat thérapeutique</term><term>Syndrome d'apnées obstructives du sommeil ()</term><term>Ventilation en pression positive continue ()</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Continuous Positive Airway Pressure</term><term>Mandibular Advancement</term><term>Polysomnography</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Continuous Positive Airway Pressure</term><term>Mandibular Advancement</term><term>Patient Compliance</term><term>Polysomnography</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Sleep Apnea, Obstructive</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Avancement mandibulaire</term><term>Humains</term><term>Observance thérapeutique</term><term>Polysomnographie</term><term>Résultat thérapeutique</term><term>Syndrome d'apnées obstructives du sommeil</term><term>Ventilation en pression positive continue</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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<sub>m</sub>). There is a strong evidence base demonstrating OA<sub>m</sub> improve OSA in the majority of patients, including some with more severe disease. However OA<sub>m</sub> are not efficacious for all, with approximately one-third of patients experiencing no therapeutic benefit. OA<sub>m</sub> 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<sub>m</sub> to gold-standard CPAP treatment. Head-to-head trials confirm CPAP is superior in reducing OSA parameters on polysomnography; however, this greater efficacy does not necessarily translate into better health outcomes in clinical practice. Comparable effectiveness of OA<sub>m</sub> and CPAP has been attributed to higher reported nightly use of OA<sub>m</sub>, suggesting that inferiority in reducing apneic events may be counteracted by greater treatment adherence. Recently, significant advances in commercially available OA<sub>m</sub> technologies have been made. Remotely controlled mandibular positioners have the potential to identify treatment responders and the level of therapeutic advancement required in single night titration polysomnography. Objective monitoring of OA<sub>m</sub> adherence using small embedded temperature sensing data loggers is now available and will enhance clinical practice and research. These technologies will further enhance efficacy and effectiveness of OA<sub>m</sub> treatment for OSA.</p><sec><title>Citation:</title><p>Sutherland K; Vanderveken OM; Tsuda H; Marklund M; Gagnadoux F; Kushida CA; Cistulli PA; on behalf of the ORANGE-Registry. Oral appliance treatment for obstructive sleep apnea: an update. <italic>J Clin Sleep Med</italic> 2014;10(2):215-227.</p></sec></div></front></TEI><affiliations><list><country><li>Australie</li><li>Belgique</li><li>France</li><li>Japon</li><li>États-Unis</li></country><region><li>Californie</li><li>Nouvelle-Galles du Sud</li><li>Pays de la Loire</li><li>Province d'Anvers</li><li>Région flamande</li></region><settlement><li>Angers</li><li>Anvers</li><li>Sydney</li></settlement><orgName><li>Université d'Anvers</li></orgName></list><tree><noCountry><name sortKey="Marklund, Marie" sort="Marklund, Marie" uniqKey="Marklund M" first="Marie" last="Marklund">Marie Marklund</name></noCountry><country name="Australie"><noRegion><name sortKey="Sutherland, Kate" sort="Sutherland, Kate" uniqKey="Sutherland K" first="Kate" last="Sutherland">Kate Sutherland</name></noRegion><name sortKey="Cistulli, Peter A" sort="Cistulli, Peter A" uniqKey="Cistulli P" first="Peter A." last="Cistulli">Peter A. Cistulli</name><name sortKey="Cistulli, Peter A" sort="Cistulli, Peter A" uniqKey="Cistulli P" first="Peter A." last="Cistulli">Peter A. Cistulli</name><name sortKey="Sutherland, Kate" sort="Sutherland, Kate" uniqKey="Sutherland K" first="Kate" last="Sutherland">Kate Sutherland</name></country><country name="Belgique"><noRegion><name sortKey="Vanderveken, Olivier M" sort="Vanderveken, Olivier M" uniqKey="Vanderveken O" first="Olivier M." last="Vanderveken">Olivier M. Vanderveken</name></noRegion><name sortKey="Vanderveken, Olivier M" sort="Vanderveken, Olivier M" uniqKey="Vanderveken O" first="Olivier M." last="Vanderveken">Olivier M. Vanderveken</name></country><country name="Japon"><noRegion><name sortKey="Tsuda, Hiroko" sort="Tsuda, Hiroko" uniqKey="Tsuda H" first="Hiroko" last="Tsuda">Hiroko Tsuda</name></noRegion></country><country name="France"><region name="Pays de la Loire"><name sortKey="Gagnadoux, Frederic" sort="Gagnadoux, Frederic" uniqKey="Gagnadoux F" first="Frederic" last="Gagnadoux">Frederic Gagnadoux</name></region><name sortKey="Gagnadoux, Frederic" sort="Gagnadoux, Frederic" uniqKey="Gagnadoux F" first="Frederic" last="Gagnadoux">Frederic Gagnadoux</name><name sortKey="Gagnadoux, Frederic" sort="Gagnadoux, Frederic" uniqKey="Gagnadoux F" first="Frederic" last="Gagnadoux">Frederic Gagnadoux</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Kushida, Clete A" sort="Kushida, Clete A" uniqKey="Kushida C" first="Clete A." last="Kushida">Clete A. Kushida</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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