The Influence of a Mandibular Advancement Plate on Polysomnography in Different Grades of Obstructive Sleep Apnea
Identifieur interne : 000C58 ( Main/Exploration ); précédent : 000C57; suivant : 000C59The Influence of a Mandibular Advancement Plate on Polysomnography in Different Grades of Obstructive Sleep Apnea
Auteurs : Antti Raunio [Finlande] ; Pauli Mattila [Finlande] ; Usko Huuskonen ; Kyösti Oikarinen [Finlande] ; George K. Sándor [Finlande]Source :
- Journal of Oral & Maxillofacial Research [ 2029-283X ] ; 2015.
Abstract
The purpose of this study was to investigate the effect of a mandibular advancement device on different grades of obstructive sleep apnea using a relatively simple test for the apnea-hypopnea index to determine if a mandibular device will be effective.
A total of 68 patients with obstructive sleep apnea syndrome (OSAS) including, 31 with mild, 23 with moderate and 14 with severe OSAS were treated with a mandibular advancement device (MAD) and monitored with polysomnography.
25 of the 31 mild, 15 of the 23 moderate and 2 of the 14 severe OSAS patients were cured of their OSAS if a post treatment apnea-hypopnea index of less than 5 is regarded as cured. The odds ratios for success with MAD therapy are 3 for women over men, 14.9 for mild obstructive sleep apnea, 5.42 for moderate obstructive sleep apnea if severe obstructive sleep apnea is assigned an odds ratio of 1.
The use of the apnea-hypopnea index alone is useful in mild and moderate disease to predict the effectiveness of mandibular advancement device. Treatment with a mandibular advancement device is very effective in treating mild and moderate obstructive sleep apnea. Conservative treatment with a mandibular advancement device can be successful in less severe grades of sleep apnea and may be an alternative for non-surgical patients with severe obstructive sleep apnea intolerant of Continuous Positive Airway Pressure management.
Url:
DOI: 10.5037/jomr.2014.6104
PubMed: 25937875
PubMed Central: 4414235
Affiliations:
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Sándor</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Oral and Maxillofacial Surgery, Medical Research Center, Oulu University Hospital, Oulu</institution><country>Finland</country></nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Oral & Maxillofacial Research</title><idno type="eISSN">2029-283X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>ABSTRACT</title><sec sec-type="objectives"><title>Objectives</title><p>The purpose of this study was to investigate the effect of a mandibular advancement device on different grades of obstructive sleep apnea using a relatively simple test for the apnea-hypopnea index to determine if a mandibular device will be effective.</p></sec><sec sec-type="material and methods"><title>Material and Methods</title><p>A total of 68 patients with obstructive sleep apnea syndrome (OSAS) including, 31 with mild, 23 with moderate and 14 with severe OSAS were treated with a mandibular advancement device (MAD) and monitored with polysomnography.</p></sec><sec sec-type="results"><title>Results</title><p>25 of the 31 mild, 15 of the 23 moderate and 2 of the 14 severe OSAS patients were cured of their OSAS if a post treatment apnea-hypopnea index of less than 5 is regarded as cured. The odds ratios for success with MAD therapy are 3 for women over men, 14.9 for mild obstructive sleep apnea, 5.42 for moderate obstructive sleep apnea if severe obstructive sleep apnea is assigned an odds ratio of 1.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>The use of the apnea-hypopnea index alone is useful in mild and moderate disease to predict the effectiveness of mandibular advancement device. Treatment with a mandibular advancement device is very effective in treating mild and moderate obstructive sleep apnea. Conservative treatment with a mandibular advancement device can be successful in less severe grades of sleep apnea and may be an alternative for non-surgical patients with severe obstructive sleep apnea intolerant of Continuous Positive Airway Pressure management.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Young, T" uniqKey="Young T">T Young</name></author><author><name sortKey="Palta, M" uniqKey="Palta M">M Palta</name></author><author><name sortKey="Dempsey, J" uniqKey="Dempsey J">J Dempsey</name></author><author><name sortKey="Skatrud, J" uniqKey="Skatrud J">J Skatrud</name></author><author><name sortKey="Weber, S" uniqKey="Weber S">S Weber</name></author><author><name sortKey="Badr, S" uniqKey="Badr S">S Badr</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ruehland, Wr" uniqKey="Ruehland W">WR Ruehland</name></author><author><name sortKey="Rochford, Pd" uniqKey="Rochford P">PD 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Huuskonen</name></noCountry><country name="Finlande"><noRegion><name sortKey="Raunio, Antti" sort="Raunio, Antti" uniqKey="Raunio A" first="Antti" last="Raunio">Antti Raunio</name></noRegion><name sortKey="Mattila, Pauli" sort="Mattila, Pauli" uniqKey="Mattila P" first="Pauli" last="Mattila">Pauli Mattila</name><name sortKey="Oikarinen, Kyosti" sort="Oikarinen, Kyosti" uniqKey="Oikarinen K" first="Kyösti" last="Oikarinen">Kyösti Oikarinen</name><name sortKey="Sandor, George K" sort="Sandor, George K" uniqKey="Sandor G" first="George K." last="Sándor">George K. 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