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Effects of a mandibular advancement device on the upper airway morphology: a cephalometric analysis

Identifieur interne : 005B90 ( Main/Exploration ); précédent : 005B89; suivant : 005B91

Effects of a mandibular advancement device on the upper airway morphology: a cephalometric analysis

Auteurs : M. H. J. Doff ; A. Hoekema ; G. J. Pruim ; J. H. Van Der Hoeven [Pays-Bas] ; L. G. M. De Bont ; B. Stegenga

Source :

Journal of Oral Rehabilitation [ 0305-182X ] ; 2009-05.

RBID : ISTEX:838B86B94E561F0A08453824F79F3D534F3A8806

Descripteurs français

Wicri :
- topic : Groningue.

English descriptors

Abstract

Summary The aims of this study were to assess changes in the upper airway morphology associated with an oral appliance in situ in patients suffering from the obstructive sleep apnoea–hypopnoea syndrome and to relate these changes to treatment response. Changes in upper airway morphology as a result of an oral appliance were assessed in 52 patients with obstructive sleep apnoea–hypopnoea syndrome by means of cephalometric analysis. Lateral cephalograms were taken at baseline and after 2–3 months of treatment. Baseline and follow‐up cephalograms were traced twice and cephalometric variables were compared. The predictive value of changes in upper airway morphology for the treatment response was evaluated in univariate and multivariate regression analyses. Oral appliance therapy resulted in an increased posterior airway space at the level of the second vertebra, the uvular tip and the base of the tongue. The increase of the posterior airway space at the level of the second vertebra and the uvular tip were the best predictors for relative improvement of the apnoea–hypopnoea index. However, the predictive value for treatment response of these cephalometric upper airway changes should be interpreted with caution.

Url:

https://api.istex.fr/document/838B86B94E561F0A08453824F79F3D534F3A8806/fulltext/pdf

DOI: 10.1111/j.1365-2842.2009.01946.x

Affiliations:

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Le document en format XML

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<term>Appliance</term>
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<term>Journal compilation</term>
<term>Lateral</term>
<term>Lateral cephalograms</term>
<term>Linear distance</term>
<term>Logistic regression analysis</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular plane</term>
<term>Mandibular protrusion</term>
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<term>Morphology</term>
<term>Mouth opening</term>
<term>Obstructive</term>
<term>Oral appliance</term>
<term>Oral appliance therapy</term>
<term>Oral appliances</term>
<term>Osahs</term>
<term>Osahs patients</term>
<term>Perpendicular distance</term>
<term>Pharyngeal</term>
<term>Pharyngeal dimensions</term>
<term>Polysomnographic evaluation</term>
<term>Posterior airway space</term>
<term>Posterior pharyngeal wall</term>
<term>Predictive value</term>
<term>Protrusion</term>
<term>Regression analysis</term>
<term>Relative improvement</term>
<term>Respir crit care</term>
<term>Second vertebra</term>
<term>Supine</term>
<term>Supine position</term>
<term>Syndrome</term>
<term>Treatment response</term>
<term>Upper airway morphology</term>
<term>Uvular</term>
<term>Vertebra</term>
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<term>Cephalograms</term>
<term>Cephalometric</term>
<term>Cephalometric analysis</term>
<term>Cephalometric variables</term>
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<term>Hyoid bone</term>
<term>Hyoid bone position</term>
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<term>Interobserver reliability</term>
<term>Journal compilation</term>
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<term>Lateral cephalograms</term>
<term>Linear distance</term>
<term>Logistic regression analysis</term>
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<term>Posterior pharyngeal wall</term>
<term>Predictive value</term>
<term>Protrusion</term>
<term>Regression analysis</term>
<term>Relative improvement</term>
<term>Respir crit care</term>
<term>Second vertebra</term>
<term>Supine</term>
<term>Supine position</term>
<term>Syndrome</term>
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<front><div type="abstract">Summary  The aims of this study were to assess changes in the upper airway morphology associated with an oral appliance in situ in patients suffering from the obstructive sleep apnoea–hypopnoea syndrome and to relate these changes to treatment response. Changes in upper airway morphology as a result of an oral appliance were assessed in 52 patients with obstructive sleep apnoea–hypopnoea syndrome by means of cephalometric analysis. Lateral cephalograms were taken at baseline and after 2–3 months of treatment. Baseline and follow‐up cephalograms were traced twice and cephalometric variables were compared. The predictive value of changes in upper airway morphology for the treatment response was evaluated in univariate and multivariate regression analyses. Oral appliance therapy resulted in an increased posterior airway space at the level of the second vertebra, the uvular tip and the base of the tongue. The increase of the posterior airway space at the level of the second vertebra and the uvular tip were the best predictors for relative improvement of the apnoea–hypopnoea index. However, the predictive value for treatment response of these cephalometric upper airway changes should be interpreted with caution.</div>
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Effects of a mandibular advancement device on the upper airway morphology: a cephalometric analysis

Effects of a mandibular advancement device on the upper airway morphology: a cephalometric analysis

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri