Document Detail


Short and long-term usage of a dental device in sleep apnea syndrome.
MedLine Citation:
PMID:  19235757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the efficacy, the compliance, and the complications of the anterior mandibular positioning (AMP) device in obstructive sleep apnea syndrome (OSA) patients. MATERIAL & METHODS: Polysomnographic sleep studies were performed on 38 patients before and two weeks (+/- 3 days) after continuous use of the AMP device. Twenty patients also underwent polysomnographic follow-up recordings after 1 year. RESULTS: The mean apnea-hypopnea index (AHI) before treatment was 35.6 +/- 17.7 and decreased significantly to 22.7 +/- 15.8 after 2 weeks of treatment (p = 0.01). The mean AHI after 1 year of usage was 25.3 +/- 12.9, differing significantly from the pretreatment AHI (p = 0.01). Seventy-one percent of patients used the device for 18.4 months (range 12-27). One-year clinical evaluation showed preserved dental status, preserved action of the masticatory muscles, and preserved function of the temporo-mandibular joint (TMJ). Eleven (29%) of the patients did not use the AMP device because of TMJ pain and/or unsatisfying results. CONCLUSIONS: The AMP device is well tolerated in 76% of patient. When tolerated, its compliance and efficiency are preserved across the year without long-term oral and jaw dysfunctions.
Authors:
Eli Peled; Naama Yoffe; Israel Blumenfeld; Nir Peled
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  119     ISSN:  1531-4995     ISO Abbreviation:  Laryngoscope     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-02     Completed Date:  2009-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  585-8     Citation Subset:  IM    
Affiliation:
Sleep Laboratory, Rambam Medical Center, Haifa, Israel. peledeli@zahav.net.il
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cross-Sectional Studies
Dental Prosthesis*
Follow-Up Studies
Humans
Male
Middle Aged
Patient Satisfaction
Polysomnography
Prospective Studies
Sleep / physiology
Sleep Apnea Syndromes / physiopathology,  therapy*
Time Factors
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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