Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome
Abstract The characteristics of non-obese patients with mild to moderate Obstructive Sleep Apnea Syndrome (OSAS) who will present with a good response to Mandibular Repositioning Appliance (MRA) treatment have not yet been well established in the literature. The aim of this study is to assess whethe...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pesquisa Odontológica
2017-06-01
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| Series: | Brazilian Oral Research |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100238&lng=en&tlng=en |
| _version_ | 1818833130631462912 |
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| author | Thays Crosara Abrahão CUNHA Thais de Moura GUIMARÃES Teresa Cristina Barros SCHULTZ Fernanda Ribeiro de ALMEIDA Thulio Marquez CUNHA Paulo Cezar SIMAMOTO JUNIOR Lia Rita Azeredo BITTENCOURT |
| author_facet | Thays Crosara Abrahão CUNHA Thais de Moura GUIMARÃES Teresa Cristina Barros SCHULTZ Fernanda Ribeiro de ALMEIDA Thulio Marquez CUNHA Paulo Cezar SIMAMOTO JUNIOR Lia Rita Azeredo BITTENCOURT |
| author_sort | Thays Crosara Abrahão CUNHA |
| collection | DOAJ |
| description | Abstract The characteristics of non-obese patients with mild to moderate Obstructive Sleep Apnea Syndrome (OSAS) who will present with a good response to Mandibular Repositioning Appliance (MRA) treatment have not yet been well established in the literature. The aim of this study is to assess whether polysomnographic (PSG), demographic, anthropometric, cephalometric, and otorhinolaryngological parameters predict MRA success in the treatment of OSAS. Forty (40) males with mild and moderate OSAS were assessed pretreatment and 2-months post-treatment after wearing an MRA. Demographic, anthropometric, otorhinolaryngological (ENT), cephalometric, and polysomnographic parameters, including continuous positive airway pressure (CPAP) titrated pressure, dental models, Epworth Sleepiness Scale, quality of life (Short Form SF-36), and mood state (Profile of Mood States – POMS), were assessed. The responders exhibited fewer oropharyngeal alterations, increased upper pharyngeal space, reduced lower airway space, and increased mandibular intercanine width, and they had milder disease. Nevertheless, no predictive factors of MRA success could be found. MRA was more successful among men with a more pervious airway, a larger interdental width and milder OSAS. However, a combined [1] functional and structural assessment is needed to successfully predict the [2] effectiveness of MRA treatment of OSA. |
| first_indexed | 2024-12-19T02:14:02Z |
| format | Article |
| id | doaj.art-58f085e1eca84f88857079e8059680cc |
| institution | Directory Open Access Journal |
| issn | 1807-3107 |
| language | English |
| last_indexed | 2024-12-19T02:14:02Z |
| publishDate | 2017-06-01 |
| publisher | Sociedade Brasileira de Pesquisa Odontológica |
| record_format | Article |
| series | Brazilian Oral Research |
| spelling | doaj.art-58f085e1eca84f88857079e8059680cc2022-12-21T20:40:30ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072017-06-0131010.1590/1807-3107bor-2017.vol31.0037S1806-83242017000100238Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndromeThays Crosara Abrahão CUNHAThais de Moura GUIMARÃESTeresa Cristina Barros SCHULTZFernanda Ribeiro de ALMEIDAThulio Marquez CUNHAPaulo Cezar SIMAMOTO JUNIORLia Rita Azeredo BITTENCOURTAbstract The characteristics of non-obese patients with mild to moderate Obstructive Sleep Apnea Syndrome (OSAS) who will present with a good response to Mandibular Repositioning Appliance (MRA) treatment have not yet been well established in the literature. The aim of this study is to assess whether polysomnographic (PSG), demographic, anthropometric, cephalometric, and otorhinolaryngological parameters predict MRA success in the treatment of OSAS. Forty (40) males with mild and moderate OSAS were assessed pretreatment and 2-months post-treatment after wearing an MRA. Demographic, anthropometric, otorhinolaryngological (ENT), cephalometric, and polysomnographic parameters, including continuous positive airway pressure (CPAP) titrated pressure, dental models, Epworth Sleepiness Scale, quality of life (Short Form SF-36), and mood state (Profile of Mood States – POMS), were assessed. The responders exhibited fewer oropharyngeal alterations, increased upper pharyngeal space, reduced lower airway space, and increased mandibular intercanine width, and they had milder disease. Nevertheless, no predictive factors of MRA success could be found. MRA was more successful among men with a more pervious airway, a larger interdental width and milder OSAS. However, a combined [1] functional and structural assessment is needed to successfully predict the [2] effectiveness of MRA treatment of OSA.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100238&lng=en&tlng=enPolysomnographyOrthodontic AppliancesOtorhinolaryngologic DiseasesCephalometryContinuous Positive Airway Pressure |
| spellingShingle | Thays Crosara Abrahão CUNHA Thais de Moura GUIMARÃES Teresa Cristina Barros SCHULTZ Fernanda Ribeiro de ALMEIDA Thulio Marquez CUNHA Paulo Cezar SIMAMOTO JUNIOR Lia Rita Azeredo BITTENCOURT Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome Brazilian Oral Research Polysomnography Orthodontic Appliances Otorhinolaryngologic Diseases Cephalometry Continuous Positive Airway Pressure |
| title | Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome |
| title_full | Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome |
| title_fullStr | Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome |
| title_full_unstemmed | Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome |
| title_short | Predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome |
| title_sort | predictors of success for mandibular repositioning appliance in obstructive sleep apnea syndrome |
| topic | Polysomnography Orthodontic Appliances Otorhinolaryngologic Diseases Cephalometry Continuous Positive Airway Pressure |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100238&lng=en&tlng=en |
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