Daytime Sleepiness and Quality of Life in Obstructive Sleep Apnoea Patients before and after Long-Term Mandibular Advancement Device Treatment

This study compared daytime sleepiness and quality of life in OSA patients with healthy controls and compared sleepiness and quality of life in OSA patients before and after long-term treatment with a mandibular advancement device (MAD). A total of 27 OSA patients (18 men, 9 women, mean age 52.3 yea...

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Main Authors: Signe Halfeld, Liselotte Sonnesen
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/10/12/226
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author Signe Halfeld
Liselotte Sonnesen
author_facet Signe Halfeld
Liselotte Sonnesen
author_sort Signe Halfeld
collection DOAJ
description This study compared daytime sleepiness and quality of life in OSA patients with healthy controls and compared sleepiness and quality of life in OSA patients before and after long-term treatment with a mandibular advancement device (MAD). A total of 27 OSA patients (18 men, 9 women, mean age 52.3 years) and 32 healthy age- and sex-matched controls (20 men, 12 women, mean age 51.1 years) were included. At baseline and after MAD treatment, daytime sleepiness and quality of life were recorded by the Epworth Sleepiness Scale (ESS) and Short Form-36 questionnaires (SF-36). Daytime sleepiness occurred significantly more often in OSA patients compared to controls at baseline (<i>p</i> = 0.01). The quality of life domains Energy and vitality (<i>p</i> < 0.0001), General perception of health (<i>p</i> = 0.0002), Mental health (<i>p</i> = 0.0031), Social functioning (<i>p</i> = 0.0119), Role limitations due to emotional problems (<i>p</i> = 0.0173) and Physical functioning (<i>p</i> = 0.0226) were significantly poorer in OSA patients compared to controls at baseline. After long-term MAD treatment, daytime sleepiness decreased (<i>p</i> < 0.01) and the quality of life domain Energy and Vitality increased (<i>p</i> < 0.01) in OSA patients compared to baseline. The results of the present study support the relevance of MAD treatment as an effective tool for decreasing daytime sleepiness and increasing the quality of life in OSA patients—also in the long term.
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spelling doaj.art-f8bbfb30c0594d5ebf60cd3b2cdec10f2023-11-24T14:14:10ZengMDPI AGDentistry Journal2304-67672022-11-01101222610.3390/dj10120226Daytime Sleepiness and Quality of Life in Obstructive Sleep Apnoea Patients before and after Long-Term Mandibular Advancement Device TreatmentSigne Halfeld0Liselotte Sonnesen1Section for Orthodontics, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, DenmarkSection for Orthodontics, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, 2200 Copenhagen, DenmarkThis study compared daytime sleepiness and quality of life in OSA patients with healthy controls and compared sleepiness and quality of life in OSA patients before and after long-term treatment with a mandibular advancement device (MAD). A total of 27 OSA patients (18 men, 9 women, mean age 52.3 years) and 32 healthy age- and sex-matched controls (20 men, 12 women, mean age 51.1 years) were included. At baseline and after MAD treatment, daytime sleepiness and quality of life were recorded by the Epworth Sleepiness Scale (ESS) and Short Form-36 questionnaires (SF-36). Daytime sleepiness occurred significantly more often in OSA patients compared to controls at baseline (<i>p</i> = 0.01). The quality of life domains Energy and vitality (<i>p</i> < 0.0001), General perception of health (<i>p</i> = 0.0002), Mental health (<i>p</i> = 0.0031), Social functioning (<i>p</i> = 0.0119), Role limitations due to emotional problems (<i>p</i> = 0.0173) and Physical functioning (<i>p</i> = 0.0226) were significantly poorer in OSA patients compared to controls at baseline. After long-term MAD treatment, daytime sleepiness decreased (<i>p</i> < 0.01) and the quality of life domain Energy and Vitality increased (<i>p</i> < 0.01) in OSA patients compared to baseline. The results of the present study support the relevance of MAD treatment as an effective tool for decreasing daytime sleepiness and increasing the quality of life in OSA patients—also in the long term.https://www.mdpi.com/2304-6767/10/12/226sleep-disordered breathingmandibular advancement treatmentquality of lifedaytime sleepiness
spellingShingle Signe Halfeld
Liselotte Sonnesen
Daytime Sleepiness and Quality of Life in Obstructive Sleep Apnoea Patients before and after Long-Term Mandibular Advancement Device Treatment
Dentistry Journal
sleep-disordered breathing
mandibular advancement treatment
quality of life
daytime sleepiness
title Daytime Sleepiness and Quality of Life in Obstructive Sleep Apnoea Patients before and after Long-Term Mandibular Advancement Device Treatment
title_full Daytime Sleepiness and Quality of Life in Obstructive Sleep Apnoea Patients before and after Long-Term Mandibular Advancement Device Treatment
title_fullStr Daytime Sleepiness and Quality of Life in Obstructive Sleep Apnoea Patients before and after Long-Term Mandibular Advancement Device Treatment
title_full_unstemmed Daytime Sleepiness and Quality of Life in Obstructive Sleep Apnoea Patients before and after Long-Term Mandibular Advancement Device Treatment
title_short Daytime Sleepiness and Quality of Life in Obstructive Sleep Apnoea Patients before and after Long-Term Mandibular Advancement Device Treatment
title_sort daytime sleepiness and quality of life in obstructive sleep apnoea patients before and after long term mandibular advancement device treatment
topic sleep-disordered breathing
mandibular advancement treatment
quality of life
daytime sleepiness
url https://www.mdpi.com/2304-6767/10/12/226
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