Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD

Detalhes bibliográficos
Autor(a) principal: Duarte, Eduardo Rollo
Data de Publicação: 2012
Outros Autores: Frigério, Maria Luiza M. A., Tavano, Orivaldo, Razuk, Paulo César [UNESP], Costa, Maria Rita de Cássia M., Martins, Carlos Henrique Ferreira, Ribeiro, Maurício Serejo, Betiol, Éderson A. G.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1590/S2176-94512012000200017
http://hdl.handle.net/11449/27170
Resumo: INTRODUCTION: Among the sleep disorders reported by the American Academy of Sleep, the most common is obstructive sleep apnea-hypopnea syndrome (OSAHS), which is caused by difficulties in air passage and complete interruption of air flow in the airway. This syndrome is associated with increased morbidity and mortality in apneic individuals. OBJECTIVE: It was the objective of this paper to evaluate a removable mandibular advancement device as it provides a noninvasive, straightforward treatment readily accepted by patients. METHODS: In this study, 15 patients without temporomandibular disorders (TMD) and with excessive daytime sleepiness or snoring were evaluated. Data were collected by means of: Polysomnography before and after placement of an intraoral appliance, analysis of TMD signs and symptoms using a patient history questionnaire, muscle and TMJ palpation. RESULTS: After treatment, the statistical analysis (t-test, and the before and after test) showed a mean reduction of 77.6% (p=0.001) in the apnea-hypopnea index, an increase in lowest oxyhemoglobin saturation (p=0.05), decrease in desaturation (p=0.05), decrease in micro-awakenings or EEG arousals (p=0.05) and highly significant improvement in daytime sleepiness (p=0.005), measured by the Epworth Sleepiness Scale. No TMD appeared during the monitoring period. CONCLUSION: The oral device developed in this study was considered effective for mild to moderate OSAHS.
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spelling Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMDSnoringObstructive sleep apneaMandibular advancementOcclusal splintsINTRODUCTION: Among the sleep disorders reported by the American Academy of Sleep, the most common is obstructive sleep apnea-hypopnea syndrome (OSAHS), which is caused by difficulties in air passage and complete interruption of air flow in the airway. This syndrome is associated with increased morbidity and mortality in apneic individuals. OBJECTIVE: It was the objective of this paper to evaluate a removable mandibular advancement device as it provides a noninvasive, straightforward treatment readily accepted by patients. METHODS: In this study, 15 patients without temporomandibular disorders (TMD) and with excessive daytime sleepiness or snoring were evaluated. Data were collected by means of: Polysomnography before and after placement of an intraoral appliance, analysis of TMD signs and symptoms using a patient history questionnaire, muscle and TMJ palpation. RESULTS: After treatment, the statistical analysis (t-test, and the before and after test) showed a mean reduction of 77.6% (p=0.001) in the apnea-hypopnea index, an increase in lowest oxyhemoglobin saturation (p=0.05), decrease in desaturation (p=0.05), decrease in micro-awakenings or EEG arousals (p=0.05) and highly significant improvement in daytime sleepiness (p=0.005), measured by the Epworth Sleepiness Scale. No TMD appeared during the monitoring period. CONCLUSION: The oral device developed in this study was considered effective for mild to moderate OSAHS.Clinic of Sleep Disorders Sleep Dentistry department of Orofacial PainFOUSP Department of Dental ProsthesisUSP FOB Bauru Dental SchoolUNESP Department of EngineeringClinic of Sleep DisordersUSP Hospital for Rehabilitation of Craniofacial AnomaliesUNIFLU FOC Head of Dental ProsthesisParaná Federal University Department of Dental ProsthesisUNESP Department of EngineeringDental Press InternationalClinic of Sleep Disorders Sleep Dentistry department of Orofacial PainUniversidade de São Paulo (USP)Universidade Estadual Paulista (Unesp)Clinic of Sleep DisordersUNIFLU FOC Head of Dental ProsthesisParaná Federal University Department of Dental ProsthesisDuarte, Eduardo RolloFrigério, Maria Luiza M. A.Tavano, OrivaldoRazuk, Paulo César [UNESP]Costa, Maria Rita de Cássia M.Martins, Carlos Henrique FerreiraRibeiro, Maurício SerejoBetiol, Éderson A. G.2014-05-20T15:09:17Z2014-05-20T15:09:17Z2012-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article90-96application/pdfhttp://dx.doi.org/10.1590/S2176-94512012000200017Dental Press Journal of Orthodontics. Dental Press International, v. 17, n. 2, p. 90-96, 2012.2176-9451http://hdl.handle.net/11449/2717010.1590/S2176-94512012000200017S2176-94512012000200017S2176-94512012000200017.pdf30009456124403740000-0001-5834-105XSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengDental Press Journal of Orthodontics0,489info:eu-repo/semantics/openAccess2024-06-28T13:54:37Zoai:repositorio.unesp.br:11449/27170Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T15:46:10.958795Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD
title Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD
spellingShingle Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD
Duarte, Eduardo Rollo
Snoring
Obstructive sleep apnea
Mandibular advancement
Occlusal splints
title_short Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD
title_full Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD
title_fullStr Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD
title_full_unstemmed Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD
title_sort Treatment of snoring and sleep apnea syndrome with a removable mandibular advancement device in patients without TMD
author Duarte, Eduardo Rollo
author_facet Duarte, Eduardo Rollo
Frigério, Maria Luiza M. A.
Tavano, Orivaldo
Razuk, Paulo César [UNESP]
Costa, Maria Rita de Cássia M.
Martins, Carlos Henrique Ferreira
Ribeiro, Maurício Serejo
Betiol, Éderson A. G.
author_role author
author2 Frigério, Maria Luiza M. A.
Tavano, Orivaldo
Razuk, Paulo César [UNESP]
Costa, Maria Rita de Cássia M.
Martins, Carlos Henrique Ferreira
Ribeiro, Maurício Serejo
Betiol, Éderson A. G.
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Clinic of Sleep Disorders Sleep Dentistry department of Orofacial Pain
Universidade de São Paulo (USP)
Universidade Estadual Paulista (Unesp)
Clinic of Sleep Disorders
UNIFLU FOC Head of Dental Prosthesis
Paraná Federal University Department of Dental Prosthesis
dc.contributor.author.fl_str_mv Duarte, Eduardo Rollo
Frigério, Maria Luiza M. A.
Tavano, Orivaldo
Razuk, Paulo César [UNESP]
Costa, Maria Rita de Cássia M.
Martins, Carlos Henrique Ferreira
Ribeiro, Maurício Serejo
Betiol, Éderson A. G.
dc.subject.por.fl_str_mv Snoring
Obstructive sleep apnea
Mandibular advancement
Occlusal splints
topic Snoring
Obstructive sleep apnea
Mandibular advancement
Occlusal splints
description INTRODUCTION: Among the sleep disorders reported by the American Academy of Sleep, the most common is obstructive sleep apnea-hypopnea syndrome (OSAHS), which is caused by difficulties in air passage and complete interruption of air flow in the airway. This syndrome is associated with increased morbidity and mortality in apneic individuals. OBJECTIVE: It was the objective of this paper to evaluate a removable mandibular advancement device as it provides a noninvasive, straightforward treatment readily accepted by patients. METHODS: In this study, 15 patients without temporomandibular disorders (TMD) and with excessive daytime sleepiness or snoring were evaluated. Data were collected by means of: Polysomnography before and after placement of an intraoral appliance, analysis of TMD signs and symptoms using a patient history questionnaire, muscle and TMJ palpation. RESULTS: After treatment, the statistical analysis (t-test, and the before and after test) showed a mean reduction of 77.6% (p=0.001) in the apnea-hypopnea index, an increase in lowest oxyhemoglobin saturation (p=0.05), decrease in desaturation (p=0.05), decrease in micro-awakenings or EEG arousals (p=0.05) and highly significant improvement in daytime sleepiness (p=0.005), measured by the Epworth Sleepiness Scale. No TMD appeared during the monitoring period. CONCLUSION: The oral device developed in this study was considered effective for mild to moderate OSAHS.
publishDate 2012
dc.date.none.fl_str_mv 2012-04-01
2014-05-20T15:09:17Z
2014-05-20T15:09:17Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S2176-94512012000200017
Dental Press Journal of Orthodontics. Dental Press International, v. 17, n. 2, p. 90-96, 2012.
2176-9451
http://hdl.handle.net/11449/27170
10.1590/S2176-94512012000200017
S2176-94512012000200017
S2176-94512012000200017.pdf
3000945612440374
0000-0001-5834-105X
url http://dx.doi.org/10.1590/S2176-94512012000200017
http://hdl.handle.net/11449/27170
identifier_str_mv Dental Press Journal of Orthodontics. Dental Press International, v. 17, n. 2, p. 90-96, 2012.
2176-9451
10.1590/S2176-94512012000200017
S2176-94512012000200017
S2176-94512012000200017.pdf
3000945612440374
0000-0001-5834-105X
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Dental Press Journal of Orthodontics
0,489
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 90-96
application/pdf
dc.publisher.none.fl_str_mv Dental Press International
publisher.none.fl_str_mv Dental Press International
dc.source.none.fl_str_mv SciELO
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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