H-Index
70
Scimago Lab
powered by Scopus
JCR
Clarivate
Analytics
call: +1.631.470.9640
Mon-Fri 10 am - 2 pm EST

Logo



eISSN: 1643-3750


Published: 2019-01-18

Oral Appliance Effectiveness and Patient Satisfaction with Obstructive Sleep Apnea Treatment in Adults

Marketa Skalna, Vilen Novak, Marek Buzga, Pavel Skalny, Jaroslava Hybaskova, Jiri Stransky, Jan Stembirek

(Obesitology Research Center, Department of Physiology and Pathophysiology, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic)

Med Sci Monit 2019; 25:516-524

DOI: 10.12659/MSM.911242


BACKGROUND: Indication of oral appliances for the treatment of an obstructive sleep apnea (OSA) includes both patients with primary snoring and mild OSA, as well as patients with moderate to severe OSA who refuse other treatment or in whom such treatment failed. The aim of this study was to verify the effectiveness of current OSA treatment by objective measurements, and to assess by means of a questionnaire patients’ satisfaction with oral appliances manufactured in our laboratory.
MATERIAL AND METHODS: The study enrolled 58 adult patients (40 men, 18 women) with mean age of 50.5 years; most were overweight or had class I obesity; mean baseline apnea-hypopnea index (AHI) value prior to the beginning of treatment was 31.3, range 0.6–71.
RESULTS: Average AHI reduction in the entire group was 10.4; 31% of patients experienced AHI reduction by at least 50%. Significant AHI reduction was proven when using the appliance. Appliances affect the reduction of AHI and patients tolerate the appliances well.
CONCLUSIONS: Oral appliances complement positive-pressure treatment and do not interfere with it in any way. Craniometric parameters seem to be applicable as predictors of success or failure of appliance treatment.

Keywords: Administration, Oral, Adult, Sleep apnea, obstructive



Related Articles (0)

Coming Soon...

Published: 2019-01-17

Different Triple-Negative Breast Cancer Tumor Cell Lysates (TCLs) Induce Discrepant Anti-Tumor Immunity b...


Bohan Dong, Yuanyuan Ding, Qianwu Huang, Xiaoxiang Guan

Med Sci Monit 2019; 25:500-515

DOI: 10.12659/MSM.911689

Published: 2019-01-17

Gamma-Secretase Inhibitor, DAPT, Prevents the Development of Retinopathy of Prematurity in a Rat Model by...


Wei Sun, Jing Li, Yinan Li, Jiao Zheng, Xiaoming Zhang, Xuelin Huang, Shujun Li

Med Sci Monit 2019; 25:492-499

DOI: 10.12659/MSM.913828