Long-term oral appliance therapy in obstructive sleep apnea syndrome: a controlled study on dental side effects.

Clinical Oral Investigations
Michiel H J DoffBoudewijn Stegenga

Abstract

This study aimed to assess possible dental side effects associated with long-term use of an adjustable oral appliance compared with continuous positive airway pressure (CPAP) in patients with the obstructive sleep apnea syndrome and to study the relationship between these possible side effects and the degree of mandibular protrusion associated with oral appliance therapy. As part of a previously conducted RCT, 51 patients were randomized to oral appliance therapy and 52 patients to CPAP therapy. At baseline and after a 2-year follow-up, dental plaster study models in full occlusion were obtained which were thereupon analyzed with respect to relevant variables. Long-term use of an oral appliance resulted in small but significant dental changes compared with CPAP. In the oral appliance group, overbite and overjet decreased 1.2 (±1.1) mm and 1.5 (±1.5) mm, respectively. Furthermore, we found a significantly larger anterior-posterior change in the occlusion (-1.3 ± 1.5 mm) in the oral appliance group compared to the CPAP group (-0.1 ± 0.6 mm). Moreover, both groups showed a significant decrease in number of occlusal contact points in the (pre)molar region. Linear regression analysis revealed that the decrease in overbite was associ...Continue Reading

References

Jan 1, 1976·Annual Review of Medicine·C GuilleminaultW C Dement
Apr 29, 1993·The New England Journal of Medicine·T YoungS Badr
Jul 21, 2000·American Journal of Respiratory and Critical Care Medicine·K E BlochE W Russi
May 24, 2001·American Journal of Respiratory and Critical Care Medicine·A MehtaP A Cistulli
Sep 11, 2001·American Journal of Respiratory and Critical Care Medicine·K M FritschK E Bloch
May 7, 2002·American Journal of Respiratory and Critical Care Medicine·Terry YoungDaniel J Gottlieb
Jul 18, 2003·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Margareta RingqvistIvar Ringqvist
Sep 3, 2005·Respiratory Medicine·Aarnoud HoekemaPeter J Wijkstra
Nov 12, 2005·The New England Journal of Medicine·H Klar YaggiVahid Mohsenin
Jan 27, 2006·The Cochrane Database of Systematic Reviews·J LimJ Wright
Feb 14, 2006·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Fernanda Ribeiro de AlmeidaSatoru Tsuiki
Feb 14, 2006·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Marie Marklund
Dec 11, 2007·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Roger J HammondM Ali Darendeliler
Feb 27, 2008·The Angle Orthodontist·Hiroshi UedaN Dorin Ruse
Aug 23, 2008·Journal of Dental Research·A HoekemaL G M de Bont
Sep 9, 2008·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Hui ChenBangkang Wang
Jan 27, 2009·Journal of Orofacial Orthopedics = Fortschritte Der Kieferorthopädie : Organ/official Journal Deutsche Gesellschaft Für Kieferorthopädie·Akssam GhazalEdmund C Rose
Apr 14, 2009·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Hiroshi UedaAlan A Lowe
Oct 27, 2009·The Angle Orthodontist·Jordi Martínez-GomisCarmen Monasterio

❮ Previous
Next ❯

Citations

Jan 17, 2015·Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale·G BettegaUNKNOWN groupe de pilotage
May 11, 2016·Revue des maladies respiratoires·G BettegaUNKNOWN Pour le groupe de pilotage
May 29, 2016·Sleep Medicine Clinics·Todd D Morgan
Aug 21, 2016·Sleep Medicine Clinics·Ahmad A BamagoosPeter A Cistulli
Nov 5, 2016·Otolaryngologic Clinics of North America·Anthony Dioguardi, Moh'd Al-Halawani
Jan 25, 2017·Sleep & Breathing = Schlaf & Atmung·Niclas NorrhemMarie Marklund
Feb 27, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Seo Yun JoDong-Kyu Kim
Sep 16, 2014·Current Opinion in Pulmonary Medicine·Timothy G Quinnell, Abigail L Clutterbuck-James
Jan 30, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Julia A M Uniken VenemaAarnoud Hoekema
May 13, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Yanyan MaXuemei Gao
Dec 22, 2019·Clinical Oral Investigations·Julia Anne Margarethe Uniken VenemaAarnoud Hoekema
Aug 18, 2020·Journal of Oral Rehabilitation·Frank LobbezooGhizlane Aarab
Sep 27, 2019·European Respiratory Review : an Official Journal of the European Respiratory Society·Marie MarklundJohan Verbraecken
Oct 12, 2018·Dental press journal of orthodontics·Olivia de Freitas Mendes MartinsLia Bittencourt
Mar 20, 2019·Journal of Medical Systems·Néstor Montesdeoca GarcíaRoberto D'Amato
Mar 17, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·David T KentRyan J Soose
Sep 29, 2017·Current Sleep Medicine Reports·M Marklund
Dec 10, 2016·European Journal of Orthodontics·Giulio Alessandri-BonettiAmbrosina Michelotti
May 26, 2018·Cranio : the Journal of Craniomandibular Practice·Menghan ZhangHaiping Lu
Aug 8, 2019·Dental press journal of orthodontics·Jorge FaberAna Paula Faber
Sep 14, 2017·Respirology : Official Journal of the Asian Pacific Society of Respirology·Geraldo Lorenzi-FilhoPatrick J Strollo
Nov 30, 2019·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Adel BachourPaula Virkkula
Jan 7, 2020·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Anette M C FranssonGöran Isacsson
Feb 28, 2021·Journal of Biomechanics·Manila CaragiuliIlaria Toniolo
Jul 9, 2020·Revue des maladies respiratoires·G Buiret, F Chidiac
Apr 27, 2021·Cranio : the Journal of Craniomandibular Practice·Waled M AlshhraniFernanda R Almeida
Feb 12, 2019·Journal of Stomatology, Oral and Maxillofacial Surgery·G Vigié du CaylaP Goudot
May 27, 2021·International Journal of Dentistry·Andrea RossiCristina Grippaudo
Jun 25, 2021·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Marie-Françoise VecchieriniUNKNOWN ORCADES investigators
Nov 15, 2018··Enrique Soriano HerasFernando Blaya Haro

❮ Previous
Next ❯

Software Mentioned

SPSS
Statistical Package for the Social Sciences

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.