Patients' perceptions of the importance of improvements and side effects from mandibular advancement device therapy for obstructive sleep apnea and snoring.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-03-10 DOI:10.1080/08869634.2024.2325405

Luca Mezzofranco, Francesca Zalunardo, Sorina Savin, Ludovica Agostini, Antonio Luigi Tiberio Gracco

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Abstract

Objective: To assess which improvements and side effects are considered most important by patients with OSA treated with a MAD.

Methods: A specific questionnaire consisting of 20 questions, including 10 questions on improvements and 10 on side effects, was developed and mailed to all subjects (54).

Results: 42 patients, participated in the survey by answering the questionnaire. The results showed that patients placed greater importance on the positive outcomes of treatment, with the most significant being the reduction in snoring and improvement in sleep quality. On the other hand, the side effects of difficulty speaking with the device, tooth mobility, and foreign body sensation were considered important.

Conclusions: The advantages perceived by the patients appear to outweigh the disadvantages, especially the reduction of snoring, increased productivity, and improved social and intellectual life. Most significant side effects are reversible and short-term, while occlusal changes, is not considered important by patients.

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患者对下颌前突矫正器治疗阻塞性睡眠呼吸暂停和打鼾所带来的改善和副作用的重要性的看法。

目的评估接受 MAD 治疗的 OSA 患者认为哪些改善和副作用最为重要：结果：42 名患者参与了调查，回答了 20 个问题，其中 10 个问题涉及病情改善，10 个问题涉及副作用：结果：42 名患者参与了问卷调查。结果显示，患者更重视治疗的积极效果，其中最显著的是打鼾减少和睡眠质量改善。另一方面，使用装置说话困难、牙齿活动不便和异物感等副作用也被认为很重要：患者感受到的优点似乎大于缺点，尤其是减少打鼾、提高工作效率、改善社交和智力生活。大多数明显的副作用都是可逆的、短期的，而患者认为咬合变化并不重要。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.