Reasons for failure of mandibular advancement splint therapy in the treatment of obstructive sleep apnea.

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-03-01 Epub Date: 2021-05-06 DOI:10.1080/08869634.2021.1922810

Tuula Palotie, Anni Peltomaa, Adel Bachour, Patrick Bachour, Antti Mäkitie, Miikka Peltomaa, Pekka Vallittu

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Abstract

Objective: To investigate the reasons for poor adaptation to mandibular advancement splint (MAS) treatment.Methods: The study consisted of 44 patients with obstructive sleep apnea who had unsuccessful MAS treatment. Data were collected on age, body mass index, gender, general and mental diseases, continuous positive airway pressure (CPAP) tryout, usage of occlusal splint, dental overjet, temporomandibular disorders, shortened dental arch, sleep apnea severity, and Apnea-Hypopnea Index. Sixty patients who underwent successful MAS treatment were controls.Results: Patients with missing molars failed significantly more often in MAS therapy than the controls (p = 0.020). Patients with CPAP tryout prior to MAS treatment had a tendency to fail MAS treatment. MAS treatment was more likely to be successful in patients with prior occlusal splint experience (p = 0.050).Conclusion: The study could not identify a single reason for MAS failure.

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下颌前突夹板治疗阻塞性睡眠呼吸暂停失败的原因。

摘要调查下颌前突夹板（MAS）治疗适应性差的原因：研究对象包括 44 名下颌前突夹板治疗失败的阻塞性睡眠呼吸暂停患者。收集的数据包括年龄、体重指数、性别、全身疾病和精神疾病、持续气道正压（CPAP）试用情况、咬合夹板使用情况、牙齿咬合过度、颞下颌关节紊乱、牙弓过短、睡眠呼吸暂停严重程度和呼吸暂停-低通气指数。60 名成功接受 MAS 治疗的患者为对照组：结果：臼齿缺失患者的 MAS 治疗失败率明显高于对照组（P = 0.020）。在 MAS 治疗前试用过 CPAP 的患者有 MAS 治疗失败的倾向。有咬合夹板经验的患者更容易成功接受 MAS 治疗（p = 0.050）：本研究无法确定 MAS 治疗失败的单一原因。

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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.