J. Sacksteder, A. Firestone, Do-Gyoon Kim, F. Beck, U. Magalang, Cameron Anderson, Eun-sang Moon
Study Objective: Limited data suggest a smaller, narrow maxilla can lead to a decreased oropharyngeal volume (OPV). However, past studies have used two-dimensional lateral cephalometric radiographs. The specific aim of this study is to assess how maxillary arch parameters relate to oropharyngeal volume calculated from three-dimensional cone beam computed tomography (CBCT) images. An additional aim was to compare these dimensions in a group of African-American patients with obstructive sleep apnea (OSA) with a group of healthy control patients. Methods: Sixteen full-head CBCT images in the closed-mouth anatomic position were obtained from adult male African-American patients with a diagnosis of OSA. The OPV was measured by counting corresponding voxels that are digitally isolated from the threedimensional CBCT images after segmentation. Axial plane images of the same volume were used to measure intercanine width, intermolar width, arch length, and arch perimeter. In addition, 16 CBCT images were obtained from the control group of adult male African-American patients matched for age with no prior diagnosis of OSA. Each of the maxillary arch parameters was tested for correlation with oropharyngeal volume and compared between the two groups. Results: Reliability was tested and for all parameters the intraclass correlation coefficient was greater than 0.95 (0.97-1.00). The OSA group was significantly older than control patients (41.3+11.3 and 31.9±6.9 years, respectively). After accounting for multiple comparisons, the minimum cross-sectional area was the only parameter significantly different between groups (P = 0.0014). Minimum cross-sectional area was found to be a good-excellent predictor of OSA (area under receiver operating characteristic curve = 0.89). A cutoff point of 111 mm was determined for minimum cross-sectional area between groups. Conclusion: The CBCT-based imaging analysis produces reliable measurements for all parameters. The current findings suggest that maxillary arch width and length do not contribute to a smaller oropharyngeal airway. Minimum cross-sectional area is a good-excellent predictor of OSA in African-American adult males.
{"title":"Comparison of Dental Arch Width and Length Parameters in Patients With Obstructive Sleep Apnea and a Control Group: A Pilot Study","authors":"J. Sacksteder, A. Firestone, Do-Gyoon Kim, F. Beck, U. Magalang, Cameron Anderson, Eun-sang Moon","doi":"10.15331/JDSM.7202","DOIUrl":"https://doi.org/10.15331/JDSM.7202","url":null,"abstract":"Study Objective: Limited data suggest a smaller, narrow maxilla can lead to a decreased oropharyngeal volume (OPV). However, past studies have used two-dimensional lateral cephalometric radiographs. The specific aim of this study is to assess how maxillary arch parameters relate to oropharyngeal volume calculated from three-dimensional cone beam computed tomography (CBCT) images. An additional aim was to compare these dimensions in a group of African-American patients with obstructive sleep apnea (OSA) with a group of healthy control patients. Methods: Sixteen full-head CBCT images in the closed-mouth anatomic position were obtained from adult male African-American patients with a diagnosis of OSA. The OPV was measured by counting corresponding voxels that are digitally isolated from the threedimensional CBCT images after segmentation. Axial plane images of the same volume were used to measure intercanine width, intermolar width, arch length, and arch perimeter. In addition, 16 CBCT images were obtained from the control group of adult male African-American patients matched for age with no prior diagnosis of OSA. Each of the maxillary arch parameters was tested for correlation with oropharyngeal volume and compared between the two groups. Results: Reliability was tested and for all parameters the intraclass correlation coefficient was greater than 0.95 (0.97-1.00). The OSA group was significantly older than control patients (41.3+11.3 and 31.9±6.9 years, respectively). After accounting for multiple comparisons, the minimum cross-sectional area was the only parameter significantly different between groups (P = 0.0014). Minimum cross-sectional area was found to be a good-excellent predictor of OSA (area under receiver operating characteristic curve = 0.89). A cutoff point of 111 mm was determined for minimum cross-sectional area between groups. Conclusion: The CBCT-based imaging analysis produces reliable measurements for all parameters. The current findings suggest that maxillary arch width and length do not contribute to a smaller oropharyngeal airway. Minimum cross-sectional area is a good-excellent predictor of OSA in African-American adult males.","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46401553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On the Philips Recall and the Professionalism of Dental Sleep Medicine","authors":"J. Masse","doi":"10.15331/JDSM.7200","DOIUrl":"https://doi.org/10.15331/JDSM.7200","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43391783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perspectives on Advancements in Dental Sleep Medicine","authors":"","doi":"10.15331/jdsm.7206","DOIUrl":"https://doi.org/10.15331/jdsm.7206","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44478805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Radmand, Harmeet K. Chiang, Massimiliano Di Giosia, M. T. Galang-Boquiren, Rosemarie Rohatgi, David Silk, O. Vanderveken, Michael Adame
Chair, Brigham and Women’s Hospital, Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts; Virginia Commonwealth University, Richmond, Virginia; University of North Carolina, Chapel Hill, North Carolina; University of IllinoisChicago, Chicago, Illinois; San Diego Sleep Therapy, San Diego, California; Private Practice, Solon, Ohio; Department ENT, Antwerp University Hospital, Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Board Liaison, Adame Dental Sleep Medicine
{"title":"Defining and Measuring Compliance With Oral Appliance Therapy","authors":"R. Radmand, Harmeet K. Chiang, Massimiliano Di Giosia, M. T. Galang-Boquiren, Rosemarie Rohatgi, David Silk, O. Vanderveken, Michael Adame","doi":"10.15331/jdsm.7204","DOIUrl":"https://doi.org/10.15331/jdsm.7204","url":null,"abstract":"Chair, Brigham and Women’s Hospital, Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts; Virginia Commonwealth University, Richmond, Virginia; University of North Carolina, Chapel Hill, North Carolina; University of IllinoisChicago, Chicago, Illinois; San Diego Sleep Therapy, San Diego, California; Private Practice, Solon, Ohio; Department ENT, Antwerp University Hospital, Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Board Liaison, Adame Dental Sleep Medicine","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45762385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Enoch T. Ng, P. Mayoral, I. Hernandez, M. Lagravère
{"title":"Comparing a sibilant phoneme denture bite position with an anterior protrusive mandibular positioning device in oral appliance therapy for dental treatment of obstructive sleep apnea: A systematic review","authors":"Enoch T. Ng, P. Mayoral, I. Hernandez, M. Lagravère","doi":"10.15331/jdsm.7162","DOIUrl":"https://doi.org/10.15331/jdsm.7162","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47483294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Testing dentists’ general sleep knowledge with the ASKME survey","authors":"M. Simmons, James Sayre","doi":"10.15331/jdsm.7152","DOIUrl":"https://doi.org/10.15331/jdsm.7152","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46629415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Schwartz, Michael Adame, N. Addy, Michelle K. Cantwell, James Hogg, N. Huynh, Paul Jacobs, M. Levine, Kevin Postol, Rosemarie Rohatgi
{"title":"American Academy of Dental Sleep Medicine Position on the Scope of Practice for Dentists Ordering or Administering Home Sleep Apnea Tests","authors":"D. Schwartz, Michael Adame, N. Addy, Michelle K. Cantwell, James Hogg, N. Huynh, Paul Jacobs, M. Levine, Kevin Postol, Rosemarie Rohatgi","doi":"10.15331/jdsm.7156","DOIUrl":"https://doi.org/10.15331/jdsm.7156","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49265504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manan P Shah, Somil Mathur, S. Upadhyay, Rakesh A. Makwana
Study Objectives: Obstructive sleep apnea (OSA) has a close association with hypertension and often leads to uncontrolled hypertension. One treatment modality for mild to moderate OSA is the mandibular advancement device (MAD). The goal of the current study was to evaluate the effect of the MAD on blood pressure and sleep apnea severity. Methods: A total of 25 participants, screened for OSA using the STOP-Bang Questionnaire, and underwent a level 3 home sleep test. Based on apnea-hypopnea index (AHI) calculated from a level 3 home sleep test, selected participants with mild to moderate OSA underwent 24-hour ambulatory blood pressure monitoring. The monoblock type of custom-made MAD was fabricated for each of 21 selected participants. After 1 month of MAD therapy, a level 3 home sleep apnea test was performed again with the MAD in position and 24-hour ambulatory blood pressure monitoring were repeated for comparison with both parameters before MAD therapy. Results: MAD therapy resulted in significant reduction of systolic and diastolic blood pressure (p<0.05) and simultaneous reduction in AHI was also reported (P<0.05). Conclusions: MAD therapy is associated with significant reduction in AHI and ambulatory blood pressure in subjects with essential hypertension and OSA.
{"title":"Evaluating efficacy of mandibular advancement device in patients with essential hypertension and obstructive sleep apnea","authors":"Manan P Shah, Somil Mathur, S. Upadhyay, Rakesh A. Makwana","doi":"10.15331/jdsm.7150","DOIUrl":"https://doi.org/10.15331/jdsm.7150","url":null,"abstract":"Study Objectives: Obstructive sleep apnea (OSA) has a close association with hypertension and often leads to uncontrolled hypertension. One treatment modality for mild to moderate OSA is the mandibular advancement device (MAD). The goal of the current study was to evaluate the effect of the MAD on blood pressure and sleep apnea severity. Methods: A total of 25 participants, screened for OSA using the STOP-Bang Questionnaire, and underwent a level 3 home sleep test. Based on apnea-hypopnea index (AHI) calculated from a level 3 home sleep test, selected participants with mild to moderate OSA underwent 24-hour ambulatory blood pressure monitoring. The monoblock type of custom-made MAD was fabricated for each of 21 selected participants. After 1 month of MAD therapy, a level 3 home sleep apnea test was performed again with the MAD in position and 24-hour ambulatory blood pressure monitoring were repeated for comparison with both parameters before MAD therapy. Results: MAD therapy resulted in significant reduction of systolic and diastolic blood pressure (p<0.05) and simultaneous reduction in AHI was also reported (P<0.05). Conclusions: MAD therapy is associated with significant reduction in AHI and ambulatory blood pressure in subjects with essential hypertension and OSA.","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48333161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Petrella, M. Maluly, Gabriel Natan Pires, M. Andersen, S. Tufik
{"title":"Considerations about oral appliance therapy during the COVID-19 pandemic","authors":"C. Petrella, M. Maluly, Gabriel Natan Pires, M. Andersen, S. Tufik","doi":"10.15331/jdsm.7166","DOIUrl":"https://doi.org/10.15331/jdsm.7166","url":null,"abstract":"","PeriodicalId":91534,"journal":{"name":"Journal of dental sleep medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67500741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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