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Comparison of a cus...
Comparison of a custom-made and a thermoplastic oral appliance for the treatment of mild sleep apnea
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Vanderveken, Olivier M (författare)
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- Devolder, Annick (författare)
- Umeå universitet,Ortodonti
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- Marklund, Marie (författare)
- Umeå universitet,Institutionen för odontologi
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Boudewyns, An N (författare)
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Braem, Marc J (författare)
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Okkerse, Walter (författare)
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Verbraecken, Johan A (författare)
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- Franklin, Karl (författare)
- Umeå universitet,Lungmedicin,Kirurgi
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De Backer, Wilfried A (författare)
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Van de Heyning, Paul H (författare)
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(creator_code:org_t)
- New York : American Lung Association, 2008
- 2008
- Engelska.
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Ingår i: American Journal of Respiratory and Critical Care Medicine. - New York : American Lung Association. - 1073-449X .- 1535-4970. ; 178:2, s. 197-202
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Rationale: The efficacy of immediate adaptation of mandibular advancement devices made of thermoplastic material as a treatment option for sleep-disordered breathing (SDB) has been demonstrated in clinical studies. To date, there have been no studies comparing the efficacy of such prefabricated devices with custom-made devices. Objectives: Our purpose was to compare the efficacy of both types of devices in patients with SDB. Methods: A randomized controlled cross-over trial, comprising 4 months of treatment with a thermoplastic and a custom-made device, with a 1-month washout interval. Measurements and Main Results: A total of 35 patients (29 males; age, 49 ± 9 yr; apnea–hypopnea index [AHI], 13 ± 11 events/h; body mass index, 28 ± 4 kg/m2) completed the protocol. AHI was only reduced with the custom-madedevice (P = 0.005). In addition, this device reduced snoring to a greater extent than the thermoplastic device. The success rate was higher with the custom-made device (60 vs. 31%; P = 0.02). One-third of the patients demonstrated compliance failure with the thermoplastic device, mainly because of insufficient overnight retention. Total failure rate with the thermoplastic device was 69%, whereas the majority (63%) of these were successfully treated with the custom-made device. At the end of the study, 82% of the patients preferred the custom-made device, and 9% had no preference (P < 0.0001). Conclusions: In this study, a custom-made device turned out to be more effective than a thermoplastic device in the treatment of SDB. Our results suggest that the thermoplastic device cannot be recommended as a therapeutic option nor can it be used as a screening tool to find good candidates for mandibular advancement therapy.
Nyckelord
- excessive somnolence
- oral appliances
- polysomnography
- sleep apnea
- snoring
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Vanderveken, Oli ...
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Devolder, Annick
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Marklund, Marie
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Boudewyns, An N
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Braem, Marc J
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Okkerse, Walter
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visa fler...
-
Verbraecken, Joh ...
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Franklin, Karl
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De Backer, Wilfr ...
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Van de Heyning, ...
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visa färre...
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Umeå universitet