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Improved cognitive functions after treatment with an oral appliance in obstructive sleep apnea

Tegelberg, Åke (author)
Malmö högskola,Uppsala universitet,Centrum för klinisk forskning, Västerås,Odontologiska fakulteten (OD)
Wilhelmsson, B. (author)
Erixon-Lindroth, N. (author)
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Lindström, Leif H. (author)
Uppsala universitet,Centrum för klinisk forskning, Västerås
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 (creator_code:org_t)
Dove Press, 2012
2012
English.
In: Nature and Science of Sleep. - : Dove Press. - 1179-1608. ; 4, s. 89-96
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Objective: The objective of this study was to evaluate the effect of oral appliance (OA) treatment on cognitive functions in patients with obstructive sleep apnea (OSA). Materials and methods: In a prospective study, 50 male patients with verified moderate-to-severe OSA received an OA with mandibular advancement. The cognitive functions assessed included working memory, vigilance, executive functioning, and mental pace, measured before as well as after 6 months of treatment. Somnography was used to measure physiological treatment effects. Forty-three patients completed the 6-month follow-up study. Results: All domains of cognitive functioning measured improved after 6 months of treatment with an OA (P < 0.001). The apnea/hypopnea- and oxygen desaturation-indices decreased significantly after treatment (P < 0.01). An obvious treatment response was reached in 60% of the patients, and 54% of the patients had recovered ie, had normalized breathing during sleep. Conclusion: OA with mandibular advancement is a treatment modality for the physiological symptoms of OSA, and may have a positive impact on cognitive functions, after only 6 months of treatment.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

Keyword

Clinical trial
Cognition
Oral appliance
Sleep apnea
Treatment

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ref (subject category)
art (subject category)

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Tegelberg, Åke
Wilhelmsson, B.
Erixon-Lindroth, ...
Lindström, Leif ...
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MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
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Uppsala University
Malmö University

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