onr:"swepub:oai:DiVA.org:umu-10465"
Search: onr:"swepub:oai:DiVA.org:umu-10465" > Comparison of a cus...
- 1 of 1
- Previous record
- Next record
- To hitlist
Comparison of a custom-made and a thermoplastic oral appliance for the treatment of mild sleep apnea
- Vanderveken, Olivier M (author)
-
- Devolder, Annick (author)
- Umeå universitet,Ortodonti
-
- Marklund, Marie (author)
- Umeå universitet,Institutionen för odontologi
- show more...
- Boudewyns, An N (author)
- Braem, Marc J (author)
- Okkerse, Walter (author)
- Verbraecken, Johan A (author)
- De Backer, Wilfried A (author)
- Van de Heyning, Paul H (author)
- show less...
- (creator_code:org_t)
- New York : American Lung Association, 2008
- 2008
- English.
- In: American Journal of Respiratory and Critical Care Medicine. - New York : American Lung Association. - 1073-449X .- 1535-4970. ; 178:2, s. 197-202
- Journal article (peer-reviewed)
Abstract
Subject headings
Close
- 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.
Keyword
- excessive somnolence
- oral appliances
- polysomnography
- sleep apnea
- snoring
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
- American Journal of Respiratory and Critical Care Medicine (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Vanderveken, Oli ...
- Devolder, Annick
- Marklund, Marie
- Boudewyns, An N
- Braem, Marc J
- Okkerse, Walter
- show more...
- Verbraecken, Joh ...
- Franklin, Karl
- De Backer, Wilfr ...
- Van de Heyning, ...
- show less...
- Articles in the publication
- American Journal ...
- By the university
- Umeå University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
