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The effect of mandi...
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Marklund, MarieUmeå universitet,Ortodonti
(författare)
The effect of mandibular advancement device on apneas and sleep in patients with obstructive sleep apnea
- Artikel/kapitelEngelska1998
Förlag, utgivningsår, omfång ...
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Elsevier BV,1998
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:umu-18867
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-18867URI
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https://doi.org/10.1378/chest.113.3.707DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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Objective: To evaluate the effects of a mandibular advancement device on apneas and sleep in, mild, moderate and severe obstructive sleep apnea. Design: Prospective study. Subjects: Forty-four of 47 patients included. Intervention: Individually adjusted mandibular advancement devices. Measurements: Polysomnographic sleep recordings for 1 night without the device and 1 night with it, with a median of 1 day and no changes in weight, medication, or sleep position between the recordings. Results: The device reduced the median apnea-hypopnea index from 11 (range, 7 to 19) to 5 (range, 0 to 17) (p<0.001) in 21 patients with mild sleep apnea, from 27 (range, 20 to 38) to 7 (range 1 to 19) (p<0.001) in 15 patients with moderate sleep apnea, and from 53 (range 44 to 66) to 14 (range, 2 to 32) (p=<0.05) in 8 patients with severe sleep apnea. The arousal index decreased and the sleep stage patterns improved in all severity groups. Twenty-eight of 44 patients were successfully treated with an obstructive apnea-hypopnea index of below 10 and a subjective reduction in snoring. Nine of 16 patients with treatment failure still reported a reduction in snoring. The success rate correlated inversely to the disease severity (r=-0.41; p<0.01). Conclusions: A mandibular advancement device reduces apnea and improves sleep quality in patients with obstructive sleep apnea, especially in those with mild and moderate disease. A follow-up sleep recording during treatment is necessary because of the risk of silent obstructive apneas without subjective snoring with the device.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Franklin, KarlUmeå universitet,Lungmedicin
(författare)
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Sahlin, Carin,1953-Umeå universitet,Lungmedicin
(författare)
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Lundgren, RuneUmeå universitet,Lungmedicin
(författare)
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Umeå universitetOrtodonti
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Chest: Elsevier BV113, s. 707-7130012-36921931-3543
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