Objectively measured adherence may affect side effects of mandibular advancement therapy in subjects with obstructive sleep apnea

Purpose The purpose of this study was to determine if objectively measured adherence to oral appliance (OA) treatment may affect dental changes and temporomandibular disorders (TMD) in patients with obstructive sleep apnea (OSA). Methods The original study group consisted of adults with OSA who were...

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Bibliographic Details
Published in:Sleep & breathing Vol. 28; no. 2; pp. 813 - 821
Main Author: Pahkala, Riitta
Format: Journal Article
Language:English
Published: Cham Springer International Publishing 01.05.2024
Springer Nature B.V
Subjects:
Adherence
Adult
Adults
Apnea
Averages
Chi-square test
Dentistry
Discomfort
Disorders
Drug effects
Female
Humans
Internal Medicine
Irritation
Jaw
Male
Mandible
Mandibular Advancement - adverse effects
Mandibular Advancement - instrumentation
Medical treatment
Medicine
Medicine & Public Health
Middle Aged
Mouth
Muscle pain
Neurology
Obstructive sleep apnea
Osteoarthritis
Otorhinolaryngology
Pain
Patient Compliance
Patients
Pediatrics
Pneumology/Respiratory System
Side effects
Sleep
Sleep apnea
Sleep Apnea, Obstructive - therapy
Sleep Breathing Physiology and Disorders • Original
Sleep Breathing Physiology and Disorders • Original Article
Sleep disorders
Statistical analysis
Subjectivity
Teeth
Temporomandibular disorders
Temporomandibular joint
Temporomandibular joint disorders
Temporomandibular Joint Disorders - therapy
Therapy
Treatment compliance
Temporomandibular disorders
Dental changes
Side effects
Oral appliance
Obstructive sleep apnea
Adherence to treatment
ISSN:1520-9512, 1522-1709, 1522-1709
Online Access:Get full text
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Summary:Purpose The purpose of this study was to determine if objectively measured adherence to oral appliance (OA) treatment may affect dental changes and temporomandibular disorders (TMD) in patients with obstructive sleep apnea (OSA). Methods The original study group consisted of adults with OSA who were referred for OA therapy. Eight indicators of subjective side effects of using OA (temporomandibular joint (TMJ) and muscle pain, pain in teeth, jaw stiffness in the morning, clicking, dry mouth, hypersalivation, gingival irritation) were evaluated by a questionnaire. Three occlusal indicators (overjet, overbite, molar occlusion) and clinical TMD signs (TMJ pain, muscle pain, clicking, jaw deviation on opening) were evaluated at baseline and at the 3-, 6-, and 12-month follow-up. In addition, objective adherence monitoring for OA was registered. Statistical analyses included the chi-square test, Fisher’s exact test, paired sample t -test, and linear regression analyses. Results A total of 58 adults with OSA were referred for OA therapy. Mean (SD) age was 50.7 (11.7) and mean apnea-hypopnea index (AHI) was 19.5 (10.0). At 1-year follow-up, the study group consisted of 28 men and 12 women. Overjet but not overbite reduced significantly after 1-year OA therapy. The average nightly wear of OA was related to overjet and overbite reduction, and to TMD signs. Hypersalivation, dry mouth, and tooth discomfort were the most common subjective side effects of OA therapy. Conclusion There was a time-dependent relationship with the nightly wear of OA and reduction in overjet and overbite, and clinical TMD signs. With 60% of mandibular advancement, dental changes and TM-disorders were considered mild/minor in the 1‐year study period.
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ISSN:1520-9512
1522-1709
1522-1709
DOI:10.1007/s11325-023-02959-1