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Oral appliance in sleep apnea treatment : respiratory and clinical effects and long-term adherence

Show simple item record 2017-08-23T08:58:22Z 2017-08-23T08:58:22Z
dc.title Oral appliance in sleep apnea treatment : respiratory and clinical effects and long-term adherence en
ethesis.discipline Orthodontics en
ethesis.discipline Hampaiston oikomishoito fi
ethesis.discipline Ortodonti sv
ethesis.faculty Lääketieteellinen tiedekunta fi
ethesis.faculty Faculty of Medicine en
ethesis.faculty Medicinska fakulteten sv
ethesis.faculty.URI Helsingin yliopisto fi University of Helsinki en Helsingfors universitet sv
dct.creator Bachour, Patrick
dct.issued 2016
dct.language.ISO639-2 eng
dct.abstract PURPOSE: There is an increasing tendency to use oral appliance (OA) as an alternative treatment for sleep apnea. Here we report the long-term adherence and clinical effects of OA therapy. METHODS: All sleep apnea patients treated at the Department of Dentistry between the years 2006 and 2013 (n=1208) were reviewed. A questionnaire about OA adherence, asthma symptoms (Asthma Control Test™, ACT), and general health was sent to all patients who continued OA therapy after the 1-month follow-up visit (n=811). OA was adjusted to obtain at least 70 % of the maximal protrusion of the mandible. RESULTS: The response rate was 37.4 % (99 women, 204 men). The mean±SD age and BMI were 58.7±10.3 years and 27.3±4.0 kg/m(2), respectively. During the mean follow-up period of 3.3 years, there was no significant variation in BMI. Forty-one patients abandoned OA therapy yielding an adherence rate of 86 %. Ninety-seven percent of patients used OA ≥4 h/day, and the mean daily use was 7.2±1.1 h. The ACT score improved with OA use from 16.0±5.9 to 20.1±3.8 (p=0.004), indicating better asthma control. The apnea and hypopnea index decreased significantly from 27±19 at baseline to 10±10 with OA therapy (p=0.001). CONCLUSIONS: After a 1-month trial period, the long-term adherence to oral appliance was good. OA therapy decreased apneas and hypopneas significantly, and its long-term use was associated with an improvement in respiratory and asthma symptoms. en
dct.subject sleep study en
dct.subject asthma en
dct.subject questionnaire en
dct.subject oral sleep apnea appliance en
dct.language en
ethesis.language English en
ethesis.language englanti fi
ethesis.language engelska sv
ethesis.supervisor Palotie, Tuula
ethesis.thesistype pro gradu-avhandlingar sv
ethesis.thesistype pro gradu -tutkielmat fi
ethesis.thesistype master's thesis en
dct.identifier.ethesis E-thesisID:51ee8595-d70f-43b7-b116-2411fe33b392
ethesis.degreeprogram Hammaslääketieteen koulutusohjelma fi
ethesis.degreeprogram Dental curriculum en
ethesis.degreeprogram Odontologiska utbildningsprogrammet sv
ethesis-internal.timestamp.reviewStep 2017-05-29 15:32:40:467
dct.identifier.urn URN:NBN:fi:hulib-201708235274
dc.type.dcmitype Text Ortodontia fi

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